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The INFINITY study protocol: a retrospective cohort study on decision making and clinical impact of biomarker-driven precision oncology in routine clinical practice

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Open Access 01-12-2023 | Targeted Therapy | Study protocol

The INFINITY study protocol: a retrospective cohort study on decision making and clinical impact of biomarker-driven precision oncology in routine clinical practice

Authors: Uwe M. Martens, Jan Schröder, Fee Bengsch, Ludger Sellmann, Sabine Busies, Stefanie Frank-Gleich, Matthias Zaiss, Thomas Decker, Andreas Schneeweiss, Martin Schuler, Sina Grebhardt, Stefan Zacharias, Norbert Marschner, Benjamin Kasenda, Karin Potthoff, Corinne Vannier

Published in: BMC Cancer | Issue 1/2023

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Abstract

Background

Precision oncology, defined as treatment of patients with targeted therapies matched to specific molecular alterations, has entered routine clinical practice. Particularly in patients with advanced cancer or hematologic malignancies, for whom no further standard therapies are available, this approach is increasingly applied as last resort option outside of the approved indication. However, data on patient outcomes are not systematically collected, analyzed, reported, and shared. We have initiated the INFINITY registry to provide evidence from routine clinical practice to fill this knowledge gap.

Methods

INFINITY is a retrospective, non-interventional cohort study conducted at approximately 100 sites in Germany (office-based oncologists/hematologists and hospitals). We aim to include 500 patients with advanced solid tumors or hematologic malignancies who received a non-standard targeted therapy based on potentially actionable molecular alterations or biomarkers. INFINITY aims to provide insights into the use of precision oncology in routine clinical practice within Germany. We systematically collect details on patient and disease characteristics, molecular testing, clinical decision-making, treatment, and outcome.

Discussion

INFINITY will provide evidence on the current biomarker landscape driving treatment decisions in routine clinical care. It will also provide insights on effectiveness of precision oncology approaches in general, and of specific drug class/alteration matches used outside their approved indications.

Trial registration

The study is registered at ClinicalTrials.gov, NCT04389541.
Literature
1.
go back to reference Kalia M. Personalized oncology: recent advances and future challenges. Metabolism. 2013;62:S11–4.CrossRefPubMed Kalia M. Personalized oncology: recent advances and future challenges. Metabolism. 2013;62:S11–4.CrossRefPubMed
2.
go back to reference Tsimberidou AM, Fountzilas E, Nikanjam M, Kurzrock R. Review of precision cancer medicine: evolution of the treatment paradigm. Cancer Treat Rev. 2020;86:102019.CrossRefPubMedPubMedCentral Tsimberidou AM, Fountzilas E, Nikanjam M, Kurzrock R. Review of precision cancer medicine: evolution of the treatment paradigm. Cancer Treat Rev. 2020;86:102019.CrossRefPubMedPubMedCentral
3.
4.
go back to reference Schlomm T, Rödiger T, Graalmann J. Präzisionsonkologie. Urol. 2021;60:3–7.CrossRef Schlomm T, Rödiger T, Graalmann J. Präzisionsonkologie. Urol. 2021;60:3–7.CrossRef
6.
go back to reference Schwaederle M, et al. Association of biomarker-based treatment strategies with response rates and progression-free survival in refractory malignant neoplasms: a meta-analysis. JAMA Oncol. 2016;2:1452–9.CrossRefPubMed Schwaederle M, et al. Association of biomarker-based treatment strategies with response rates and progression-free survival in refractory malignant neoplasms: a meta-analysis. JAMA Oncol. 2016;2:1452–9.CrossRefPubMed
7.
go back to reference Haslem DS, et al. A Retrospective analysis of precision medicine outcomes in patients with advanced cancer reveals improved progression-free survival without increased health care costs. J Oncol Pract. 2017;13:e108–19.CrossRefPubMed Haslem DS, et al. A Retrospective analysis of precision medicine outcomes in patients with advanced cancer reveals improved progression-free survival without increased health care costs. J Oncol Pract. 2017;13:e108–19.CrossRefPubMed
8.
go back to reference Massard C, et al. High-throughput genomics and clinical outcome in hard-to-treat advanced cancers: results of the MOSCATO 01 trial. Cancer Discov. 2017;7:586–95.CrossRefPubMed Massard C, et al. High-throughput genomics and clinical outcome in hard-to-treat advanced cancers: results of the MOSCATO 01 trial. Cancer Discov. 2017;7:586–95.CrossRefPubMed
9.
go back to reference Tsimberidou A-M, et al. Initiative for Molecular Profiling and Advanced Cancer Therapy (IMPACT): an MD Anderson Precision Medicine Study. JCO Precis Oncol. 2017;2017:PO.17.00002.PubMed Tsimberidou A-M, et al. Initiative for Molecular Profiling and Advanced Cancer Therapy (IMPACT): an MD Anderson Precision Medicine Study. JCO Precis Oncol. 2017;2017:PO.17.00002.PubMed
10.
go back to reference Haslem DS, et al. Precision oncology in advanced cancer patients improves overall survival with lower weekly healthcare costs. Oncotarget. 2018;9:12316–22.CrossRefPubMedPubMedCentral Haslem DS, et al. Precision oncology in advanced cancer patients improves overall survival with lower weekly healthcare costs. Oncotarget. 2018;9:12316–22.CrossRefPubMedPubMedCentral
11.
go back to reference Zhang Q, Fu Q, Bai X, Liang T. Molecular profiling-based precision medicine in cancer: a review of current evidence and challenges. Front Oncol. 2020;10:532403.CrossRefPubMedPubMedCentral Zhang Q, Fu Q, Bai X, Liang T. Molecular profiling-based precision medicine in cancer: a review of current evidence and challenges. Front Oncol. 2020;10:532403.CrossRefPubMedPubMedCentral
12.
go back to reference Crisci S, et al. Overview of current targeted anti-cancer drugs for therapy in onco-hematology. Med Kaunas Lith. 2019;55:E414. Crisci S, et al. Overview of current targeted anti-cancer drugs for therapy in onco-hematology. Med Kaunas Lith. 2019;55:E414.
13.
14.
go back to reference Stein MK, Oluoha O, Patel K, VanderWalde A. Precision medicine in oncology: a review of multi-tumor actionable molecular targets with an emphasis on non-small cell lung cancer. J Pers Med. 2021;11:518.CrossRefPubMedPubMedCentral Stein MK, Oluoha O, Patel K, VanderWalde A. Precision medicine in oncology: a review of multi-tumor actionable molecular targets with an emphasis on non-small cell lung cancer. J Pers Med. 2021;11:518.CrossRefPubMedPubMedCentral
17.
go back to reference Le Tourneau C, et al. Molecularly targeted therapy based on tumour molecular profiling versus conventional therapy for advanced cancer (SHIVA): a multicentre, open-label, proof-of-concept, randomised, controlled phase 2 trial. Lancet Oncol. 2015;16:1324–34.CrossRefPubMed Le Tourneau C, et al. Molecularly targeted therapy based on tumour molecular profiling versus conventional therapy for advanced cancer (SHIVA): a multicentre, open-label, proof-of-concept, randomised, controlled phase 2 trial. Lancet Oncol. 2015;16:1324–34.CrossRefPubMed
18.
go back to reference Hainsworth JD, et al. Targeted therapy for advanced solid tumors on the basis of molecular profiles: results from MyPathway, an open-label, phase IIa multiple basket study. J Clin Oncol. 2018;36:536–42.CrossRefPubMed Hainsworth JD, et al. Targeted therapy for advanced solid tumors on the basis of molecular profiles: results from MyPathway, an open-label, phase IIa multiple basket study. J Clin Oncol. 2018;36:536–42.CrossRefPubMed
21.
go back to reference Al Baghdadi T, et al. Sunitinib in patients with metastatic colorectal cancer (mCRC) with FLT-3 amplification: results from the targeted agent and profiling utilization registry (TAPUR) study. Target Oncol. 2020;15:743–50.CrossRefPubMed Al Baghdadi T, et al. Sunitinib in patients with metastatic colorectal cancer (mCRC) with FLT-3 amplification: results from the targeted agent and profiling utilization registry (TAPUR) study. Target Oncol. 2020;15:743–50.CrossRefPubMed
22.
go back to reference Alva AS, et al. Pembrolizumab in patients with metastatic breast cancer with high tumor mutational burden: results from the targeted agent and profiling utilization registry (TAPUR) study. J Clin Oncol Off J Am Soc Clin Oncol. 2021;39:2443–51.CrossRef Alva AS, et al. Pembrolizumab in patients with metastatic breast cancer with high tumor mutational burden: results from the targeted agent and profiling utilization registry (TAPUR) study. J Clin Oncol Off J Am Soc Clin Oncol. 2021;39:2443–51.CrossRef
23.
go back to reference den Dunnen JT. Describing sequence variants using HGVS nomenclature. Methods Mol Biol Clifton NJ. 2017;1492:243–51.CrossRef den Dunnen JT. Describing sequence variants using HGVS nomenclature. Methods Mol Biol Clifton NJ. 2017;1492:243–51.CrossRef
24.
go back to reference Agarwala V, et al. Real-world evidence in support of precision medicine: clinico-genomic cancer data as a case study. Health Aff (Millwood). 2018;37:765–72.CrossRefPubMed Agarwala V, et al. Real-world evidence in support of precision medicine: clinico-genomic cancer data as a case study. Health Aff (Millwood). 2018;37:765–72.CrossRefPubMed
25.
go back to reference Unger JM, Cook E, Tai E, Bleyer A. The role of clinical trial participation in cancer research: barriers, evidence, and strategies. Am Soc Clin Oncol Educ Book Am Soc Clin Oncol Annu Meet. 2016;35:185–98.CrossRef Unger JM, Cook E, Tai E, Bleyer A. The role of clinical trial participation in cancer research: barriers, evidence, and strategies. Am Soc Clin Oncol Educ Book Am Soc Clin Oncol Annu Meet. 2016;35:185–98.CrossRef
26.
go back to reference Harvey RD, et al. Impact of broadening trial eligibility criteria for patients with advanced non-small cell lung cancer: real-world analysis of select ASCO-friends recommendations. Clin Cancer Res Off J Am Assoc Cancer Res. 2021;27:2430–4.CrossRef Harvey RD, et al. Impact of broadening trial eligibility criteria for patients with advanced non-small cell lung cancer: real-world analysis of select ASCO-friends recommendations. Clin Cancer Res Off J Am Assoc Cancer Res. 2021;27:2430–4.CrossRef
27.
go back to reference Pauli C, et al. A Challenging task: identifying patients with Cancer of Unknown Primary (CUP) according to ESMO guidelines: the CUPISCO trial experience. Oncologist. 2021;26:e769–79.CrossRefPubMedPubMedCentral Pauli C, et al. A Challenging task: identifying patients with Cancer of Unknown Primary (CUP) according to ESMO guidelines: the CUPISCO trial experience. Oncologist. 2021;26:e769–79.CrossRefPubMedPubMedCentral
Metadata
Title
The INFINITY study protocol: a retrospective cohort study on decision making and clinical impact of biomarker-driven precision oncology in routine clinical practice
Authors
Uwe M. Martens
Jan Schröder
Fee Bengsch
Ludger Sellmann
Sabine Busies
Stefanie Frank-Gleich
Matthias Zaiss
Thomas Decker
Andreas Schneeweiss
Martin Schuler
Sina Grebhardt
Stefan Zacharias
Norbert Marschner
Benjamin Kasenda
Karin Potthoff
Corinne Vannier
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2023
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-023-11046-3

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