Cell
Volume 168, Issue 4, 9 February 2017, Pages 584-599
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Perspective
Implementing Genome-Driven Oncology

https://doi.org/10.1016/j.cell.2016.12.015Get rights and content
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Early successes in identifying and targeting individual oncogenic drivers, together with the increasing feasibility of sequencing tumor genomes, have brought forth the promise of genome-driven oncology care. As we expand the breadth and depth of genomic analyses, the biological and clinical complexity of its implementation will be unparalleled. Challenges include target credentialing and validation, implementing drug combinations, clinical trial designs, targeting tumor heterogeneity, and deploying technologies beyond DNA sequencing, among others. We review how contemporary approaches are tackling these challenges and will ultimately serve as an engine for biological discovery and increase our insight into cancer and its treatment.

Keywords

Precision medicine
genome-driven oncology
next-generation sequencing
targeted therapy
basket studies

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