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20d
Impact of RAS/BRAF V600E mutations on the tumor immune microenvironment in mismatch repair deficient /microsatellite instability colorectal cancers. (PubMed, Clin Cancer Res)
Our data suggest that MSI/dMMR CRCs harboring RASmut are less immunogenic and TiME contains a lower inflammatory profile than wild-type or BRAFV600E tumors. Further analysis and validation are required to confirm these findings.
Journal • Mismatch repair • Tumor mutational burden • Microsatellite instability • PD(L)-1 Biomarker • IO biomarker • dMMR
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PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CD8 (cluster of differentiation 8) • RAS (Rat Sarcoma Virus)
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BRAF V600E • MSI-H/dMMR • BRAF V600 • BRAF wild-type • RAS mutation • RAS wild-type • BRAF V600 wild-type
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Tempus xT Assay • Tempus xR
4ms
Molecular characterization of patients with metastatic invasive lobular carcinoma (ILC): using real-world data to describe this unique clinical entity. (PubMed, Clin Cancer Res)
Our real-world data illustrate the distinct molecular landscape of CDH1-mutant metastatic ILC, and therapies targeting ERBB2 and PIK3CA should be further investigated in CDH1-mutant ILC. ILC differs from mixed and IBC-NST at a transcriptional level, suggesting the possibility of using CDH1 RNA expression levels to improve classification of ILC.
Journal • Real-world evidence • Tumor mutational burden
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HER-2 (Human epidermal growth factor receptor 2) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • TMB (Tumor Mutational Burden) • CDH1 (Cadherin 1)
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PIK3CA mutation • HER-2 mutation
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Prosigna™ Breast Cancer Prognostic Gene Signature Assay • Tempus xT Assay
4ms
Comprehensive Comparison of Somatic, Germline, and Immune Cell Profiles in Upper Tract and Bladder Urothelial Carcinoma. (PubMed, JCO Precis Oncol)
By comprehensive molecular characterization of UC, we observed distinct genomic alterations and tumor microenvironment patterns in UTUC and UCB. Further research is warranted to elucidate the clinical implications of these findings. We compared the genetic and immune features of upper tract and bladder cancers. Our study found key differences that could affect treatment decisions, such as specific gene changes and immune markers. These insights may help doctors personalize therapies and improve patient care.
Clinical • Retrospective data • Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • FGFR3 (Fibroblast growth factor receptor 3) • RB1 (RB Transcriptional Corepressor 1) • MLH1 (MutL homolog 1) • KMT2D (Lysine Methyltransferase 2D) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • PMS2 (PMS1 protein homolog 2) • CD4 (CD4 Molecule) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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MSI-H/dMMR
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Tempus xT Assay • Tempus xR
5ms
Real-World Adherence Patterns of Comprehensive Genomic Profiling to Biomarker Recommended Therapies in Patients With Advanced Non-Small Cell Lung Cancer. (PubMed, JCO Oncol Pract)
In a large, real-world cohort of advanced NSCLC patients tested with CGP, the treatment adherence rate to matched NCCN-recommended targeted therapy was high. This study highlights the importance of CGP testing in identifying variants to provide timely matched targeted therapy in a rapidly evolving biomarker and therapeutic landscape.
Journal • HEOR • Real-world evidence
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Tempus xT Assay
6ms
Journal • Checkpoint inhibition • Real-world evidence • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
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Tempus xT Assay • Tempus xR
7ms
Brief Report: The Genomic Landscape of Small Cell Lung Cancer in Never-Smoking Patients. (PubMed, Clin Lung Cancer)
The mutational landscape of SCLC in NS patients significantly differs from that of C/FS patients, suggesting that the occurrence of SCLC in NS patients may represent a distinct genomic entity.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • TMB (Tumor Mutational Burden) • RB1 (RB Transcriptional Corepressor 1) • CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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PD-L1 expression • TP53 mutation • PIK3CA mutation • TMB-L
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Tempus xT Assay
7ms
False negative rate and concordance of ThyGeNEXT®+ThyraMIR® testing with post-thyroidectomy histopathology. (PubMed, J Clin Transl Endocrinol)
Reliable results were obtained from diverse specimen types. The low false-negative rate and positive concordance with histopathology highlights the utility of ThyGeNEXT® + ThyraMIR® in enhancing risk stratification and guiding personalized management of indeterminate thyroid nodules and thyroid cancer.
Journal
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BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • TERT (Telomerase Reverse Transcriptase) • RAS (Rat Sarcoma Virus)
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BRAF V600E • BRAF V600 • RAS mutation • NRAS Q61
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Tempus xT Assay • ThyGeNEXT® + ThyraMIR®
8ms
Clinical Actionability of Molecular Targets in Multi-Ethnic Breast Cancer Patients: A Retrospective Single-Institutional Study. (PubMed, Mol Diagn Ther)
In this study, a total of 784 clinically actionable mutations were reported for 1010 patients with genomic sequencing. Of these, 96/1010 (10%) patients had at least one actionable mutation in homologous recombination repair genes (BRCA1, BRCA2, PALB2) and 36/96 (37.5%) patients received PARP inhibitors (33 olaparib and three talazoparib). In addition, 381/1010 (38%) patients had at least one clinically actionable PIK3CA mutation, and 84/381 (22%) received alpelisib. Additionally, 544/1010 (54%) of patients had either AKT1 (41/1010), PIK3CA (381/1010), or PTEN (122/1010) alterations that were FDA approved in November 2023 for capivasertib in the treatment of HR+HER2- metastatic BC (MBC) patients. Furthermore, 144/1010 (14%) patients in this study had at least one ESR1 mutation, a clinically actionable mutation that was FDA approved in January 2023 for elacestrant in the treatment of ER+HER2- MBC patients (44% detected by liquid biopsy). Future studies are needed to determine the efficacy of elacestrant and capivasertib for patients with these mutations, and to tailor strategies for optimal patient quality of life and cancer outcome.
Retrospective data • Journal • Tumor mutational burden • BRCA Biomarker • PARP Biomarker
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • TMB (Tumor Mutational Burden) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • PTEN (Phosphatase and tensin homolog) • FGFR1 (Fibroblast growth factor receptor 1) • HRD (Homologous Recombination Deficiency) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • RB1 (RB Transcriptional Corepressor 1) • ARID1A (AT-rich interaction domain 1A) • NF1 (Neurofibromin 1) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • CCND1 (Cyclin D1) • MCL1 (Myeloid cell leukemia 1) • PALB2 (Partner and localizer of BRCA2) • FGF19 (Fibroblast growth factor 19) • KMT2C (Lysine Methyltransferase 2C) • CDH1 (Cadherin 1) • FGF3 (Fibroblast growth factor 3) • CHEK2 (Checkpoint kinase 2) • FGF4 (Fibroblast growth factor 4) • MAP3K1 (Mitogen-Activated Protein Kinase Kinase Kinase 1) • GATA3 (GATA binding protein 3) • ZNF703 (Zinc Finger Protein 703)
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TP53 mutation • HR positive • HER-2 negative • PIK3CA mutation • PTEN mutation • PALB2 mutation • ESR1 mutation • EGFR positive • AKT1 mutation
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Tempus xT Assay • Oncomap™ ExTra test
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Lynparza (olaparib) • Talzenna (talazoparib) • Piqray (alpelisib) • fulvestrant • Truqap (capivasertib) • Orserdu (elacestrant)
9ms
Genomic Characterization of Chondrosarcoma Reveals Potential Therapeutic Targets. (PubMed, JCO Precis Oncol)
These findings reinforce therapeutic efforts to target IDH signaling in chondrosarcoma, provide insight into varied subpopulation response to immune checkpoint inhibitors, and identify new potential therapeutic targets for clinical development in chondrosarcoma.
Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • MTAP (Methylthioadenosine Phosphorylase) • PDGFRB (Platelet Derived Growth Factor Receptor Beta) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • HEY1 (Hes Related Family BHLH Transcription Factor With YRPW Motif 1) • NCOA2 (Nuclear Receptor Coactivator 2)
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PD-L1 expression • MSI-H/dMMR • IDH2 mutation
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Tempus xT Assay
9ms
Racial Diversity and Co-Mutational Analysis of Biologically Relevant Alterations in EGFR Mutant Lung Cancers. (PubMed, Clin Lung Cancer)
EGFR mutation subtypes and co-mutations differ by race. KMT2C may influence TMB and immunotherapy response, while GLI1 is linked to TKI resistance. TP53 alterations were more commen in smokers, and patients with high PDL-1 and TMB, highlighting additional factors that drive tumors with these alterations.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • KMT2C (Lysine Methyltransferase 2C) • GLI1 (GLI Family Zinc Finger 1)
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EGFR mutation • TMB-H • EGFR L858R • EGFR exon 19 deletion
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Tempus xT Assay
9ms
ESR1 Y537S and D538G mutations drive resistance to CDK4/6 inhibitors in estrogen receptor-positive breast cancer. (PubMed, Clin Cancer Res)
We report herein real-world and preclinical evidence that ESR1 mutations, particularly Y537S and D538G, can drive resistance to CDK4/6 inhibitors.
Journal
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ER (Estrogen receptor)
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ER positive • ESR1 mutation
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Tempus xT Assay • Tempus xF Assay
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Ibrance (palbociclib)
10ms
DNA damage repair gene alterations influence the tumor immune microenvironment in advanced non-small cell lung cancer. (PubMed, Lung Cancer)
Among patients with metastatic NSCLC, 37% present with DDRmt tumors characterized by higher TMB, frequency of MSI-H, and changes in immune cell infiltrates. These findings provide insight into the immunogenic landscape of DDR-altered NSCLC and may inform biomarker selection and therapeutic strategies.
Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CD8 (cluster of differentiation 8)
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TMB-H • MSI-H/dMMR
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Tempus xT Assay • Tempus xR