Prospective single center trial of next-generation sequencing analysis in metastatic renal cell cancer: the MORE-TRIAL

Author:

Dieffenbacher Svenja1,Zschäbitz Stefanie2,Hofer Luisa1,Hatiboglu Gencay1,Hou Weibin3,Hohenfellner Markus1,Duensing Stefan3,Sültmann Holger4,Pahernik Sascha5,Grüllich Carsten1

Affiliation:

1. The Renal Cancer Center at the National Center for Tumor Diseases (NCT) Heidelberg, Germany, Department of Urology, Heidelberg University Hospital, Im Neuenheimer Feld 110, Heidelberg, Germany

2. The Renal Cancer Center at the National Center for Tumor Diseases (NCT) Heidelberg, Germany, Department of Medical Oncology, National Center for Tumor Diseases Heidelberg, Heidelberg University Hospital, Im Neuenheimer Feld 460, Heidelberg, Germany

3. The Renal Cancer Center at the National Center for Tumor Diseases (NCT) Heidelberg, Germany, Section of Molecular Uro-oncology, Department of Urology, Heidelberg University Hospital, Im Neuenheimer Feld 110, Heidelberg, Germany

4. The Renal Cancer Center at the National Center for Tumor Diseases (NCT) Heidelberg, Germany, Cancer Genome Research Group, German Cancer Consortium (DKTK), Heidelberg, Germany, German Cancer Research Center (DKFZ) & National Center for Tumor Diseases (NCT), Heidelberg, Germany

5. The Renal Cancer Center at the National Center for Tumor Diseases (NCT) Heidelberg, Germany, Department of Urology, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany

Abstract

Aim: Targeted therapies have substantially improved the survival of patients with metastatic clear cell renal cell cancer. No prognostic or predictive biomarkers are available. Comprehensive genetic profiling offers the opportunity to define prognostic and predictive signatures aiming at a more personalized approach to treatment. Methods: In this prospectively conducted cohort study, tumor tissue and liquid biopsies are sampled at baseline and upon first and second progression under systemic treatment. Samples will be analyzed by whole-exome sequencing to generate prognostic and predictive patterns for systemic therapies. Discussion: This study is aiming at exploring genetic profiles with prognostic and predictive value in metastatic renal cell cancer patients. Clonal evolution facilitating resistance to systemic treatment will be investigated by repeat biopsies.

Publisher

Future Science Ltd

Subject

Biotechnology

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