Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology

High‐throughput genomic analyses are being implemented in clinical practice. MODIFY is a retrospective study of the first introduction of genomic profiling and molecular tumor boards in the country of Luxembourg. The primary objective was to assess whether patients derived a clinical benefit by meas...

Full description

Saved in:
Bibliographic Details
Main Authors: Michaël Dang, Anna Schritz, Nikolai Goncharenko, Guy Berchem
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.13785
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850155097545244672
author Michaël Dang
Anna Schritz
Nikolai Goncharenko
Guy Berchem
author_facet Michaël Dang
Anna Schritz
Nikolai Goncharenko
Guy Berchem
author_sort Michaël Dang
collection DOAJ
description High‐throughput genomic analyses are being implemented in clinical practice. MODIFY is a retrospective study of the first introduction of genomic profiling and molecular tumor boards in the country of Luxembourg. The primary objective was to assess whether patients derived a clinical benefit by measuring the percentage of patients who presented a progression‐free survival (PFS) on matched therapy (PFS2) 1.3‐fold longer than PFS on previous therapy (PFS1). A total of 94 patients were included. In total, 45 patients (53.57% of patients with successful next‐generation sequencing [NGS] analysis) were found to have an actionable mutation. Of these, 11 patients received the treatment recommended by the molecular tumor board, another 12 received best‐supportive care, and 20 were treated with conventional therapy. PFS2 and PFS1 data were available for eight patients. The PFS2/PFS1 ratio was ≥ −1.3 in 62.5% (n = 5/8; CI [30.38, 86.51]) of patients; three patients showed a partial response, and median overall survival (OS) was 7.3 months. Although the examined population was small, this study further supports evidence indicating that patients with advanced cancer benefit from molecular profiling and targeted therapy.
format Article
id doaj-art-2e3a161633fe42fdaedc406c866d0f81
institution OA Journals
issn 1574-7891
1878-0261
language English
publishDate 2025-05-01
publisher Wiley
record_format Article
series Molecular Oncology
spelling doaj-art-2e3a161633fe42fdaedc406c866d0f812025-08-20T02:25:02ZengWileyMolecular Oncology1574-78911878-02612025-05-011951508151610.1002/1878-0261.13785Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncologyMichaël Dang0Anna Schritz1Nikolai Goncharenko2Guy Berchem3Department of Oncology Centre Hospitalier de Luxembourg (CHL) LuxembourgLuxembourg Institute of Health (LIH) LuxembourgInstitut National du Cancer (INC) Luxembourg LuxembourgDepartment of Oncology Centre Hospitalier de Luxembourg (CHL) LuxembourgHigh‐throughput genomic analyses are being implemented in clinical practice. MODIFY is a retrospective study of the first introduction of genomic profiling and molecular tumor boards in the country of Luxembourg. The primary objective was to assess whether patients derived a clinical benefit by measuring the percentage of patients who presented a progression‐free survival (PFS) on matched therapy (PFS2) 1.3‐fold longer than PFS on previous therapy (PFS1). A total of 94 patients were included. In total, 45 patients (53.57% of patients with successful next‐generation sequencing [NGS] analysis) were found to have an actionable mutation. Of these, 11 patients received the treatment recommended by the molecular tumor board, another 12 received best‐supportive care, and 20 were treated with conventional therapy. PFS2 and PFS1 data were available for eight patients. The PFS2/PFS1 ratio was ≥ −1.3 in 62.5% (n = 5/8; CI [30.38, 86.51]) of patients; three patients showed a partial response, and median overall survival (OS) was 7.3 months. Although the examined population was small, this study further supports evidence indicating that patients with advanced cancer benefit from molecular profiling and targeted therapy.https://doi.org/10.1002/1878-0261.13785genomic profilingmatched therapyPFS ratioprecision oncology
spellingShingle Michaël Dang
Anna Schritz
Nikolai Goncharenko
Guy Berchem
Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
Molecular Oncology
genomic profiling
matched therapy
PFS ratio
precision oncology
title Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
title_full Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
title_fullStr Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
title_full_unstemmed Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
title_short Impact of molecular diagnostics and targeted cancer therapy on patient outcomes (MODIFY): a retrospective study of the implementation of precision oncology
title_sort impact of molecular diagnostics and targeted cancer therapy on patient outcomes modify a retrospective study of the implementation of precision oncology
topic genomic profiling
matched therapy
PFS ratio
precision oncology
url https://doi.org/10.1002/1878-0261.13785
work_keys_str_mv AT michaeldang impactofmoleculardiagnosticsandtargetedcancertherapyonpatientoutcomesmodifyaretrospectivestudyoftheimplementationofprecisiononcology
AT annaschritz impactofmoleculardiagnosticsandtargetedcancertherapyonpatientoutcomesmodifyaretrospectivestudyoftheimplementationofprecisiononcology
AT nikolaigoncharenko impactofmoleculardiagnosticsandtargetedcancertherapyonpatientoutcomesmodifyaretrospectivestudyoftheimplementationofprecisiononcology
AT guyberchem impactofmoleculardiagnosticsandtargetedcancertherapyonpatientoutcomesmodifyaretrospectivestudyoftheimplementationofprecisiononcology