Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps

Abstract Molecular Tumor Boards (MTBs) are pivotal in personalized cancer care. This systematic review and meta-analysis included 34 studies out of 576 articles (2020–January 2024) involving 12,176 patients across 26 major cancer entities. Of these, 20.8% (2,532 patients) received MTB-recommended th...

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Main Authors: Beryl Primrose Gladstone, Janina Beha, Arisa Hakariya, Pavlos Missios, Nisar P. Malek, Michael Bitzer
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-025-00865-1
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author Beryl Primrose Gladstone
Janina Beha
Arisa Hakariya
Pavlos Missios
Nisar P. Malek
Michael Bitzer
author_facet Beryl Primrose Gladstone
Janina Beha
Arisa Hakariya
Pavlos Missios
Nisar P. Malek
Michael Bitzer
author_sort Beryl Primrose Gladstone
collection DOAJ
description Abstract Molecular Tumor Boards (MTBs) are pivotal in personalized cancer care. This systematic review and meta-analysis included 34 studies out of 576 articles (2020–January 2024) involving 12,176 patients across 26 major cancer entities. Of these, 20.8% (2,532 patients) received MTB-recommended therapies, with 178 outcome measures reported, achieving a median overall survival (OS) of 13.5 months, progression-free survival (PFS) of 4.5 months, and an objective response rate (ORR) of 5–57%. A pooled PFS2/PFS1 ratio ≥ 1.3 from 14 reports was observed in 38% (33–44%) of cases. Comparative data showed improved outcomes for MTB-treated patients, with hazard ratios of 0.46 (0.28–0.76, p < 0.001) for OS in 19 and 0.65 (0.52–0.80, p < 0.001) for PFS in 3 studies. These results highlight the benefits of MTB evaluations in improving outcomes for patients with solid tumors but also emphasize the need for standardized evaluation criteria to enable robust comparisons across studies.
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spelling doaj-art-3b5d3f49b7634b6080e80c13006fb5bb2025-08-20T02:08:08ZengNature Portfolionpj Precision Oncology2397-768X2025-04-019111110.1038/s41698-025-00865-1Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gapsBeryl Primrose Gladstone0Janina Beha1Arisa Hakariya2Pavlos Missios3Nisar P. Malek4Michael Bitzer5Department of Internal Medicine I, Eberhard-Karls University TübingenCenter for Personalized Medicine, Eberhard-Karls UniversityDepartment of Internal Medicine I, Eberhard-Karls University TübingenDepartment of Internal Medicine I, Eberhard-Karls University TübingenDepartment of Internal Medicine I, Eberhard-Karls University TübingenDepartment of Internal Medicine I, Eberhard-Karls University TübingenAbstract Molecular Tumor Boards (MTBs) are pivotal in personalized cancer care. This systematic review and meta-analysis included 34 studies out of 576 articles (2020–January 2024) involving 12,176 patients across 26 major cancer entities. Of these, 20.8% (2,532 patients) received MTB-recommended therapies, with 178 outcome measures reported, achieving a median overall survival (OS) of 13.5 months, progression-free survival (PFS) of 4.5 months, and an objective response rate (ORR) of 5–57%. A pooled PFS2/PFS1 ratio ≥ 1.3 from 14 reports was observed in 38% (33–44%) of cases. Comparative data showed improved outcomes for MTB-treated patients, with hazard ratios of 0.46 (0.28–0.76, p < 0.001) for OS in 19 and 0.65 (0.52–0.80, p < 0.001) for PFS in 3 studies. These results highlight the benefits of MTB evaluations in improving outcomes for patients with solid tumors but also emphasize the need for standardized evaluation criteria to enable robust comparisons across studies.https://doi.org/10.1038/s41698-025-00865-1
spellingShingle Beryl Primrose Gladstone
Janina Beha
Arisa Hakariya
Pavlos Missios
Nisar P. Malek
Michael Bitzer
Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
npj Precision Oncology
title Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
title_full Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
title_fullStr Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
title_full_unstemmed Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
title_short Systematic review and meta-analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
title_sort systematic review and meta analysis of molecular tumor board data on clinical effectiveness and evaluation gaps
url https://doi.org/10.1038/s41698-025-00865-1
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