Research Article

Clinical Outcomes of Patients with Rare and Heavily Pretreated Solid Tumors Treated according to the Results of Tumor Molecular Profiling

Table 1

Tumor type and clinician and MP-guided therapy recommendation, MP results, and clinical outcomes: heavily pretreated group (HPT).

Tumor locationPrior linesNext best treatment: clinician-definedNext best treatment: MP-definedClinical observationsBiomarkers with/without benefitChemotherapy versus biological/targeted therapyPFS ratio

Cervical2Irinotecan + 5-FU (FOLFIRI started)CB5/57 versus 21.91
Gall bladder3FOLFIRICB3/55 versus 02.40
Skin (Merckel)3Epirubicin + cisplatin + 5-FUP4/58 versus 01.50
Colorectal3Mitoxantrone/5-FUEpirubicin + cisplatin + 5-FUP4/58 versus 00.28
Cervical 2NilFOLFIRICB15/410 versus 71.43
Pancreas (adenocarcinoma)2NilEpirubicin + cisplatin + 5-FU then trastuzumab (?)/erlotinibCB7/27 versus 61.33
Gastric2FOLFIRIGemcitabine + oxaliplatinCB15/512 versus 31.76
Leiomyosarcoma2TrabectedinSunitinibCB11/69 versus 714.87
Breast (ER/HER2+)3Trastuzumab/capecitabine then liposomal doxorubicin then trastuzumab/irinotecanTrastuzumab + irinotecanCB15/920 versus 30.67
Uterus2Doxorubicin + cyclophosphamideP6/168 versus 00.28
Breast2Nab-paclitaxel (intolerant), cyclophosphamide + methotrexate + 5-FUP8/1117 versus 0NA
Small bowel2Died before assessmentP6/167 versus 0NA
Esophageal2FOLFIRIP7/167 versus 2NA
Lung2Cisplatin + pemetrexedCB14/127 versus 30.59
Malignant mesothelioma2Cisplatin + pemetrexedCisplatin + nab-paclitaxel + doxorubicinP5/194 versus 0NA
Ovarian3Nab-paclitaxelTopotecan (also anthracyclines/nab-paclitaxel/hormones)CB8/1512 versus 01.00
Cholangiocarcinoma2Epirubicin + cisplatin + 5-FUCisplatin + gemcitabineCB5/137 versus 0NA
Mesothelioma2NilFOLFIRIP2/165 versus 00.70
Gastrointestinal2FOLFIRIFOLFIRIP4/185 versus 00.77
Colon (adenocarcinoma)2Mitomycin-C + 5-FUCarboplatin + gemcitabineCB13/810 versus 21.50
Cervical2Irinotecan + 5-FU (FOLFIRI started)CB5/57 versus 22.00
Ovarian (serous adenocarcinoma)2Cisplatin + liposomal doxorubicinCarboplatin + liposomal doxorubicinCB9/914 versus 03.80
Lung (adenocarcinoma)3VinorelbineNab-paclitaxelP10/119 versus 0NA
Pleura (adenocarcinoma)3FOLFIRICB9/611 versus 02.80
Prostate3MitoxantroneIrinotecan + 5-FUCB12/516 versus 01.83
Ovarian (serous adenocarcinoma)2Cisplatin + liposomal doxorubicinCisplatin + liposomal doxorubicinCB9/410 versus 03.00
Ovarian (serous adenocarcinoma)2Cisplatin + liposomal doxorubicinDoxorubicinP6/87 versus 20.50
Colon (adenocarcinoma)2Gemcitabine + nab-paclitaxelP8/98 versus 00.87
Mesothelioma2VinorelbineGemcitabine + nab-paclitaxelCB8/77 versus 00.30
Gastric (adenocarcinoma)2Etoposide + leucovorin + 5-FUFOLFIRICB10/611 versus 32.85
Ductal breast carcinoma1Nab-paclitaxelCB10/316 versus 3NA

TotalsCB = 19; = 12253/279291 versus 45

CB = clinical benefit (QOL/PS/general symptoms/weight and imaging results improved or stable); NA = not available; P = progression (QOL/PS/general symptoms/weight and imaging results declined or deteriorated).
Ratio of PFS with therapy suggested by MP versus that with prior line of therapy.
FOLFIRI, irinotecan + 5-FU + folinic acid; PFS, progression-free survival; PS, performance status; QOL, quality of life.