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Feasibility and outcome of genomics-guided treatment selection in advanced cancer - the MEGALiT explorative clinical trial.

📅 June 4, 2025 👤 Ny Lars, Fagman Henrik, Botling Johan et al. 📖 Acta oncologica (Stockholm, Sweden)

🤖 Plain-English Summary

Precision cancer medicine (PCM) is key to advancing cancer treatment beyond the standard of care. Genomics-guided treatment selection in advanced cancer is feasible and safe.

🔑 Key Findings

  • We performed an explorative clinical trial, MEGALiT, to investigate the feasibility, safety, and clinical benefit of genomics-based PCM in advanced cancer.
  • MEGALiT recruited adult patients with advanced solid tumors refractory to standard treatment.
  • Tumor DNA from newly acquired biopsies or ctDNA were analyzed for alterations targetable with the PD-L1 inhibitor atezolizumab, the MEK inhibitor cobimetinib, the mTOR inhibitor everolimus, or the PARP-inhibitor niraparib.

💡 Why This Matters

Understanding this could lead to better treatments, improved diagnostics, or a deeper grasp of how the human body works — benefiting patient care globally.

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📋 Article Details

Category 🧬 Medicine & Biology
Published Jun 04, 2025
Journal Acta oncologica (Stockholm, Sweden)
Authors Ny Lars, Fagman Henrik, Botling Johan, Mantovaara Loviisa, Asplund Peter
DOI 10.2340/1651-226X.2025.43366
Source PubMed

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