2020
DOI: 10.1158/1078-0432.ccr-19-3637
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Patient-Derived Organoids from Multiple Colorectal Cancer Liver Metastases Reveal Moderate Intra-patient Pharmacotranscriptomic Heterogeneity

Abstract: Translational relevance The majority of PDOs from colorectal liver metastases were sensitive to anticancer drugs in clinical use and/or under development in late-phase clinical trials. Together with only a modest level of intrapatient inter-metastatic pharmacological heterogeneity, this reinforces a potential benefit from off-label use of drugs guided by both pharmacological profiling and established molecular markers. Correlation in the overall variation at the drug sensitivity and gene expression levels supp… Show more

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Cited by 77 publications
(85 citation statements)
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References 56 publications
(60 reference statements)
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“…The authors used 39 tissue metastases from 22 patients. After analysis, it was possible to predict the most appropriate drug and assess the sensitivity to the drug; for example, organoids of patients 25 and 29 were sensitive to drugs in phase 2/3 clinical trials [ 134 ].…”
Section: Spheroids and Organoids For Personalized Medicinementioning
confidence: 99%
“…The authors used 39 tissue metastases from 22 patients. After analysis, it was possible to predict the most appropriate drug and assess the sensitivity to the drug; for example, organoids of patients 25 and 29 were sensitive to drugs in phase 2/3 clinical trials [ 134 ].…”
Section: Spheroids and Organoids For Personalized Medicinementioning
confidence: 99%
“…Some other studies have also established the effectiveness of cancer organoids in drug screening. However, a majority of the studies did not correlate the results from drug screening with clinical response [24,28,29], because surgically resected cancer tissues were used as original specimens of the cancer organoids. It is known that the postoperative recurrence of the tumor and the prognosis of patients does not depend solely on the response of the tumor to chemotherapeutic drugs, but is also attributed to the negative margin, lymph node metastases, and the extent of vascular invasion.…”
Section: Discussionmentioning
confidence: 99%
“…While the in vivo studies are a critical validation step in the pipeline, these studies are costly and time consuming. Future iterations of the pipeline that exploit continued improvement in patient-derived models, such as patient-derived organoids [16,35,36], are sure to improve the speed and cost-effectiveness of the pipeline and will further enable rapid translation of lead candidates into clinical practice [37]. Fifth, and perhaps most critically, the ability to test these candidates in veterinary clinical trials "closes the loop" of drug .…”
Section: Discussionmentioning
confidence: 99%