Tracking Genomic Cancer Evolution for Precision Medicine: The Lung TRACERx Study
- Jamal-Hanjan, M
- Hackshaw, A
- Ngai, Y
- Shaw, J
- Dive, C
- Quezada, S
- Middleton, G
- de Bruin, E
- Le Quesne, J
- Shafi, Shahida
- Falzon, M
- Horswell, S
- Blackhall, F
- Khan, I
- Janes, S
- Nicolson, M
- Lawrence, D
- Forster, M
- Fennell, D
- Lee, SM
- Lester, J
- Kerr, K
- Muller, Sheila
- Iles, N
- Smith, S
- Murugaesu, N
- Mitter, R
- Salm, M
- Stuart, A
- Matthews, N
- Adams, H
- Ahmad, T
- Attanoos, R
- Bennett, J
- Birkbak, NJ
- Booton, R
- Brady, G
- Buchan, K
- Capitano, A
- Chetty, M
- Cobbold, M
- Crosbie, P
- Davies, Hilary
- Denison, A
- Djearman, M
- Goldman, J
- Haswell, T
- Joseph, L
- Kornaszewska, M
- Krebs, M
- Langman, G
- MacKenzie, M
- Millar, J
- Morgan, B
- Naidu, B
- Nonaka, D
- Peggs, K
- Pritchard, K
- Remmen, H
- Rowan, A
- Shah, R
- Smith, Eleanor
- Summers, Y
- Taylor, M
- Veeriah, S
- Waller, D
- Wilcox, B
- Wilcox, M
- Woolhouse, I
- McGranahan, N
- Swanton, C
DOIAbstract
The importance of intratumour genetic and functional heterogeneity is increasingly recognised as a driver of cancer progression and survival outcome. Understanding how tumour clonal heterogeneity impacts upon therapeutic outcome, however, is still an area of unmet clinical and scientific need. TRACERx (TRAcking non-small cell lung Cancer Evolution through therapy [Rx]), a prospective study of patients with primary non-small cell lung cancer (NSCLC), aims to define the evolutionary trajectories of lung cancer in both space and time through multiregion and longitudinal tumour sampling and genetic analysis. By following cancers from diagnosis to relapse, tracking the evolutionary trajectories of tumours in relation to therapeutic interventions...
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