Key result
Extensive personalized diagnostic testing identifies plausible FDA-approved treatments for relapsed undifferentiated pleomorphic sarcoma.
Why the study?
The rarity of nonrhabdomyosarcoma soft-tissue sarcoma subtypes often precludes preclinical research, leaving patients with limited options when frontline therapies fail, making personalized therapy assignment an alternative approach.
Case Report (n=1)
Extensive personalized diagnostic profiling in a patient with relapsed sarcoma identified plausible FDA-approved treatment regimens, highlighting the potential of N-of-1 approaches in rare cancers.
Should not yet change practice in relapsed sarcoma; leaves open the utility of N-of-1 profiling in rare cancers.
Nonrhabdomyosarcoma soft-tissue sarcomas (STSs) are a class of 50+ cancers arising in muscle and soft tissues of children, adolescents, and adults. Rarity of each subtype often precludes subtype-specific preclinical research, leaving many STS patients with limited treatment options should frontline therapy be insufficient. When clinical options are exhausted, personalized therapy assignment approaches may help direct patient care. Here, we report the results of an adult female STS patient with relapsed undifferentiated pleomorphic sarcoma (UPS) who self-drove exploration of a wide array of personalized Clinical Laboratory Improvement Amendments (CLIAs) level and research-level diagnostics, including state of the art genomic, proteomic,ex vivolive cell chemosensitivity testing, a patient-derived xenograft model, and immunoscoring. Her therapeutic choices were also diverse, including neoadjuvant chemotherapy, radiation therapy, and surgeries. Adjuvant and recurrence strategies included off-label and natural medicines, several immunotherapies, and N-of-1 approaches. Identified treatment options, especially those validated during thein vivostudy, were not introduced into the course of clinical treatment but did provide plausible treatment regimens based on FDA-approved clinical agents.
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Berlow et al. (2020) conducted a case report in Relapsed undifferentiated pleomorphic sarcoma (UPS) (n=1). Personalized diagnostic testing and diverse therapies was evaluated on Identification of plausible treatment regimens. Extensive personalized diagnostic testing in a patient with relapsed undifferentiated pleomorphic sarcoma identified plausible treatment regimens based on FDA-approved clinical agents.
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