Translation RAIDs1 to RAIDs 2 CHICAGO JUNE 1-2 2016 Suzy Scholl - - PowerPoint PPT Presentation

translation raids1 to raids 2
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Translation RAIDs1 to RAIDs 2 CHICAGO JUNE 1-2 2016 Suzy Scholl - - PowerPoint PPT Presentation

Translation RAIDs1 to RAIDs 2 CHICAGO JUNE 1-2 2016 Suzy Scholl (Institut Curie) Clinical Preclinical BioRAIDs: longitudinal study at the heart of the RAIDs project CHICAGO INTERGROUP MEETING JUNE 1-2 2016 Driver mutations from BioRAIDs:


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SLIDE 1

RAIDs1 to RAIDs 2

CHICAGO JUNE 1-2 2016 Suzy Scholl (Institut Curie)

Translation

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SLIDE 2

Clinical Preclinical

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SLIDE 3

BioRAIDs: longitudinal study at the heart of the RAIDs project

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

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SLIDE 4

Luxembourg May 3rd

Driver mutations from BioRAIDs: first 48 pts

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Institut Curie – Bioinformatics team – SIRIC Presentation 30 Septembre 2015

  • Full exome sequencing:

first analysis from 3 sets of data

‐ TCGA squamous cell carcinoma of cervix ‐ Helga Salvesen (Ojesina paper, Nature) ‐ RAIDs : full exoms from Tumors + 20 cell lines

Cervical cancer stratification: 5 clusters

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

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SLIDE 6

Luxembourg May 3rd

Significant Pathway enrichment ACSN

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SLIDE 7

Institut Curie – Bioinformatics team – SIRIC Presentation 30 Septembre 2015

CELL LINES IN CLUSTERS 1 AND 4 ONLY

Clusters 1 and 4: NDUF genes (carbonic anhydrase) & ATP5

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

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SLIDE 8

RAIDs 1

RAIDs 1 stratification data Reduce complexity

Selection and testing of drug combinations

Clinical

Biobanking IBBL Clinical Sponsor HCTC

Preclinical

Validation of drug combinations

RAIDs 1 Mutational profile & proteomics

Clinical validation of stratification BATTLE like trial design

Clinical trial development algorythm

RAIDs 2 Cure

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Precision Oncology: Lance Lancet Onc Oncology gy EDITORIAL Feb 2016

Imatinib (bcr/abl) Vemurafinib (Braf): Basket studies show that same targeted therapy have not the same effect across tumour types

EFFICACY evaluation: it is the number of mutations that matter !!!!!

IN NEED OF EMPIRICAL VALIDATION

Exceptional/super responders (MDA) are reported

  • missions in reporting the number of patients tested to find super response

number of previous lines not a valid criteria (patients who respond 6‐8X or better outcome –likely due to less mutations) few prospective trials reported: Shiva trial is the only prospective trial (Curie) TOXICITY not negligible

BASED ON PRECISION DIAGNOSTICS

Detailed gene mutation / expression profiling needed

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Precision medicine remains unproven & as such is a hypothesis in need of vigorous testing

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

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Clinical Preclinical: cell line work (20)

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Drug testing in cell lines: Inserm Grenoble

Molécule target CRL1550 CRL7920 HeLaRPMI HTB31 HTB34 HTB35 CRL1594 CRL1595 CRL2614 CRL 10302 HTB32 HTB33 IC1 IC3 IC4 IC5 HeLa CSCC7 CC11- CC11+ CC10B CC10A CSCC8 C33A

Vorinostat HDAC

>

Tamoxifene ER Gefitinib EGFR Sunitinib VEGFR… Doxorubicine intecalant Erlotinib topoisomerase Lapatinib EGFR Gemcitabine DNA replication Irinotecan Topoisomerase L6 mitochondrie/AMPK Sorafinib Raf/EGFR/DFGR/KIT Crizotinib ALK/ROS/MET Dasatinib BCR-abl… Metformine mitochondrie/AMPK L3 mitochondrie/AMPK Paclitaxel Tubiline Phenformine mitochondrie/AMPK Vinblastine Tubiline 5-FU thymidilate syntase Melphalan alkylant Vinorelbine Tubiline STO609 CamII kinase T6 mitochondrie/AMPK Etoposide TKI/KI Colchicine Tubiline Topotecan topoisomerase Daunorubicin e intercalant Fasudil ROCK Imatinib BCR-abl… Dacarbazide alkylant cisplatiner DNA crosslinker Cytarabine Iniparib PARP Methotrexate DHFR T4 BCR-abl… Carboplatine DNA crosslinker EMD1214063 c-MET L7 mitochondrie/AMPK Chlorambucil alkylant Liminib LIMK

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

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SLIDE 13

CHICAGO INTERGROUP MEETING JUNE 1-2 2016

RAIDs 1 …….. to RAIDs2 LCSB Luxembourg Center for System Biomedicine