At FMI, we are committed to translating data into insights of immediate and practical value to patients and caregivers. Empathetic insights from clinical practitioners are integral.

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Introduction and Scientific Rationale

Clinico-genomic data can be used to produce insights and evidence that can immediately inform the treatment of patients with cancer. At Foundation Medicine, we have been committed to this mission, with dedicated scientists who specialize in the production of scientific papers to generate and communicate these insights1-10. This type of work requires collaboration between people with diverse skills and expertise: genomics, data science, epidemiology, biostatistics, and clinical treatment context.

A critical component is collaboration with clinical practitioners who are experienced in the care of patients with cancer, to ensure that insights derived will be of greatest value to patients. We have created this RFC program to solicit ideas and expertise more broadly from diverse audiences and practitioners, to ensure maximum impact for the greatest number of patients. We invite the oncology research community to submit proposals for collaboration with FMI scientists and data.

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Data sources and resources

Clinico-Genomic Database (CGDB)

Clinical analyses for a subset of patients included in the genomic landscape analysis used the nationwide (U.S.-based) de-identified Flatiron Health-Foundation Medicine Clinico-genomic Database. The de-identified data originated from cancer clinics in the United States. Retrospective longitudinal clinical data were derived from electronic health records, comprising patient-level structured and unstructured data, curated via technology-enabled abstraction of clinical notes and radiology/pathology reports, which were linked to genomic data derived from Foundation Medicine testing by de-identified, deterministic matching11. Institutional Review Board approval of the study protocol was obtained prior to study conduct and included a waiver of informed consent. The Flatiron Health-Foundation Medicine Clinico-genomic Database contains data from more than 125,000 patients. Example peer-reviewed publications making use of CGDB are linked below.

Scoring and Ranking

For all projects, we seek creative ideas to improve the care of patients with cancer in the most direct, efficient way possible. FMI's clinical research goals are to generate insights from our data that are immediately useful for patient care. Preference will be given to projects with:

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Diligent background of clinical and biological context and rationale for the project (1-2 paragraphs, 5+ scientific references recommended)

Please find open Requests For Collaboration below

Request for Collaboration

Proposals to Advance Health Equity Research in Precision Medicine

As part of Foundation Medicineā€™s Advancing Inclusive Diagnostics initiative, we invite the oncology research community to submit applications for retrospective data collaborations focused on the intersection of cancer disparities and genomic testing.

 

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Request for Collaboration

Proposals to Improve Clinical Decisions in Metastatic Prostate Cancer Care with Precision Medicine

Prostate Cancer Foundation

In collaboration with the Prostate Cancer Foundation, we invite the oncology research community to submit applications for retrospective data collaborations focused on generating insights that might be immediately useful for patients with metastatic prostate cancer.

 

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Scientific References

  1. Antonarakis ES, Tierno M, Fisher V, et al: Clinical and pathological features associated with circulating tumor DNA content in real-world patients with metastatic prostate cancer. Prostate 82:867-875, 2022
  2. Graf RP, Fisher V, Creeden J, et al: Real-world Validation of TMB and Microsatellite Instability as Predictive Biomarkers of Immune Checkpoint Inhibitor Effectiveness in Advanced Gastroesophageal Cancer. Cancer Research Communications, 2022
  3. Graf RP, Fisher V, Huang RSP, et al: Tumor Mutational Burden as a Predictor of First-Line Immune Checkpoint Inhibitor Versus Carboplatin Benefit in Cisplatin-Unfit Patients With Urothelial Carcinoma. JCO Precis Oncol 6:e2200121, 2022
  4. Graf RP, Fisher V, Mateo J, et al: Predictive Genomic Biomarkers of Hormonal Therapy Versus Chemotherapy Benefit in Metastatic Castration-resistant Prostate Cancer. European Urology, 2021
  5. Graf RP, Fisher V, Weberpals J, et al: Comparative Effectiveness of Immune Checkpoint Inhibitors vs Chemotherapy by Tumor Mutational Burden in Metastatic Castration-Resistant Prostate Cancer. JAMA Netw Open 5:e225394, 2022
  6. Hill BL, Graf RP, Shah K, et al: Mismatch repair deficiency, next-generation sequencing-based microsatellite instability, and tumor mutational burden as predictive biomarkers for immune checkpoint inhibitor effectiveness in frontline treatment of advanced stage endometrial cancer. Int J Gynecol Cancer 33:504-513, 2023
  7. Quintanilha JCF, Graf RP, Fisher VA, et al: Comparative Effectiveness of Immune Checkpoint Inhibitors vs Chemotherapy in Patients With Metastatic Colorectal Cancer With Measures of Microsatellite Instability, Mismatch Repair, or Tumor Mutational Burden. JAMA Network Open 6:e2252244-e2252244, 2023
  8. Quintanilha JCF, Graf RP, Oxnard GR: BRAF V600E and RNF43 Co-mutations Predict Patient Outcomes
  9. Rolfo CD, Madison RW, Pasquina LW, et al: Measurement of ctDNA Tumor Fraction Identifies Informative Negative Liquid Biopsy Results and Informs Value of Tissue Confirmation. Clin Cancer Res, 2024
  10. Swami U, Graf RP, Nussenzveig RH, et al: SPOP mutations as a Predictive Biomarker for Androgen Receptor-Axis-Targeted Therapy in De Novo Metastatic Castration-Sensitive Prostate Cancer. Clin Cancer Res, 2022
  11. Singal G, Miller PG, Agarwala V, et al: Association of Patient Characteristics and Tumor Genomics With Clinical Outcomes Among Patients With Non-Small Cell Lung Cancer Using a Clinicogenomic Database. JAMA 321:1391-1399, 2019