Table 1 MTBs attended by survey participants

From: Real-world experience of Molecular Tumour Boards for clinical decision-making for cancer patients

MTB name

Description of study/Background

Frequency of MTB

Genomics test used

References

TARGET Nationala (NCT04723316)

Academic-led national study. Aims to match cancer patients with targeted early-phase clinical trials

Weekly MTBs held virtually

NGS of ctDNAon a blood sample and/or tumour biopsy(FoundationOne ® Liquid CDx and/or FoundationOne®CDX)

https://www.clinicaloncologyonline.net/article/S0936-6555(22)00489-7/fulltext

CUP-COMPb (NCT04750109)

Academic-led national study. Compares the feasibility of molecular profiling from both tissue and blood in CUP patients

Monthly MTBs held virtually

NGS of ctDNA (FoundationOne® Liquid CDx) or tumour tissue (FoundationOne®CDX or WGS)

https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.3059

DETERMINEc (NCT05722886)

Academic-led national study. Aims to test approved targeted therapies in unlicensed indications

Weekly MTBs held virtually

No genomic testing through this study – Patient’s samples undergo genomic testing at local Genomics Laboratory Hub (GLH) as per the National genomic test directory for cancer (https://www.england.nhs.uk/publication/national-genomic-test-directories/) or within other molecular screening programmes such as TARGET National

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-of-targeted-treatment-for-rare-cancers-that-have-spread-determine

Genomic Tumour Advisory Boards (GTABs)

NHS-led standard of care advisory boards that discuss patients eligible for WGS

Regional virtual meetings

WGS as per NHS National genomic test directory

https://www.england.nhs.uk/genomics/

Precision-Pancd (NCT04161417)

Master protocol. UK-wide platform for patients with known or suspected pancreatic cancer. Facilitates real-time profiling of pancreatic cancer patients for therapeutic and research purposes.

Virtual meetings held every 6 weeks

Illumina NGS technology. Targeted capture sequencing is carried out using the Glasgow Precision Oncology Laboratory (GPOL) Clinical Cancer Genome (CCG), a bespoke pancreatic cancer-specific multiplex assay accompanied by a purpose-built analysis pipeline (termed HOLMES), using publicly available and proprietary software developed in-house

https://www.clinicaloncologyonline.net/article/S0936-6555(19)30291-2/fulltext

Integrating Medically Actionable Genomics INto Early-phase trials (IMAGINE) (NCT42303887)

Glasgow ECMC-led project. Discussion of NGS reports from patients across Scotland to inform early-phase clinical trial selection.

Fortnightly MTBs held virtually

Illumina NGS analysis of tumours by in-house ‘Cancer-plus’ panel

https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/imagine-2/

https://www.genomeweb.com/sequencing/university-glasgow-team-integrate-genomics-new-cancer-clinical-trials-network

Cancer Core Europe Basket of Baskets (NCT03767075)

Platform trial from Cancer Core Europe (CCE). Part 1 includes molecular profiling programme and an MTB. Part 2 includes a basket trial.

Weekly MTBs held virtually

CCE 350-gene NGS panel

https://basketofbaskets.eu/

https://ichgcp.net/clinical-trials-registry/NCT03767075

https://mtbp.org/

  1. aTumour Characterisation to Guide Experimental Targeted Therapy—National.
  2. bCarcinoma of Unknown Primary: a comparison across tissue and liquid biomarkers.
  3. cDetermining Extended Therapeutic indications for Existing drugs in Rare Molecularly defined Indications using a National Evaluation platform trial.
  4. dPrecision-Panc Master Protocol: personalising treatment for pancreatic cancer.