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Genomically matched therapy in advanced solid tumors: the randomized phase 2 ROME trial

Nature Medicine, Published online: 29 September 2025; doi:10.1038/s41591-025-03918-x

In the proof-of-concept phase 2 ROME trial, comprehensive genomic profiling followed by molecular tumor board evaluation and randomization of patients with metastatic solid cancer to receive personalized therapy or standard of care led to a significantly higher objective response rate and longer progression-free survival in patients who received personalized therapy.
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Protocol for the creation and utilization of 3D pancreatic cancer models from circulating tumor cells

STAR Protoc. 2025 Feb 11;6(1):103635. doi: 10.1016/j.xpro.2025.103635. Online ahead of print.

ABSTRACT

We introduce a protocol for generating 3D organoids from circulating tumor cells (CTCs), enabling longitudinal functional and molecular analyses in pancreatic cancer patients, including those with unresectable disease, which constitutes the majority of cases. We outline the process for isolating and characterizing CTCs from the blood of pancreatic cancer patients and provide detailed instructions for initiating, passaging, and phenotyping CTC-derived organoids. Additionally, we describe techniques for utilizing these organoids in drug screening with a focus on stemness-related pathways. For complete details on the use and execution of this protocol, please refer to Tang et al.1.

PMID:39946239 | PMC:PMC11870243 | DOI:10.1016/j.xpro.2025.103635

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