UNITS: The UNC / UT National Clinical Trials Network Group Integrated Translational Science Production and Consultation Center

单位：北卡罗来纳大学/德克萨斯大学国家临床试验网络集团综合转化科学生产和咨询中心

• 批准号: 10581560
• 负责人: David N Hayes
• 金额: $ 72.84万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-03-13 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10581560
• 关键词: Acceleration; Accreditation; Address; Adjuvant Study; Adoption; B-Cell Antigen Receptor; Base Sequence; Big Data; Biological Assay; Biological Markers; CLIA certified; Cancer Patient; Cells; Center for Translational Science Activities; Clinic; Clinical; Clinical Data; Clinical Trials; Clinical Trials Cooperative Group; Clonality; Complex; Consultations; DNA; DNA Sequence; DNA Sequence Alteration; DNA copy number; DNA sequencing; Data; Data Analyses; Data Mart; Diagnosis; Disease; Expression Profiling; Formalin; Freezing; Funding; Gene Expression; Gene Expression Profiling; Genomic medicine; Genomics; Genotype; Goals; Grant; Head; Hereditary Malignant Neoplasm; Human; Immune; Immune system; Immunotherapy; Infrastructure; Institution; Laboratories; Laboratory Study; Location; Malignant Neoplasms; Massive Parallel Sequencing; Measures; Methods; Molecular Target; Mutation; Mutation Detection; National Clinical Trials Network; Neoadjuvant Therapy; Nucleic Acids; Paraffin Embedding; Patients; Pharmaceutical Preparations; Pharmacogenomics; Ploidies; Precision Medicine Initiative; Predisposition; Privacy; Process; Production; RNA; Reproducibility; Research Personnel; Reverse Transcriptase Polymerase Chain Reaction; Role; Sampling; Science; Selection for Treatments; Specimen; Speed; Staging System; Standardization; Syndrome; T-Lymphocyte; Technical Expertise; Techniques; Technology; The Cancer Genome Atlas; Time; Translational Research; United States National Institutes of Health; Variant; analysis pipeline; biomarker development; cancer clinical trial; cancer genome; clinical decision-making; clinically relevant; cost efficient; data access; data dissemination; data sharing; data submission; database of Genotypes and Phenotypes; exome; experience; genome-wide; genomic data; human subject; human subject protection; immune cell infiltrate; improved; mRNA sequencing; malignant breast neoplasm; nano-string; neoantigens; next generation; next generation sequencing; novel; open data; personalized medicine; precision medicine; privacy protection; prognostic; receptor; single-cell RNA sequencing; therapeutic enzyme; transcriptome; transcriptome sequencing; tumor; tumor microenvironment; whole genome

In the current era of Precision Medicine, laboratory studies are an integral component of cancer clinical trials. Amongst the most powerful techniques connecting therapies to specific patients are assays that interrogate nucleic acids (DNAseq and/or RNAseq), which are now most typically done using massively parallel sequencing (MPS). RNAseq now offers an extremely powerful approach for querying the tumor genome, where gene expression profiles have proven value in providing prognostic information, predictive information, and also critical information on the tumor microenvironment including quantitative measures of immune infiltrations. In addition, DNA based approaches can also be clinically informative in detecting somatic sequence alterations (mutations), structural variations (fusions), loss of normal DNA sequences (deletions), or sequence gains (amplifications). Alternatively, sequencing assays can target DNA from noncancerous cells to address additional questions including identification of familial predisposition, and genotyping of drug metabolizing enzymes of therapeutic importance. Through this Project, the UNC / UTHSC UNITS team will provide high volume clinical grade sequencing in a regulatory compliant manner from day one of the grant. As a world leader in the production of human RNA- based cancer data, from both frozen and FFPE, including RNA sequencing and targeted RNA quantification, RNA-based assays are offered within a compliant setting. We are also highly experienced with common, and complex, DNA-based assays and offer these as well. Aims 1 and 2 of this proposal involve providing an FDA- and CAP- compliant mechanism for high sample throughput for RNA- and DNA-sequencing from samples provided from multi-institutional cooperative group trials. RNA sequencing will be offered in 3 formats, RNA- Seq, NanoString, and Q-rt-PCR, to allow both comprehensive coverage and inexpensive targeted RNA profiling. DNA sequencing will be offered for both whole exome and targeted capture by MPS, as well as quantitative DNA measures by NanoString. The third aim is to develop and provide data sharing formats and an infrastructure for the proper dissemination of clinical trial sequence-based patient information, which is needed is this era of Big Data.

在当前的精确医学时代，实验室研究是癌症临床试验的组成部分。 在将疗法与特定患者连接的最强大的技术中，有询问的测定 核酸（DNASEQ和/或RNASEQ），现在最常使用大量平行完成 测序（MPS）。 RNASEQ现在提供了一种非常强大的方法来查询肿瘤基因组， 基因表达曲线在提供预后信息，预测信息时具有证明价值的位置， 以及有关肿瘤微环境的关键信息，包括免疫的定量测量 渗透。此外，基于DNA的方法在检测体细胞时也可以在临床上有用 序列改变（突变），结构变化（融合），正常DNA序列的丧失（缺失）或 序列获得（扩增）。或者，测序测定可以靶向从非癌细胞到的DNA 解决其他问题，包括鉴定家族性倾向和药物的基因分型 代谢酶的治疗重要性。 通过该项目，UNC / UTHSC单元团队将在 从赠款的第一天开始遵守法规的方式。作为人类RNA生产的世界领导者 - 来自冷冻和FFPE的基于癌症数据，包括RNA测序和靶向RNA定量， 基于RNA的测定在合规环境中提供。我们在共同方面也经验丰富， 复杂的基于DNA的测定法，并提供这些测定。该提案的目标1和2涉及提供FDA- 和符合帽的机制，用于从样品中进行RNA和DNA测序的高样品吞吐量 由多机构合作小组试验提供。 RNA测序将以3种格式提供RNA- SEQ，纳米弦和Q-RT-PCR，以允许全面覆盖和廉价的目标RNA 分析。 MPS以及 定量DNA通过纳米结构进行测量。第三个目的是开发和提供数据共享格式，以及 用于适当传播基于临床试验序列的患者信息的基础架构， 需要这个大数据时代。