A new global study has been launched to help gain a deeper understanding of ROS1 gene fusions, a rare cause of some types of cancers, including ovarian.
The initiative is a joint effort by the Addario Lung Cancer Medical Institute (ALCMI), along with Champions Oncology and the ROS1ders, a group of patients and caregivers dealing with ROS1-positive cancers.
Patients with this rare tumor type can now enroll in the study to help researchers develop patient-derived xenografts (PDX) models for ROS1 fusion cancers.
PDX models help researchers study cancer. They are created by implanting a piece of a patient’s tumor into a mouse with a deficient immune system. These rodent “hosts” allow the tumor to grow while maintaining features similar to the patient’s original tumor. This is useful to study tumor growth, therapy response, and acquired resistance to therapies.
The purpose of the ALCMI-006 ROS1 PDX study is to make at least 24 PDX models for ROS1-positive cancers, which can then be used for research purposes. Participants in the study receive no immediate benefit, but down the road, the goal is to use these models to develop new and more effective therapies against this cancer subset.
ROS1 rearrangements occur in 1 to 3 percent of ovarian, lung, and gastric cancers, as well as melanoma and other cancers. ROS1 is an enzyme coded by the ROS1 gene. A gene fusion occurs when a gene unnaturally breaks off and fuses with another gene, forming a hybrid gene that can lead to cancer initiation and growth.
The study is the latest effort of the Global ROS1 Initiative, which was created to improve outcomes for this type of cancer. ROS1-positive patients who meet eligibility criteria may enroll and contribute with viable tumor tissue to develop the PDX models.
Certain requirements must be met for patients to participate. Patients can find out if they’re eligible by completing a contact form. A member of the research team will contact applicants to schedule a time to review eligibility requirements and activities. Those who meet the pre-screening requirements will be given access to the consent form.
The whole process should begin when a surgery or biopsy is scheduled. Participants should let their physician or surgeon know they want to donate a portion of their tumor to the study, and that Champions Oncology will be in contact with them.
All eligible individuals with an ROS1-positive cancer living anywhere in the United States (including Alaska, Hawaii, and Puerto Rico) or Canada can participate in the study. Participation in other countries will soon follow.
Xalkori (crizotinib) was the first ROS1 targeted therapy approved by the U.S. Food and Drug Administration (FDA), in 2016. It is now marketed by Pfizer and EMD Serono. There are no FDA-approved therapies if the disease progresses after crizotinib treatment. This study will potentially contribute to the development of new therapies for this under-studied cancer type.
“This innovative study will bring new models to study ROS1 in order to define the best treatments for patients with ROS1 positive tumors,” Christine M. Lovly, MD, PhD, a member of the ALCMI research consortium, said in a press release.
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