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Considering molecular alterations as pan-cancer tissue-agnostic targets

Owing to high response rates, the Food and Drug Administration has approved both gene- and immune-targeted drugs for tumor-agnostic, genomic biomarker-based indications, for lethal solid and blood cancers. We posit that current data support tissue-agnostic activity as a paradigm, rather than an exception to the rule.

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Acknowledgements

This work was supported in part by National Cancer Institute at the National Institutes of Health (NIH) (grant P30 CA023100 (S.K., J.K.S., S.M.L.)). R.K. is funded in part by 5U01CA180888-08 and 5UG1CA233198-05.

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Correspondence to Jacob J. Adashek or Razelle Kurzrock.

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J.J.A. serves on the advisory board of CureMatch Inc and as a consultant for datma. S.K. serves as a consultant for Foundation Medicine. He receives speaker’s fee from Roche and advisory board for Pfizer. He has research funding from ACT Genomics, Sysmex, Konica Minolta and OmniSeq. J.K.S. receives research funding from Amgen Pharmaceuticals and Foundation Medicine, consultant fees from Deciphera, speaker’s fees from Deciphera, Foundation Medicine, La-Hoffman Roche, Merck, MJH Life Sciences, and QED Therapeutics. SLM is the co-founder of io9 and is on Biological Dynamics, Inc. Scientific Advisory Board. R.K. has received research funding from Biological Dynamics, Boehringer, Caris, Datar Genomics, Ingelheim, Debiopharm, Foundation Medicine, Genentech, Grifols, Guardant, Incyte, Konica Minolta, Medimmune, Merck Serono, Omniseq, Pfizer, Sequenom, Takeda and TopAlliance; as well as consultant and/or speaker fees and/or on the advisory board for Actuate Therapeutics, AstraZeneca, Bicara Therapeutics, Biological Dynamics, Caris, Daiichi Sankyo, Inc., EISAI, EOM Pharmaceuticals, Iylon, Merck, NeoGenomics, Neomed, Pfizer, Prosperdtx, Roche, TD2/Volastra, Turning Point Therapeutics and X-Biotech; has an equity interest in CureMatch Inc., CureMetrix and IDbyDNA; serves on the Board of CureMatch and CureMetrix; and is a co-founder of CureMatch.

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Adashek, J.J., Kato, S., Sicklick, J.K. et al. Considering molecular alterations as pan-cancer tissue-agnostic targets. Nat Cancer 4, 1622–1626 (2023). https://doi.org/10.1038/s43018-023-00676-y

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