title: "Cancer 2015": A Prospective, Population-Based Cancer Cohort-Phase 1: Feasibility of Genomics-Guided Precision Medicine in the Clinic.
abstract: "Cancer 2015" is a longitudinal and prospective cohort. It is a phased study whose aim was to pilot recruiting 1000 patients during phase 1 to establish the feasibility of providing a population-based genomics cohort. Newly diagnosed adult patients with solid cancers, with residual tumour material for molecular genomics testing, were recruited into the cohort for the collection of a dataset containing clinical, molecular pathology, health resource use and outcomes data. 1685 patients have been recruited over almost 3 years from five hospitals. Thirty-two percent are aged between 61-70 years old, with a median age of 63 years. Diagnostic tumour samples were obtained for 90% of these patients for multiple parallel sequencing. Patients identified with somatic mutations of potentially "actionable" variants represented almost 10% of those tumours sequenced, while 42% of the cohort had no mutations identified. These genomic data were annotated with information such as cancer site, stage, morphology, treatment and patient outcomes and health resource use and cost. This cohort has delivered its main objective of establishing an upscalable genomics cohort within a clinical setting and in phase 2 aims to develop a protocol for how genomics testing can be used in real-time clinical decision-making, providing evidence on the value of precision medicine to clinical practice.
authors.affiliation: Division of Cancer Research, Peter MacCallum Cancer Centre, 7 St Andrews Place, East Melbourne VIC 3002, Australia. john.parisot@petermac.org.|Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. john.parisot@petermac.org.
authors.forename: John P
authors.initials: JP
authors.lastname: Parisot
authors.affiliation: Division of Cancer Research, Peter MacCallum Cancer Centre, 7 St Andrews Place, East Melbourne VIC 3002, Australia. heather.thorne@petermac.org.|Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. heather.thorne@petermac.org.
authors.forename: Heather
authors.initials: H
authors.lastname: Thorne
authors.affiliation: Department of Pathology, Peter MacCallum Cancer Centre, East Melbourne VIC 3002, Australia. andrew.fellowes@petermac.org.
authors.forename: Andrew
authors.initials: A
authors.lastname: Fellowes
authors.affiliation: Division of Cancer Research, Peter MacCallum Cancer Centre, 7 St Andrews Place, East Melbourne VIC 3002, Australia. ken.doig@petermac.org.|Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. ken.doig@petermac.org.
authors.forename: Ken
authors.initials: K
authors.lastname: Doig
authors.affiliation: Department of Epidemiology and Preventative Medicine, Alfred Centre, Monash University, Prahran VIC 3181, Australia. mark.lucas@monash.edu.
authors.forename: Mark
authors.initials: M
authors.lastname: Lucas
authors.affiliation: Department of Epidemiology and Preventative Medicine, Alfred Centre, Monash University, Prahran VIC 3181, Australia. john.mcneil@monash.edu.
authors.forename: John J
authors.initials: JJ
authors.lastname: McNeil
authors.affiliation: Centre for Health Economics, Monash University, Clayton VIC 3800, Australia. brett.doble@monash.edu.
authors.forename: Brett
authors.initials: B
authors.lastname: Doble
authors.affiliation: Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. alex.dobrovic@onjcri.org.au.|Department of Pathology, Peter MacCallum Cancer Centre, East Melbourne VIC 3002, Australia. alex.dobrovic@onjcri.org.au.|Translational Genomics and Epigenomics Laboratory, Olivia Newton-John Cancer Research Institute, Austin Health, Heidelberg VIC 3084, Australia. alex.dobrovic@onjcri.org.au.|Department of Pathology, The University of Melbourne, Parkville VIC 3010, Australia. alex.dobrovic@onjcri.org.au.|School of Cancer Medicine, La Trobe University, Bundoora VIC 3084, Australia. alex.dobrovic@onjcri.org.au.
authors.forename: Alexander
authors.initials: A
authors.lastname: Dobrovic
authors.affiliation: School of Cancer Medicine, La Trobe University, Bundoora VIC 3084, Australia. Tom.John@onjcri.org.au.|Medical Oncology, Olivia Newton-John Cancer Research Institute, Austin Health, Heidelberg VIC 3084, Australia. Tom.John@onjcri.org.au.
authors.forename: Thomas
authors.initials: T
authors.lastname: John
authors.affiliation: Division of Cancer Medicine, Peter MacCallum Cancer Centre, East Melbourne VIC 3002, Australia. paul.james@petermac.org.
authors.forename: Paul A
authors.initials: PA
authors.lastname: James
authors.affiliation: Department of Medical Oncology, The Royal Melbourne Hospital, Melbourne Health, Parkville VIC 3010, Australia. lara.lipton@mh.org.au.
authors.forename: Lara
authors.initials: L
authors.lastname: Lipton
authors.affiliation: The Andrew Love Cancer Centre, Geelong Hospital, Barwon Health, Geelong VIC 3220, Australia. david.ashley@BarwonHealth.org.au.
authors.forename: David
authors.initials: D
authors.lastname: Ashley
authors.affiliation: Warrnambool Hospital, SouthWest Healthcare, Warrnambool VIC 3280, Australia. andrew.fellowes@petermac.org.
authors.forename: Theresa
authors.initials: T
authors.lastname: Hayes
authors.affiliation: Department of Surgery, Cabrini Institute, Cabrini Health, Malvern VIC 3144, Australia. pjm@colorectal.com.au.
authors.forename: Paul
authors.initials: P
authors.lastname: McMurrick
authors.affiliation: Haematology and Oncology, Cabrini Institute, Cabrini Health, Malvern VIC 3144, Australia. gary.richardson@ocv.net.au.
authors.forename: Gary
authors.initials: G
authors.lastname: Richardson
authors.affiliation: Centre for Health Economics, Monash University, Clayton VIC 3800, Australia. paula.lorgelly@monash.edu.
authors.forename: Paula
authors.initials: P
authors.lastname: Lorgelly
authors.affiliation: Division of Cancer Research, Peter MacCallum Cancer Centre, 7 St Andrews Place, East Melbourne VIC 3002, Australia. andrew.fellowes@petermac.org.|Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. andrew.fellowes@petermac.org.|Department of Pathology, Peter MacCallum Cancer Centre, East Melbourne VIC 3002, Australia. andrew.fellowes@petermac.org.|Department of Pathology, The University of Melbourne, Parkville VIC 3010, Australia. andrew.fellowes@petermac.org.
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Fox
authors.affiliation: Division of Cancer Research, Peter MacCallum Cancer Centre, 7 St Andrews Place, East Melbourne VIC 3002, Australia. alex.dobrovic@onjcri.org.au.|Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville VIC 3010, Australia. alex.dobrovic@onjcri.org.au.|The Kinghorn Cancer Centre and Garvan Institute, Victoria Street, Darlinghurst 2010, NSW, Australia. alex.dobrovic@onjcri.org.au.
authors.forename: David M
authors.initials: DM
authors.lastname: Thomas
keywords: cancer genomics cohort; health economics; next-Gen sequencing; precision medicine