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Evolution of Translational Omics:

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Origin <strong>of</strong> the Task for the IOM Committee• <strong>Omics</strong> tests developed at Duke to predict sensitivity to chemoRx• Papers in 2006/2007 suggested major advance in directing therapy• Concerns about accuracy and validity were raised immediately and in2009 Annals <strong>of</strong> Applied Statistics publication by Baggerly and Coombes:‣ Numerous errors in test development‣ Inconsistencies between primary data and data used in articles‣ Failure to reproduce results• Criticisms rebuffed for 4 years while:• Hundreds <strong>of</strong> publications cited papers in question• 2 companies launched• 3 Clinical trials initiated in 2007, using tests to direct patient care• Trials scrutinized by NCI statistical staff, but apparently not byfunders or general oncologic scientific community• 2010 letter to director <strong>of</strong> NCI, signed by more than 30bioinformaticians and statisticians, urged suspension <strong>of</strong> trials• IOM asked to review situation and provide guidance for the field

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