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PERSONALIZED TREATMENT OF HEAD AND NECK CANCER<br />

treatment by allowing for unbiased understanding of the effects<br />

of a treatment on quality of life. 26<br />

THE FUTURE OF PERSONALIZED MEDICINE<br />

Genomic data is flowing at unprecedented rates. The biology<br />

of HNSCC is being dissected in increasingly remarkable detail.<br />

Smarter drugs are in the pipeline to cater treatment to the<br />

specifıc genetic makeup of a patient’s tumor. Private enterprise<br />

has embraced the genome era and begun construction<br />

of giant silos of patient data. Precision medicine has reached<br />

the mainstream and is being heralded as the next great step in<br />

the “war on cancer.” However, signifıcant hurdles remain before<br />

big data can be translated into better outcomes for patients<br />

with cancer. Determining which elements of big data<br />

are biologically and clinically relevant will require the development<br />

of new analysis methods, changes in clinical trial design,<br />

new infrastructure for data sharing, and, perhaps most<br />

importantly, close collaboration between bioinformaticists,<br />

oncologists, and the pharmaceutical industry.<br />

ACKNOWLEDGMENTS<br />

We would like to thank John Paul Shen for thoughtful review.<br />

Disclosures of Potential Conflicts of Interest<br />

Relationships are considered self-held and compensated unless otherwise noted. Relationships marked “L” indicate leadership positions. Relationships marked “I” are those held by an immediate<br />

family member; those marked “B” are held by the author and an immediate family member. Institutional relationships are marked “Inst.” Relationships marked “U” are uncompensated.<br />

Employment: None. Leadership Position: None. Stock or Other Ownership Interests: None. Honoraria: None. Consulting or Advisory Role: Ezra Cohen,<br />

Eisai, AstraZeneca, Bristol-Myers Squibb, Merck, VentiRx, Novartis, Bayer. Speakers’ Bureau: Ezra Cohen, Bayer, Blodesix. Research Funding: None.<br />

Patents, Royalties, or Other Intellectual Property: Andrew Gross, Patents, etc. (Provisional patient, “Iterative Feature Selection for the Development<br />

of Prognostic Models”)(Inst). Expert Testimony: None. Travel, Accommodations, Expenses: None. Other Relationships: None.<br />

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asco.org/edbook | 2015 ASCO EDUCATIONAL BOOK 31

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