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National Cancer Institute - NCI Division of Cancer Treatment and ...

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a subgroup <strong>of</strong> patients in which low<br />

diagnostic PSA levels were associated<br />

with less aggressive tumors.<br />

■ Designing tissue microarrays for breast<br />

cancer, colon <strong>and</strong> rectal cancer, prostate<br />

cancer, as well as melanoma <strong>and</strong> designing<br />

studies for evaluating their quality.<br />

■ Serving on the DataMart Steering<br />

Committee. DataMart is a joint effort<br />

between <strong>NCI</strong> <strong>and</strong> the cooperative<br />

groups to establish a data repository<br />

<strong>of</strong> clinical trial data (including marker<br />

data) in order to allow more contemporaneous<br />

<strong>and</strong> frequent analyses<br />

<strong>of</strong> pooled breast cancer clinical trial<br />

research data.<br />

■ As a member <strong>of</strong> PACCT (http://<br />

www.cancerdiagnosis.nci.nih.gov/<br />

assessment/index.html), BRB provided<br />

<strong>NCI</strong> statistical leadership in developing<br />

major protocols involving multiple<br />

cooperative groups to evaluate<br />

predictive biomarkers. PACCT’s first<br />

clinical trial is a prospective, r<strong>and</strong>omized<br />

study designed to evaluate the use <strong>of</strong><br />

a genomic test (the Oncotype DX®<br />

classifier) as a basis for determining<br />

treatment for breast cancer patients.<br />

Director’s Challenge Groups<br />

http://www.cancerdiagnosis.nci.nih.gov/<br />

challenge/index.html<br />

Traditionally, the classification <strong>of</strong> tumors<br />

has been based on morphology, or the<br />

tumor’s structure, but morphological<br />

classification cannot accurately predict<br />

biological behavior, prognosis, or response<br />

to treatment. In 1998, the <strong>NCI</strong> Director<br />

issued an appeal, or Director’s Challenge,<br />

■ ■ ■<br />

Microarrays are a powerful molecular analytical tool. BRB led<br />

a collaborative study showing that different laboratories using<br />

a common protocol can obtain consistent results.<br />

DNA microarray technology allows scientists to assess the level <strong>of</strong> expression<br />

<strong>of</strong> a large subset <strong>of</strong> the 100,000 human genes in a cell or tissue. This technology<br />

can quickly produce a snapshot <strong>of</strong> the genes that are active in a tumor<br />

cell, critical information in narrowing the precise molecular causes <strong>of</strong> a cancer.<br />

called “Toward a Molecular Classification<br />

<strong>of</strong> Tumors,” to urge the research community<br />

to revolutionize the classification <strong>of</strong><br />

human tumors. Defining <strong>and</strong> underst<strong>and</strong>ing<br />

the changes associated with individual<br />

tumors can identify patient subsets <strong>and</strong> be<br />

used to tailor treatment regimens.<br />

Microarrays are a new <strong>and</strong> powerful<br />

molecular analytical tool that can help sort<br />

tumor characteristics, but until recently it<br />

was not known whether results achieved<br />

at one laboratory could be reliably compared<br />

with results obtained at other<br />

<strong>NCI</strong> Visuals Online, Bill Branson, photographer.<br />

B I O M E T R I C R E S E A R C H B R A N C H ■ 13

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