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Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
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Appendix

Workshop Statement of Task and Agenda

POLICY ISSUES IN THE DEVELOPMENT AND ADOPTION OF MOLECULARLY TARGETED THERAPIES FOR CANCER

An ad hoc committee will plan and host a 1.5-day public workshop that will feature panel discussions and invited presentations. Workshop participants will explore the challenges in developing molecularly targeted therapies and the associated biomarker tests within the traditional research and development paradigm as well as the challenges in implementing treatments and biomarker tests in clinical practice. A major goal of the workshop will be to facilitate discussion about potential strategies and actions to address those challenges.

Participants will be invited to discuss topics that may include:

  • Clinical trial designs, the role of registries, and the “N-of-1” approach to evidence development;
  • Evidentiary needs, regulatory processes, and ethical/legal considerations;
  • The logistics and funding of multisite studies, including patient participation and coverage of experimental costs (biospecimen acquisition, biomarker test and drug costs) in clinical research; and
  • Clinical decision-making tools for appropriate implementation in clinical practice.
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×

The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. An individually authored workshop summary will be prepared by a designated rapporteur based on the information gathered and the discussions held during the workshop in accordance with institutional policy and procedures.

AGENDA

National Cancer Policy Forum Workshop Agenda: Policy Issues in the Development and Adoption of Molecularly Targeted Therapies for Cancer

November 10, 2014
7:45 am Registration
8:00 am Welcome from the Institute of Medicine’s National Cancer Policy Forum: Michael Caligiuri, James Cancer Hospital and Solove Research Institute, Ohio State University’s Comprehensive Cancer Center
Overview of the Workshop: Adrian Senderowicz, Oncology Drug Development, LLC
8:15 am Session 1: Challenges in Developing Clinical Biomarker Tests
Moderator: Samir Khleif, Georgia Regents University Cancer Center
Lessons Learned from Single Analyte Tests
Bruce Johnson, Dana-Farber Cancer Institute
New Challenges with Next Generation Sequencing (NGS)
Mia Levy, Vanderbilt University
Challenges in Analytical Validation of NGS Tests for Clinical Trials
Mickey Williams, National Cancer Institute (NCI)
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
Tests for Circulating Tumor DNA
Matthias Holdhoff, Johns Hopkins University
RNAseq Tests
Neil Hayes, University of North Carolina at Chapel Hill
Group Discussion
10:30 am Break
10:45 am Session 2A: Evidentiary Standards: Regulatory Science
Moderator: Adrian Senderowicz, Oncology Drug Development, LLC
Overview of Food and Drug Administration (FDA) Regulations for Diagnostics
Adrian Senderowicz, Oncology Drug Development, LLC
Evolving Paradigm for Companion Diagnostics and Other Diagnostic Tests at FDA
David Litwack, FDA
Clinical Utility of Diagnostic Tests
David Eberhard, University of North Carolina at Chapel Hill
Group Discussion
12:15 pm Lunch Break
1:00 pm Session 2B: Evidentiary Standards: Reimbursement
Moderator: Robert McDonough, Aetna
MolDX Approach
Dane Dickson, Palmetto, Teton Cancer Institute
Payer’s Perspectives
Donna Messner, Center for Medical Technology Policy (CMTP)
Group Discussion
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
2:00 pm Session 3A: Generating Evidence: Clinical Trial Designs
Moderator: Barbara Conley, NCI
Lung-MAP
Roy Herbst, Yale University
Matching Drugs to Mutations for Treating Advanced Cancer
Lilian Siu, Princess Margaret Hospital, Ontario Cancer Institute
Evaluation of Next Generation Sequencing for Companion Diagnostics Use
Anne-Marie Martin, GlaxoSmithKline
Group Discussion
3:20 pm Break
3:30 pm Session 3B: Generating Evidence: Other Mechanisms
Moderator: Richard Schilsky, American Society of Clinical Oncology
Actionable Genome Consortium
David Solit, Memorial Sloan Kettering Cancer Center
Coverage with Evidence Development
Sean Tunis, CMTP
Facilitated Drug Access Program and Registry
Richard Schilsky, American Society of Clinical Oncology
Benefits and Limitations/Challenges of Registries/Databases
Garnet Anderson, Fred Hutchinson Cancer Research Center, University of Washington School of Public Health
Group Discussion
5:15 pm Wrap Up Day 1 and Adjourn
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
November 11, 2014
7:30 am Registration
8:00 am Session 4: Practice Guidelines and Implementation into Clinical Practice
Moderator: Roy Herbst, Yale University
Guidelines Development
William Gradishar, Northwestern University
Treatment Pathways
Jennifer Malin, WellPoint
Adoption of Genomics in Oncology Care
Kathryn Phillips, University of California, San Francisco
Return of Sequencing Results to Patients
Patricia LoRusso, Yale University
Group Discussion
10:00 am Break
10:15 am Session 5: The Business Model for Test Development
Moderator: Lisa McShane, NCI
Karen Long, Abbott Molecular
Federico Monzon, Invitae
Group Discussion
11:30 am Workshop Wrap-Up
11:45 am Adjourn
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×

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Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
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Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
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Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
Page 83
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
Page 84
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
Page 85
Suggested Citation:"Appendix: Workshop Statement of Task and Agenda." Institute of Medicine. 2015. Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21692.
×
Page 86
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 Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies: Workshop Summary
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A long-held goal in oncology has been to develop therapies that target the specific abnormalities in each patient's cancer rather than simply treating cancers based on the tissue of origin. In the past decade, advances in technology have enabled researchers to relatively quickly and inexpensively determine, in minute detail, the genetic makeup of tumors. Although relatively few targeted cancer therapies are currently available in the clinic and it is not yet clear whether all cancers are driven by genetic changes that can be targeted, there is widespread optimism in the cancer community that this new ability to assess the genetic abnormalities in tumors will ultimately lead to better cancer treatments and improved patient outcomes.

Policy Issues in the Development and Adoption of Biomarkers for Molecularly Targeted Cancer Therapies is the summary of a workshop convened in November 2014 by the Institute of Medicine's National Cancer Policy Forum to discuss recent trends in the development and implementation of molecularly targeted cancer therapies and explore potential policy actions to address specific challenges. This report highlights the presentations and discussions at the workshop.

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