System and method for determining individualized medical intervention for a disease state
A system and method for determining individualized medical intervention for a particular disease state, and especially for cancers, that includes the molecular profiling of a biological sample from the patient, determining whether any molecular findings including one or more genes, one or more gene expressed proteins, one or more molecular mechanisms, and/or combinations of such exhibit a change in expression compared to a reference, and identifying a non-specific disease therapy or agent capable of interacting with the genes, gene expressed proteins, molecular mechanisms, or combinations of such molecular findings that exhibited a change in expression.
1. A system for generating a report identifying at least one therapeutic agent for an individual with a cancer comprising:
a. at least one device configured to assay a plurality of molecular targets in a biological sample to determine individualized molecular profile test values for the plurality of molecular targets, wherein the molecular targets comprise EGFR, KIT, TOP1, MLH1, PTEN, PDGFRA and ESR1; and
b. at least one computer database comprising:
i. a reference value for the plurality of molecular targets; and
ii. a listing of available therapeutic agents for said plurality of molecular targets;
c. a computer-readable program code comprising instructions to input the individualized molecular profile test values and to compare said test values with a corresponding reference value in (b)(i);
d. a computer-readable program code comprising instructions to access the at least one computer database and to identify at least one therapeutic agent from the listing of available therapeutic agents for the plurality of molecular targets wherein said comparison to said reference in (c) indicates a likely benefit of the at least one therapeutic agent; and
e. a computer-readable program code comprising instructions to generate a report that comprises a listing of the molecular targets wherein said comparison to said reference indicated a likely benefit of the at least one therapeutic agent in (d) along with the at least one therapeutic agent identified in (d).
2. The system of claim 1 , wherein the individualized molecular profile test values are input into the system from a location that is remote from said at least one database.
3. The system of claim 1 , wherein the individualized molecular profile test values are input into the system over an internet connection.
4. The system of claim 1 , wherein the report is in electronic or paper format.
5. The system of claim 1 , wherein the at least one computer database further comprises data corresponding to at least one clinical trial of a molecular target.
6. The system of claim 1 , wherein the reference value for each of the plurality of molecular targets comprises a nucleic acid and/or protein.
7. The system of claim 1 , wherein the test values for the plurality of molecular targets in the individual are determined after the individual has received drug therapy for the cancer.
8. The system of claim 1 , wherein the molecular profile test values are determined by assessing a cell, tissue sample, blood sample or combination thereof.
9. The system of claim 1 , wherein the molecular profile test values are determined by performing a test for a gene and/or a protein.
10. The system of claim 1 , wherein the reference is obtained from at least one normal individual without the cancer.
11. The system of claim 1 , wherein the individual has been treated by and failed to respond to a cancer therapeutic.
12. The system of claim 1 , wherein the individual has been treated by and failed to respond to at least one cancer therapeutic.
13. The system of claim 1 , wherein the at least one device configured to assay the plurality of molecular targets is configured to perform at least one of immunohistochemistry (IHC), an expression microarray, a comparative genomic hybridization (CGH) microarray, a single nucleotide polymorphism (SNP) microarray, a fluorescent in-situ hybridization (FISH), in-situ hybridization (ISH), and a proteomic array.
14. The system of claim 1 , wherein the at least one device configured to assay the plurality of molecular targets is configured to perform at least one of a microarray, genotyping and proteomic analysis.