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Precision Medicine and Cancer
Big Data in Research
June 18, 2015
Warren Kibbe, PhD
NCI Center for Biomedical Informatics
2
Some Basic Ingredients for Precision Medicine Big Data
 Open Science. Supporting Open Access, Open Data, Open Source,
and Data Liquidity for the cancer community
 Standardization through CDEs and Case Report Forms
 Interoperability by exposing existing knowledge through appropriate
integration of ontologies, vocabularies and taxonomies
 Sustainable models for informatics infrastructure, services, data,
metadata, curation
3
Understanding Cancer
 Precision medicine will lead to fundamental understanding of the
complex interplay between genetics, epigenetics, nutrition,
environment and clinical presentation
4
New NCI MATCH TRIAL
"Precision Medicine uses genetic
information from a person’s cancer
to determine a patient’s treatment
with a treatment targeted to that
particular genetic abnormality."
The Cancer Genome Atlas
A comprehensive effort to accelerate our
understanding of the molecular basis of cancer
6
TCGA: The Cancer Genome Atlas
 Launched in 2006 by NCI & NHGRI
 Complete characterization of ~35 adult cancers
 ~20 common cancers at 500 cases each
 ~15 rare cancers at 50-150 cases each
 Copy Number, Gene Expression, Methylation, DNA Sequencing (WGS/WXS), Clinical
data
 ~11,000 cases
 Project ending in 2016
 Future projects to use the TCGA infrastructure
 Exceptional Responders, ALChEMIST, Clinical Trial Sequencing Program (CTSP), Cancer Driver
Discovery Program (CDDP)
 http://cancergenome.nih.gov/
7
Dimensions of TCGA Data
8
TCGA Publications since 2010
0
50
100
150
200
250
300
2010 2011 2012 2013 2014 2015
9
Example
publication
from
TCGA
Slide courtesy of Deniz Kural, Seven Bridges Geno
NCI Cloud Pilots
The Broad
PI: Gad Getz
Institute for Systems Biology
PI: Ilya Shmulevich
Seven Bridges Genomics
PI: Deniz Kural
12
NCI GDC and the Cloud Pilots
 Working together to build common APIs
 Working with the Global Alliance for Genomics and Health (GA4GH) to
define the next generation of secure, flexible, meaningful,
interoperable, lightweight interfaces
 Competing on the implementation, collaborating on the interface
 Aligned with BD2K and serving as a part of the NIH Commons and
working toward shared goals of FAIR (Findable, Accessible,
Interoperable, Reusable)
 Exploring and defining sustainable precision medicine information
infrastructure
Thank you
Warren Kibbe
warren.kibbe@nih.gov
Thanks to content contributors:
Sherri de Coronado, Gilberto Fragoso, Mark Jensen, Warren Kibbe, Juli
Klemm, Tony Kerlavage, Elizabeth Gillanders and others.
www.cancer.gov www.cancer.gov/espanol

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C-Change Cancer Big Data, NCI Genomic Data Commons, Cloud Pilots

  • 1. Precision Medicine and Cancer Big Data in Research June 18, 2015 Warren Kibbe, PhD NCI Center for Biomedical Informatics
  • 2. 2 Some Basic Ingredients for Precision Medicine Big Data  Open Science. Supporting Open Access, Open Data, Open Source, and Data Liquidity for the cancer community  Standardization through CDEs and Case Report Forms  Interoperability by exposing existing knowledge through appropriate integration of ontologies, vocabularies and taxonomies  Sustainable models for informatics infrastructure, services, data, metadata, curation
  • 3. 3 Understanding Cancer  Precision medicine will lead to fundamental understanding of the complex interplay between genetics, epigenetics, nutrition, environment and clinical presentation
  • 4. 4 New NCI MATCH TRIAL "Precision Medicine uses genetic information from a person’s cancer to determine a patient’s treatment with a treatment targeted to that particular genetic abnormality."
  • 5. The Cancer Genome Atlas A comprehensive effort to accelerate our understanding of the molecular basis of cancer
  • 6. 6 TCGA: The Cancer Genome Atlas  Launched in 2006 by NCI & NHGRI  Complete characterization of ~35 adult cancers  ~20 common cancers at 500 cases each  ~15 rare cancers at 50-150 cases each  Copy Number, Gene Expression, Methylation, DNA Sequencing (WGS/WXS), Clinical data  ~11,000 cases  Project ending in 2016  Future projects to use the TCGA infrastructure  Exceptional Responders, ALChEMIST, Clinical Trial Sequencing Program (CTSP), Cancer Driver Discovery Program (CDDP)  http://cancergenome.nih.gov/
  • 8. 8 TCGA Publications since 2010 0 50 100 150 200 250 300 2010 2011 2012 2013 2014 2015
  • 10. Slide courtesy of Deniz Kural, Seven Bridges Geno
  • 11. NCI Cloud Pilots The Broad PI: Gad Getz Institute for Systems Biology PI: Ilya Shmulevich Seven Bridges Genomics PI: Deniz Kural
  • 12. 12 NCI GDC and the Cloud Pilots  Working together to build common APIs  Working with the Global Alliance for Genomics and Health (GA4GH) to define the next generation of secure, flexible, meaningful, interoperable, lightweight interfaces  Competing on the implementation, collaborating on the interface  Aligned with BD2K and serving as a part of the NIH Commons and working toward shared goals of FAIR (Findable, Accessible, Interoperable, Reusable)  Exploring and defining sustainable precision medicine information infrastructure
  • 13. Thank you Warren Kibbe warren.kibbe@nih.gov Thanks to content contributors: Sherri de Coronado, Gilberto Fragoso, Mark Jensen, Warren Kibbe, Juli Klemm, Tony Kerlavage, Elizabeth Gillanders and others.

Editor's Notes

  1. Re: Interoperability, NCI has worked towards that goal for a long time – Providing a metadata repository and tooling for CDEs and Case Report Forms,
  2. http://dctd.cancer.gov/MajorInitiatives/NCI-sponsored_trials_in_precision_medicine.htm  http://dctd.cancer.gov/MajorInitiatives/NCI-MATCH.pdf http://www.seminoncol.org/article/S0093-7754%2814%2900122-5/abstract MATCH is one of several NCI precision medicine initiatives: The initial set of trials will focus on different questions: (1) Exceptional Responders Initiative—why do a minority of patients with solid tumors or lymphoma respond very well to some drugs even if the majority do not?; (2) NCI MATCH trial—can molecular markers predict response to targeted therapies in patients with advanced cancer resistant to standard treatment?; (3) ALCHEMIST trial—will targeted epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) inhibitors improve survival for adenocarcinoma of the lung in the adjuvant setting? http://meetinglibrary.asco.org/content/114000071-144
  3. Since the first data sets were published, the number of publications has nearly doubled every year. 60 publications as of the end of February, 2015 already. On track for more than 1000 TCGA publications by the end of 2015
  4. We now understand underlying basic and cancer biology due to the human genome project and the technologies emerging from it. TCGA activities and analyses were built upon the success of the HGP