Evidence map›Paper›PMID 42574483›Full record

ArticleCancer research communications2026

Ex Vivo Tumor-Derived Organoid Pharmacotyping Identifies Personalized Therapeutic Options for Patients with Biliary Tract Cancer.

Annie Blair Richardson, Payel Chatterjee, Rachele Rosati, Alex Rajewski, Robert L Diaz, Lauren R Appleyard, Shalini Pereira, Brady Bernard, Milind M Javle, Gentry G King and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer research communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Annie Blair Richardson *Cure First, Bothell, Washington.ORCID 0000-0001-9846-7706
Payel Chatterjee *Cure First, Bothell, Washington.ORCID 0009-0004-7474-9740
Rachele RosatiCure First, Bothell, Washington.ORCID 0009-0005-6731-3954
Alex RajewskiTempus AI, Chicago, Illinois.ORCID 0000-0003-3475-1999
Robert L DiazCure First, Bothell, Washington.ORCID 0009-0005-7880-0758
Lauren R AppleyardCure First, Bothell, Washington.ORCID 0009-0007-0492-3063
Shalini PereiraCure First, Bothell, Washington.ORCID 0009-0008-8610-6645
Brady BernardCure First, Bothell, Washington.ORCID 0000-0003-2118-9829
Milind M JavleThe University of Texas MD Anderson Cancer Center , Houston, Texas.ORCID 0000-0001-9158-0941
Gentry G KingDepartment of Gastrointestinal Medical Oncology, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0002-7525-8802
Adam DiehlDepartment of Gastrointestinal Medical Oncology, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0003-4984-8128
William Proctor HarrisDepartment of Gastrointestinal Medical Oncology, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0002-3977-4017
Sameek RoychowdhuryOhio State University Comprehensive Cancer Care Center, Columbus, Ohio.ORCID 0000-0002-8297-3038
Christopher J KempHuman Biology Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0001-7238-8452
Carla GrandoriCure First, Bothell, Washington.ORCID 0009-0009-4682-9731

Funding

Personalized cancer models to discover and develop new therapeutic targets.U01CA217883 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KEMP, CHRISTOPHER J · 2017 to 2021
$4.3M
A Patient-Centric Approach to Advance Functional Precision OncologyU01CA282109 · NCI · FRED HUTCHINSON CANCER CENTER · PI CHRISTOPHER J KEMP · 2023 to 2026
$4.2M
An Academic-Industry Partnership to Advance Functional Genomics for Personalized Oncology.R01CA214428 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KEMP, CHRISTOPHER J · 2018 to 2022
$3.0M
National Cancer Institute (NCI) R01 CA214428National Cancer Institute (NCI) U01 CA217883National Cancer Institute (NCI) U01 CA282109NCI NIH HHS R01 CA214428NCI NIH HHS U01 CA217883NCI NIH HHS U01 CA282109SEngine Precision Medicine
6 · The paper itself

Abstract

Biliary tract cancers (BTC) pose clinical challenges due to poor chemotherapy response and aggressive disease course. We evaluated patient-derived tumor organoid-based drug sensitivity testing as a tool to guide therapy. In this multicenter study, 26 tumor organoids were successfully derived from 43 patients with BTC and tested with an average of 50 cancer-directed therapies using the Clinical Laboratory Improvement Amendments-certified PARIS assay. Despite most organoids being from late-stage disease, 24/26 (92.3%) exhibited strong sensitivity to one or more targeted agents. Active drugs included inhibitors of EGFR/HER2, MEK, ERK, BCR-ABL and SRC family, mTOR, PI3K, MDM2, BCL2, and BET. Drug sensitivities aligned with known genetic biomarkers but were also observed in cultures lacking them, indicating ex vivo testing can expand actionability beyond genomics. In five cases, results guided therapy; one patient with an FGFR-BICC1 fusion refractory to FGFR inhibitors responded to dasatinib, achieving symptomatic improvement, stable disease, and >8-month survival. SIGNIFICANCE: Ex vivo drug testing of tumor-derived organoids is clinically feasible and can be used to identify personalized treatment options for patients with BTC, to evaluate the functional relevance of genomic biomarkers, and to guide treatment in real time.

Indexed as

Antineoplastic AgentsBiliary Tract NeoplasmsOrganoidsPrecision MedicineAdultAgedAged, 80 and overBiomarkers, TumorDrug Screening Assays, AntitumorFemaleHumansMaleMiddle AgedAntineoplastic AgentsBiomarkers, Tumor

Identifiers

PMID42574483
PMCPMC13528702

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.