FOCU.SE trial: a nationwide Swedish drug repurposing protocol and research framework
DOI:
https://doi.org/10.2340/ao.v65.45355Keywords:
Precision medicine, biomarker profiling, drug repurposing, Targeted therapy, platform trial, national infrastructure, multimodal analysis, Sweden, PRIME-ROSE consortium, cancer genomics, proteomicsDownloads
References
Hanahan D. Hallmarks of cancer: new dimensions. Cancer Discov. 2022;12(1):31–46.
https://doi.org/10.1158/2159-8290.CD-21-1059 DOI: https://doi.org/10.1158/2159-8290.CD-21-1059
Zerdes I, Filis P, Fountoukidis G, El-Naggar AI, Kalofonou F, D’Alessio A, et al. Comprehensive genome profiling for treatment decisions in patients with metastatic tumors: real-world evidence meta-analysis and registry data implementation. J Natl Cancer Inst. 2025;117(6):1117–24.
https://doi.org/10.1093/jnci/djaf015 DOI: https://doi.org/10.1093/jnci/djaf015
Hoes LR, van Berge Henegouwen JM, van der Wijngaart H, Zeverijn LJ, van der Velden DL, van de Haar J, et al. Patients with rare cancers in the drug rediscovery protocol (DRUP) benefit from genomics-guided treatment. Clin Cancer Res. 2022;28(7):1402–11.
https://doi.org/10.1158/1078-0432.CCR-21-3752 DOI: https://doi.org/10.1158/1078-0432.CCR-21-3752
Mangat PK, Halabi S, Bruinooge SS, Garrett-Mayer E, Alva A, Janeway KA, et al. Rationale and design of the targeted agent and profiling utilization registry (TAPUR) study. JCO Precis Oncol. 2018;2018(2):1–14.
https://doi.org/10.1200/PO.18.00122 DOI: https://doi.org/10.1200/PO.18.00122
Helland A, Russnes HG, Fagereng GL, Al-Shibli K, Andersson Y, Berg T, et al. Improving public cancer care by implementing precision medicine in Norway: IMPRESS-Norway. J Transl Med. 2022;20(1):225.
https://doi.org/10.1186/s12967-022-03432-5 DOI: https://doi.org/10.1186/s12967-022-03432-5
Kringelbach T, Hojgaard M, Rohrberg K, Spanggaard I, Laursen BE, Ladekarl M, et al. ProTarget: a Danish Nationwide Clinical Trial on Targeted Cancer Treatment based on genomic profiling – a national, phase 2, prospective, multi-drug, non-randomized, open-label basket trial. BMC Cancer. 2023;23(1):182.
https://doi.org/10.1186/s12885-023-10632-9 DOI: https://doi.org/10.1186/s12885-023-10632-9
Jalkanen K, Alanne E, Iivanainen SME, Kääriäinen OS, Tanner MME, Färkkilä A, et al. FINPROVE: the Finnish national study to facilitate patient access to targeted anti-cancer drugs – preliminary data after two years of enrollment. Ann Oncol. 2024;35:S246.
https://doi.org/10.1016/j.annonc.2024.08.089 DOI: https://doi.org/10.1016/j.annonc.2024.08.089
Ny L, Fagman H, Botling J, Mantovaara L, Asplund P, Karlsson H, et al. Feasibility and outcome of genomics-guided treatment selection in advanced cancer-the MEGALiT explorative clinical trial. Acta Oncol. 2025;64:742–50.
https://doi.org/10.2340/1651-226X.2025.43366 DOI: https://doi.org/10.2340/1651-226X.2025.43366
Tasken K, Haj Mohammad SF, Fagereng GL, Sorum Falk R, Helland A, van Waalwijk van Doorn-Khosrovani SB, et al. PCM4EU and PRIME-ROSE: collaboration for implementation of precision cancer medicine in Europe. Acta Oncol. 2024;63:385–91.
https://doi.org/10.2340/1651-226X.2024.34791 DOI: https://doi.org/10.2340/1651-226X.2024.34791
Park JJH, Hsu G, Siden EG, Thorlund K, Mills EJ. An overview of precision oncology basket and umbrella trials for clinicians. CA Cancer J Clin. 2020;70(2):125–37.
https://doi.org/10.3322/caac.21600 DOI: https://doi.org/10.3322/caac.21600
Genomic Medicine Sweden. GMS560: a broad targeted NGS gene panel for comprehensive genomic profiling of solid tumors. 2023. Accessed January 2026. https://genomicmedicine.se/wp-content/uploads/2023/11/GMS560_ synopsis.pdf
Tamborero D, Dienstmann R, Rachid MH, Boekel J, Lopez-Fernandez A, Jonsson M, et al. The molecular tumor board portal supports clinical decisions and automated reporting for precision oncology. Nat Cancer. 2022;3(2):251–61.
https://doi.org/10.1038/s43018-022-00332-x DOI: https://doi.org/10.1038/s43018-022-00332-x
Mateo J, Chakravarty D, Dienstmann R, Jezdic S, Gonzalez-Perez A, Lopez-Bigas N, et al. A framework to rank genomic alterations as targets for cancer precision medicine: the ESMO Scale for Clinical Actionability of molecular Targets (ESCAT). Ann Oncol. 2018;29(9):1895–902.
https://doi.org/10.1093/annonc/mdy263 DOI: https://doi.org/10.1093/annonc/mdy263
Simon R. Optimal two-stage designs for phase II clinical trials. Control Clin Trials. 1989;10(1):1–10.
https://doi.org/10.1016/0197-2456(89)90015-9 DOI: https://doi.org/10.1016/0197-2456(89)90015-9
Carswell O, Morgan L, Wait S, Hallersjö Hult E, Edsjö A, Asplund P. Building health system readiness for precision cancer medicine through clinical trials: an implementation framework. Version 1. London: The Health Policy Partnership; 2024.
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2026 Edvard Abel, Päivi Östling, Ebba Hallersjö Hult, Katarzyna Kulbacka, Haris Babacic, Annika Baan, Ana Carneiro, Luigi De Petris, Henrik Fagman, Signe Friesland, Oskar Frisell, Mats Hellström, Gabriel Lindahl, Katarina Steen Carlsson, David Tamborero, Antonios Valachis, Daniel Öhlund, Janne Lehtiö, Richard Rosenquist, Anders Edsjö

This work is licensed under a Creative Commons Attribution 4.0 International License.
