Prospective evaluation of risk-appropriate management of uveal melanoma patients informed by gene expression profiling

Amy C. Schefler, Alison Skalet, Scott C.N. Oliver, John Mason, Anthony B. Daniels, Katherina M. Alsina, Kristen M. Plasseraud, Federico A. Monzon, Brian Firestone

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Aim: The Clinical Application of DecisionDx-UM Gene Expression Assay Results study aimed to evaluate the clinical utility of the prognostic 15-gene expression profile (15-GEP) test for uveal melanoma (UM) patients in a large, prospective multicenter cohort. Patients & methods: Nine centers prospectively enrolled 138 UM patients clinically tested with the 15-GEP. Physician-recommended specialty referrals and metastatic surveillance regimens were collected. Results: A total of 93% of high-risk class 2 patients were referred to medical oncology for follow-up, compared with 51% of class 1 patients. A majority (62%) of class 2 patients were recommended overall high-intensity metastatic surveillance, while 85% of class 1 patients were recommended low-intensity metastatic surveillance. Conclusion: Treatment plan recommendations for UM patients are aligned with GEP-informed metastatic risk, consistent with prior studies.

Original languageEnglish (US)
Pages (from-to)17-25
Number of pages9
JournalMelanoma Management
Volume7
Issue number1
DOIs
StatePublished - May 1 2020

Keywords

  • DecisionDx-UM
  • gene expression profiling
  • imaging
  • ocular melanoma
  • surveillance
  • uveal melanoma

ASJC Scopus subject areas

  • Oncology
  • Dermatology

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