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PDAC organoid pharmacotyping

Growing a patient's pancreatic tumour as mini-organs in a dish and testing chemotherapies on them to pick the regimen most likely to work.

Tuveson (CSHL) and others established PDAC organoids with transcriptomic signatures predicting FOLFIRINOX versus gemcitabine sensitivity (Tiriac 2018). Prospective trials (e.g., PASS-01, HOPE) test organoid- or signature-guided first-line choice. Turnaround (~4-6 weeks) and take rate (~70%) are the practical limits; the GATA6 classical/basal-like signature is a faster proxy.

Schematic · not to scale
3D mini-tumours in matrix

How it works

Endoscopic biopsy or resection tissue grown in Matrigel with defined factors; dose-response to drugs read by viability assays.

Strengths
  • Direct functional read-out where genomics offers little
  • Platform for RAS-inhibitor combination testing
Limitations
  • Timeline exceeds the clinical decision window for many patients
  • No stroma or immune compartment

Latest papers

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Latest papers · live from Europe PMC
Open in Europe PMC

Query for this technology: (TITLE:"PDAC organoid pharmacotyping" OR ABSTRACT:"PDAC organoid pharmacotyping") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about PDAC organoid pharmacotyping, not a curated reading list.

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