Stratified Medicine Programme
Cancer Research UK’s Stratified Medicine Programme is a significant step in making targeted therapies available for people with cancer in the UK.
Working together with AstraZeneca, Pfizer and the Government's Technology Strategy Board we aim to establish the foundations for a national service that will ensure standardised, high quality, cost-effective genetic testing of tumours is available for people with cancer. So, as and when targeted treatments become available, patients will be able to choose to have genetic tests that can help doctors decide the most suitable treatment for them.
At the same time, by demonstrating it is possible to routinely collect samples from consenting patients, we will build a national database of tumour genetic information, treatments and outcomes that will help researchers design more effective cancer treatments in future.
Phase One, July 2011 to July 2013, is a pilot study to demonstrate on a small scale how the NHS can provide molecular diagnosis for all solid cancer types routinely. In Phase One of the programme doctors in eight existing Experimental Cancer Medicine Centres (known as Clinical Hubs) will profile up to 9,000 people with the following cancer types; breast, bowel, lung, prostate, ovary and melanoma.
Patients undergoing cancer care at these hospitals will be asked for permission (see sample Stratified Medicine Patient Information Sheet) to use surplus tissue taken during routine surgery. Samples will be sent to one of three centralised, quality assured laboratories (known as technology hubs) where DNA will be extracted, stored and tested for a set of specific genetic faults and variations. These have been selected based on previous research showing they will provide useful information.
Because Phase One is a pilot study, participating in it will not change how patients are treated, but we hope that the increased understanding we gain about the genetics of cancer will help scientists develop new treatments. The genetic data and relevant clinical information will be stored within a central data repository at the National Cancer Registration Service (NCRS), Eastern Offices.
Collecting and storing information about patient’s tumours and related clinical data is part of the Cancer Registries remit and they have been granted authority to do this by law. Cancer registries use this information to help understand the causes of cancer, compare the success of different treatments and contribute to research.
Getting involved in the Stratified Medicine Programme
For people with cancer
It is not possible to volunteer to be part of the Stratified Medicine Programme. Only patients already receiving care at the selected Experimental Cancer Medicine Centres will be recruited for the programme by their clinical care team. Participation in the programme will have no effect on what treatment they receive.
For those participating in the programme please see the following patient information:
- Stratified Medicine Programme sample Patient Information Sheet (PDF, 188KB)
- Stratified Medicine Programme sample Consent Form (PDF, 52KB)
Cancer Research UK is unable to recruit people directly onto any trials that are taking place in stratified medicine. If you are interested in taking part in research you should discuss this with your doctor.
For more information about what stratified medicine is and related research visit the Cancer Help UK website.
The programme is a closed study but researchers may be interested in getting involved in the following ways:
- Accessing the programme research data
- Linking trials/research projects into the programme
For either of the above please contact us.
If you are interested in collaborations or partnerships with the Stratified Medicine Programme please contact us.