147P - The Nationwide Cancer Genome Screening Project in Japan SCRUM-Japan GI-SCREEN: Efficient Identification of Cancer Genome Alterations in Advanced Pa...

Date 11 September 2017
Event ESMO 2017 Congress
Session Poster display session
Topics Cancers in Adolescents and Young Adults (AYA)
Pancreatic Cancer
Translational Research
Basic Principles in the Management and Treatment (of cancer)
Presenter Daisuke Naruge
Citation Annals of Oncology (2017) 28 (suppl_5): v22-v42. 10.1093/annonc/mdx363
Authors D. Naruge1, C. Morizane2, M. Ueno3, H. Takahashi4, Y. Kawamoto5, K. Sudo6, S. Shimizu7, T.E. Nakajima8, S. Itoh9, H. Ishii10, T. Kato11, T. Kudo12, M. Izumi13, T. Sudo13, S. Nomura14, T. Kuwata15, S. Fujii16, K. Shitara17, A. Ohtsu17, T. Yoshino17
  • 1Medical Oncology, Kyorin University Faculty of Medicine, 181-8611 - Mitaka, Tokyo/JP
  • 2Department Of Hepatobiliary And Pancreatic Oncology, National Cancer Center Hospital, 104-0045 - Tokyo/JP
  • 3Division Of Hepatobiliary And Pancreatic Medical Oncology, Kanagawa cancer center, 2418515 - Yokohama/JP
  • 4Department Of Experimental Therapeutics / Department Of Hepataobiliary And Pancreatic Oncology, National Cancer Center Hospital East, 277-8577 - Kashiwa/JP
  • 5Department Of Cancer Center, Hokkaido University Hospital, 060-8638 - Sapporo/JP
  • 6Department Of Gastroenterology, Chiba Cancer Center, 2608717 - Chiba/JP
  • 7Department Of Gastroenterology, Saitama Cancer Center, Saitama/JP
  • 8Clinical Oncology, St.Marianna University School of Medicine, 216-8511 - Kanagawa/JP
  • 9Department Of Surgery And Science, Graduate School Of Medical Sciences, Kyushu University, Fukuoka/JP
  • 10Clinical Research Center, National Hospital Organization Shikoku Cancer Center, 791-0280 - Ehime/JP
  • 11Department Of Surgery And Science, Kansai Rosai Hospital, 660-8511 - Amagasaki/JP
  • 12Frontier Science For Cancer And Chemotherapy, Osaka University Graduate School of Medicine, 565-0871 - Suita/JP
  • 13Biobank Translational Research Support Section, Translational Research Management Division, Clinical Research Support Office, National Cancer Center Hospital East, Chiba/JP
  • 14Clinical Research Support Office, National Cancer Center Hospital East, Kashiwa/JP
  • 15Pathology Division, Research Center For Innovative Oncology, National Cancer Center Hospital East, Kashiwa/JP
  • 16Pathology Division, Research Center For Innovative Oncology, National Cancer Center Hospital East, 277-8577 - Kashiwa/JP
  • 17Gastroenterology And Gastrointestinal Oncology, National Cancer Center Hospital East, 277-8577 - Kashiwa/JP



We have conducted the Nationwide Cancer Genome Screening Project in Japan since April 2015 using Next Generation Sequencing in cancers of digestive system, called as the SCRUM-Japan GI-SCREEN. In this presentation, we show the result of advanced pancreatic cancer (aPC).


This study is ongoing with the participation of 20 major cancer centers. Patients who plan to or receive systemic chemotherapy were eligible. DNA and RNA were extracted from FFPE tumor samples and were analyzed by the Oncomine Cancer Research Panel (OCP) which allows to detect gene mutation, copy number variant (CNV) and fusions across 143 genes in a CLIA certified CAP accredited laboratory. The detected genomic variant data were classified according to genetic drivers of cancer including gain- and loss-of-function or single nucleotide variant based on the Oncomine Knowledgebase. In this presentation, we show the results of aPC cohort.


As of 31st October 2016, a total of 179 aPC samples were analyzed. The sequence with the OCP was successfully performed in 120 (67.0%). Out of 120 patients, the proportion of location of tumor and histology type is follows; Ph = 44%, adenocarcinoma 97%. The proportion of procedure for sample collection is follows; surgical resection 35.0%, needle biopsy 38.3%, EUS-FNA 20.0%, other 5.8%, and unknown 0.8%.The frequently detected mutations (> 10%) in 120 samples of which results were available were KRAS (93%), TP53 (63%), CDKN2A (12%), and SMAD4 (11%). Other important/druggable mutations were GNAS, BRCA2, and ATM (3%, each). Most frequently detected CNVs (≥ 7copies) was MYC (3%), and no gene fusion was detected.


This nationwide screening system is efficient to detect rare gene alterations in aPC. Alterations in potentially druggable genes were limited in aPC, but homologous recombination repair genes were attractive target. This novel knowledge provides an intriguing background to investigate new target approaches and represents a progress toward more precision medicine.

Clinical trial identification

Clinical trial information: UMIN000016344

Legal entity responsible for the study



15 SCRUM-Japan collaborating pharmaceutical companies, AMED, NCC


D. Naruge: Research Funding in institution: Taiho, Ono Pharmaceutical, Merck Serono, Takeda, Lilly Japan, Chugai Pharma, Bayer, GlaxoSmithKline, Yakult, Novartis, J-Pharma, Janssen, Sanofi, Kyowa Hakko Kirin, Daiichi Sankyo, Astellas, Pfizer, etc. C. Morizane: Consulting Role: AstraZeneca, Yakult, Novartis, Taiho Pharmaceutical. Honoraria: Pfizer, Novartis, Yakult, Lilly, Nobelpharma, Fujifilm. Research Funding: GlaxoSmithKline, Pfizer, Nobelpharma, Eisai, Yakult, ONO PHARMACEUTICAL, Taiho Pharmaceutical. M. Ueno: Consulting Role: Eisai. Honoraria: Taiho, Yakult, Ono Pharmaceutical, AstraZeneca, Novartis, Lilly. Research Funding of your institution: Taiho Pharmaceutical, Daiichi Sankyo, Eisai, AstraZeneca, Merck Serono, Ono Pharmaceutical, MSD. H. Takahashi: Honoraria: Taiho Pharmaceutical. Research Funding of your institution: Bayer, Bristol-Myers Squibb. Travel, Accommodations, Expenses: Pfizer. Y. Kawamoto: Honoraria: Sawai Pharmaceutical Co. S. Shimizu: Honoraria: Taiho Pharmaceutical, Nihonkayaku, Novartis. T.E. Nakajima: Honoraria: Taiho, Lilly, Chugai, Kyowa Hakko Kirin, Merck Serono, Takeda, Ono. Research Funding: Taiho, Ono, AstraZeneca, Lilly, Chugai, Kyowa Hakko Kirin, Merck Serono, Takeda, MSD, Eisai, Amgen Asetlas Biopharma K.K., Eisai Pharm, etc. H. Ishii: Advisory Role: Ono Pharmaceutical. Honoraria: Yakult, Taiho, Lilly Japan, Kyowa Hakko Kirin, Nobelpharma, Mochida Pharmaceutical Co. Ltd., Hospira. Research Funding: Taiho Pharmaceutical. T. Kato: Speakers\' Bureau: Chugai Pharma, Takeda, Lilly, Yakult. T. Kudo: Research Funding: Yakult, Chugai Pharma, Ono Pharmaceutical. S. Nomura: Employment: An Immediate Family Member is employed by Asahi-Kasei Pharma. K. Shitara: Research Funding: Daiichi Sankyo, Chugai Pharma, Lilly, MSD, Taiho Pharmaceutical, Dainippon Sumitomo Pharma. A. Ohtsu: Employment: An Immediate Family Member is employed by Celgene. Research Funding: Bristol-Myers Squibb. T. Yoshino: Research funding: GlaxoSmithKline K.K., Boehringer Ingelheim GmbH. All other authors have declared no conflicts of interest.