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PanCuRx Translational Research Initiative

The goal of the PanCuRx TRI is to seek solutions to the high fatality rate of pancreatic adenocarcinoma (PDAC), the most common type of pancreatic cancer, by generating new knowledge about the genetics and biology of the disease, mechanisms of how tumours grow and tailored treatment options. PDAC is the fourth leading cause of cancer death in Canada and is expected to become the second-leading cause of cancer death within the next decade. The current five-year survival rate of eight per cent is the lowest of all epithelial cancers. There are major clinical challenges to treating the disease, including the fact that PDAC spreads to other parts of the body early so surgical removal of the tumour benefits few patients, that PDAC has proven relatively resistant to systemic therapies such as chemotherapy and that there has been limited benefit from the use of newer molecular targeted agents. The PanCuRx team has created the world’s first resource of tumour-purified PDAC whole genomes; more than 500 PDAC samples, with combined clinical annotation, have been successfully sequenced and analyzed at the Ontario Institute for Cancer research in Toronto. The resulting clinical genomic resource created from this data has led to multiple new findings that have established a framework to better understand PDAC biology and lays the foundation for new genomic approaches to better understanding the disease. The team also launched a clinical trial called COMPASS (Comprehensive Molecular Characterization of Advanced Ductal Pancreas Adenocarcinoma for Better Treatment Selection: A Prospective Study), which is recruiting patients with advanced PDAC (both locally advanced and metastatic) at The Princess Margaret Cancer Centre (PM) in Toronto. The study uses the molecular results from individual patient tumours to guide selection of better second line treatment on a case-by-case basis. The primary objective of the initial study was to assess the feasibility of collecting tumour materials from patients with advanced PDAC and delivering results within 56 days of biopsy. Having achieved this objective, the trial has expanded to other cancer centres across Canada. Pancreatic cancer is one of the most deadly forms of cancer and outcomes have not improved in four decades. The PanCuRx initiative is providing a better understanding of the disease and actively applying new knowledge to cancer patients through clinical trials. This knowledge will help to improve quality of life and prolong survival for pancreatic cancer patients worldwide.

Click on a Dataset ID in the table below to learn more, and to find out who to contact about access to these data

Dataset ID Description Technology Samples
EGAD00001003582 Illumina HiSeq 2500 50
EGAD00001003584 -
EGAD00001003585 -
EGAD00001004548 Illumina HiSeq 2500 75
EGAD00001004551 -
EGAD00001005799 Illumina HiSeq 2500 unspecified 34
EGAD00001006081 Illumina HiSeq 2500 unspecified 101
EGAD00001006152 -
EGAD00001006261 Illumina HiSeq 2500 unspecified 4
EGAD00001006262 -
EGAD00001007571 -
EGAD00001008155 Illumina HiSeq 2500 unspecified 29
EGAD00001009409 -
EGAD00001011129 1
EGAD00010001811 15
EGAD50000001834 378
Publications Citations
Genomics-Driven Precision Medicine for Advanced Pancreatic Cancer: Early Results from the COMPASS Trial.
Clin Cancer Res 24: 2018 1344-1354
422
Integration of Genomic and Transcriptional Features in Pancreatic Cancer Reveals Increased Cell Cycle Progression in Metastases.
Cancer Cell 35: 2019 267-282.e7
167
De novo compartment deconvolution and weight estimation of tumor samples using DECODER.
Nat Commun 10: 2019 4729
34
Purity Independent Subtyping of Tumors (PurIST), A Clinically Robust, Single-sample Classifier for Tumor Subtyping in Pancreatic Cancer.
Clin Cancer Res 26: 2020 82-92
143
Accurate and efficient detection of gene fusions from RNA sequencing data.
Genome Res 31: 2021 448-460
314
NOX4 links metabolic regulation in pancreatic cancer to endoplasmic reticulum redox vulnerability and dependence on PRDX4.
Sci Adv 7: 2021 eabf7114
19
NOXA expression drives synthetic lethality to RUNX1 inhibition in pancreatic cancer.
Proc Natl Acad Sci U S A 119: 2022 e2105691119
26
Ordered and deterministic cancer genome evolution after p53 loss.
Nature 608: 2022 795-802
158
Integrative analysis of KRAS wildtype metastatic pancreatic ductal adenocarcinoma reveals mutation and expression-based similarities to cholangiocarcinoma.
Nat Commun 13: 2022 5941
35
XDec-CHI reveals immunosuppressive interactions in pancreatic ductal adenocarcinoma.
iScience 25: 2022 105249
1
Spatial transcriptomics technology in cancer research.
Front Oncol 12: 2022 1019111
50
MACHETE identifies interferon-encompassing chromosome 9p21.3 deletions as mediators of immune evasion and metastasis.
Nat Cancer 3: 2022 1367-1385
84
Metastatic phenotype and immunosuppressive tumour microenvironment in pancreatic ductal adenocarcinoma: Key role of the urokinase plasminogen activator (PLAU).
Front Immunol 13: 2022 1060957
35
Systemic inflammatory prognostic scores in advanced pancreatic adenocarcinoma.
Br J Cancer 128: 2023 1916-1921
16
RBFOX2 modulates a metastatic signature of alternative splicing in pancreatic cancer.
Nature 617: 2023 147-153
65
Spectrum of Response to Platinum and PARP Inhibitors in Germline BRCA-Associated Pancreatic Cancer in the Clinical and Preclinical Setting.
Cancer Discov 13: 2023 1826-1843
27
High-dimensional deconstruction of pancreatic cancer identifies tumor microenvironmental and developmental stemness features that predict survival.
NPJ Precis Oncol 7: 2023 105
22
Clinically impactful metabolic subtypes of pancreatic ductal adenocarcinoma (PDAC).
Front Genet 14: 2023 1282824
7
Pre-treatment inflamed tumor immune microenvironment is associated with FOLFIRINOX response in pancreatic cancer.
Front Oncol 13: 2023 1274783
0
RBFOX2 deregulation promotes pancreatic cancer progression and metastasis through alternative splicing.
Nat Commun 14: 2023 8444
27
Cytidine deaminases APOBEC3C and APOBEC3D promote DNA replication stress resistance in pancreatic cancer cells.
Nat Cancer 5: 2024 895-915
13
Combination immunohistochemistry for CK5/6, p63, GATA6, and HNF4a predicts clinical outcome in treatment-naïve pancreatic ductal adenocarcinoma.
Sci Rep 14: 2024 15598
3
ROR2 Regulates Cellular Plasticity in Pancreatic Neoplasia and Adenocarcinoma.
Cancer Discov 14: 2024 2162-2182
5
The xenobiotic transporter <i>ABCC4</i>/MRP4 promotes epithelial mesenchymal transition in pancreatic cancer.
Front Pharmacol 15: 2024 1432851
0
Distinct clinical outcomes and biological features of specific KRAS mutants in human pancreatic cancer.
Cancer Cell 42: 2024 1614-1629.e5
30
Differential activity of MAPK signalling defines fibroblast subtypes in pancreatic cancer.
Nat Commun 15: 2024 10534
6
Human Pancreatic Cancer Single-Cell Atlas Reveals Association of CXCL10+ Fibroblasts and Basal Subtype Tumor Cells.
Clin Cancer Res 31: 2025 756-772
10
HMGA2 Expression Predicts Subtype, Survival, and Treatment Outcome in Pancreatic Ductal Adenocarcinoma.
Clin Cancer Res 31: 2025 733-745
3
Dissecting tumor transcriptional heterogeneity from single-cell RNA-seq data by generalized binary covariance decomposition.
Nat Genet 57: 2025 263-273
5
Spatial tumor immune heterogeneity facilitates subtype co-existence and therapy response in pancreatic cancer.
Nat Commun 16: 2025 335
7
Intratumor heterogeneity in KRAS signaling shapes treatment resistance.
iScience 28: 2025 111662
1
FGFR2 Abrogation Intercepts Pancreatic Ductal Adenocarcinoma Development.
Cancer Res 85: 2025 1960-1977
0
The tandem duplicator phenotype may be a novel targetable subgroup in pancreatic cancer.
NPJ Precis Oncol 9: 2025 100
1
P4HA1 mediates hypoxia-induced invasion in human pancreatic cancer organoids.
Cancer Res Commun 5: 2025 881-895
1
Whole genome and transcriptome profiling in advanced pancreatic cancer patients on the COMPASS trial.
Nat Commun 16: 2025 5919
0
Targeting FGFR4 abrogates HNF1A-driven metastasis in pancreatic ductal adenocarcinoma.
Mol Cancer 24: 2025 208
2
ALDH1A3 promotes aggressive basal-like pancreatic cancer through an AP-1/RUNX2 enhancer network.
Oncogene 44: 2025 3774-3786
0
A framework to mine laser microdissection-based omics data and uncover regulators of pancreatic cancer heterogeneity.
Gigascience 14: 2025 giaf101
0
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