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Peer-Reviewed Publication
Cancer Res Commun2026August 10, 2026Journal Article

Ex vivo tumor derived organoid pharmacotyping identifies personalized therapeutic options for biliary tract cancer patients.

Annie Blair Richardson1, Payel Chatterjee1, Rachele Rosati1, Alex Rajewski2, Robert L Diaz1, Lauren R Appleyard1, Shalini Pereira1, Brady Bernard3, Milind M Javle4, Gentry G King5, Adam Diehl5, William Proctor Harris5, Sameek Roychowdhury6, Christopher J Kemp7, Carla Grandori1
1Cure First Bothell, WA United States.
2Tempus AI Bothell, WA United States.
3Providence Cancer Institute Portland, OR United States.
4The University of Texas MD Anderson Cancer Center Houston, TX United States.
5University of Washington Seattle, WA United States.
6The Ohio State University Columbus, OH United States.
7Fred Hutch Cancer Center DC, WA United States.

Abstract

Biliary tract cancers (BTCs) pose clinical challenges due to poor chemotherapy response and aggressive disease course. We evaluated patient derived tumor organoid (PDTO) based drug sensitivity testing as a tool to guide therapy. In this multicenter study, 26 tumor organoids were successfully derived from 43 BTC patients and tested with an average of 50 cancer-directed therapies using the CLIA cert…

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