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AACR Project GENIE®

Powering Precision Medicine

Precision medicine requires an end-to-end learning health care system, where treatment decisions for patients are informed by the experiences of previous patients with similar conditions. Oncology has taken the lead in precision medicine, driven by the collection of large-scale genomic and molecular data from both patients and their tumors. However, no single institution can sequence and treat sufficient numbers of patients to advance clinical decision-making independently. The AACR Project GENIE® (Genomics Evidence Neoplasia Information Exchange) Registry was established in 2015 to address this challenge—accelerating drug discovery, improving clinical trial design, and driving progress for cancer patients.

AACR Project GENIE® is an open-access, international, pan-cancer registry of real-world clinico-genomic data assembled through data sharing among 22 leading international cancer centers. By pooling the clinical sequencing efforts of these centers, GENIE provides a valuable evidence base for researchers worldwide. The consortium and its activities are driven by openness, transparency, and inclusion to ensure that the project output remains globally accessible and benefits all patients.

In 2024, AACR Project GENIE® continued to deliver on the promise of precision medicine in the following ways:

  • Biopharma Collaborative (BPC). The AACR Project GENIE® Biopharma Collaborative (BPC) is a collaboration with a coalition of ten biopharmaceutical companies focused on obtaining clinical and genomic data from an estimated 50,000 de-identified patients treated at GENIE® participating institutions.
  • Phase 1 of the seven-year collaboration—which launched in October 2019—was completed in 2021, and Phase 2 is expected to be completed in 2026. The BPC has marked several milestones as it nears completion, including the following:

  • The release of two public datasets, one featuring 1,846 non-small cell lung cancer patients and one featuring 1,485 colorectal cancer patients.
  • The scheduled release of four additional datasets in early 2025, featuring an estimated 1,100 early-onset breast cancer patients, 1,100 pancreatic cancer patients, 1,100 prostate cancer patients, and 700 bladder cancer patients.
  • A study was published in JCO Precision Oncology examining the factors that influence the time between a cancer diagnosis and an initial next-generation sequencing test. This article was the first publication to use all of the data compiled during Phase 1 of the BPC.
  • The inherently complex structure of the BPC datasets necessitates a robust data integration process to facilitate the development of analytic models. The BPC Statistical Core at Memorial Sloan Kettering Cancer Center addressed this need by developing a user-friendly data processing pipeline to streamline the process for developing analytic cohorts that are ready for clinico-genomic analyses.

AACR Project GENIE® by the Numbers

AACR Project GENIE® logo

16

Public Data Releases

18

Contributing Institutions

214,487

Sequenced Samples*

184,988

Patients*

6

Countries Represented

7,669

Pediatric Patients*

≤ 18 @ sequencing

17,141

Young Adult Patients*

≥ 18 ≤ 39 @ sequencing

21,899

Non-white Patients*

112

Major Cancer Types*

793

Unique Cancer Subtypes*

1,450+

Citations

12/31/2024

19,400+

Registered Users

12/31/2024

*16.0-public release. ©2024 American Association for Cancer Research Project GENIE®

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