What a family gets
Every family gets a workspace built from the patient's own records and tumor sequencing. It shows where things stand, the options that fit, and how to get each one. Here it is with two made-up patients.
Pick the situation closer to yours. Both patients are invented, and nothing here is advice for a real case.
What we can do now, and in what order.
The cancer grew on second-line chemotherapy. Sequencing found a KRAS G12C mutation, and two approved drug combinations target it directly. Every other option is mapped behind them, each with how to get it.
At a glance
The facts that decide what comes next.
- Time since diagnosis
- 2 yearsfound on colonoscopy, liver spots at diagnosis
- Treatment so far
- 2 linesFOLFOX, then FOLFIRI, both with bevacizumab
- What sequencing found
- KRAS G12Cmicrosatellite stable, HER2 not amplified
- Where it stands
- Growingtwo liver spots larger on the last scan
What needs attention first
- This week
Choose the next treatment
The two KRAS G12C combinations are close. The oncologist and family pick one, using the comparison prepared in the workspace.
- Within 2 weeks
Book the baseline scan
A CT before the new drug starts, so the next scan can show whether it is working.
- Ready when needed
Trial screening questions
Eligibility for three matched trials is already worked out, so a switch does not start from zero.
Every option, ranked
Ordered by the strength of the evidence for this tumor, not by how new an option sounds.
Not ranked: immunotherapy on its own. This tumor is microsatellite stable, and the evidence says it is unlikely to help.
What we keep watching
Each item has the event that would make it matter, and what happens then.
Every option links to its evidence in a real workspace. The ranking is reviewed by experts who have read the whole record.
Clear now, and working to stay clear.
Surgery took the tumor out with clear margins, and radiation is finished. There is no standard treatment for this stage, so the plan was to watch and wait. Instead, a vaccine is being made from the patient's own tumor, and every check is on the calendar.
At a glance
The facts that explain the plan.
- Time since surgery
- 14 monthsclear margins, radiation completed after
- Where it stands
- No evidence of diseaseon scans and on blood tests for tumor DNA
- Vaccine
- Being made20 targets from the tumor's own mutations
- Next check
- In 6 weekschest CT and tumor DNA blood test
What needs attention first
- Today
No sign of cancer
The last scan and the last blood test for tumor DNA both came back clear.
- Within 6 weeks
Book the next scan and blood draw
Both are due together. The workspace has the orders and the dates.
- Ready if it changes
Tissue kept for re-testing
Stored tumor samples are ready, so a recurrence can be checked against new options quickly.
The vaccine, step by step
Made for this patient alone, from the mutations in their own tumor.
Sequencing
Tumor and normal DNA, plus tumor RNA, read in full.
DoneChoosing targets
20 mutations picked as the likeliest to train the immune system.
DoneFDA request
A single-patient request, filed by the patient's physician.
DoneManufacturing
The vaccine is made by a licensed manufacturer.
In progressDosing
Given by the patient's own physician, first doses close together, then boosters.
NextMonitoring
Blood tests show whether the immune system is responding to the targets.
After dosing
What we keep watching
Each item has the event that would make it matter, and what happens then.
In a real workspace, every result links to the report it came from. The vaccine plan is decided with the patient and their physicians.
Your workspace is built from your own record.
From your records
We start from the sequencing report and the medical records you already have, and say plainly if more testing would help.
Checked by people
Software finds and grades the options. Experts who read the whole record decide what fits and in what order.
Kept current
New trials and new evidence are checked as they appear, for as long as we are working on the case.
Tell us about your case and we will show you what yours would look like.
A few lines is enough to start.