Gustave Roussy was first created as
the “Institut du Cancer” by Pr. Gustave
Roussy in 1926 and gathers on its campus
around 3,000 professionals, including 239
MD, whose missions are to treat cancer
patients, to set up innovative therapies and
to develop and spread the knowledge within
medical and scientific communities.
The Institute is headed by Pr. Alexander
Eggermont and its specificity is based
on the integration between innovative
healthcare and a top level research through
a tight cooperation with the Université
Paris-Sud and its Faculty of Medicine.
In 2014, the Institute ensured 228,000
medical consultations and hosted 11,800
new patients, 26% of whom have benefited
from an innovative therapy through the
enrollment in one of the 369 ongoing clinical
studies.
Since January 1st 2015, the Chevilly-Larue
hospital (CHSP) has merged with Gustave
Roussy; which increased the total number
of hospital beds up to 435 and of outpatient
units up to 102.
The Gustave Roussy research landscape now
comprises 37 research teams (from basic
science to translational biological research,
from epidemiology and biostatistics to
psycho-oncology and health economy), 14
clinical research teams each focused on
one organ or pathology, a clinical research
division which manages all the aspects of the
clinical research (methodology, biostatistics,
regulatory affairs, operations and
pharmacovigilance), a hospital department
dedicated to therapeutic innovations and
early clinical trials as well as a 10 technology
core facilities brought together within one
administrative “Service Unit”. Research at
Gustave Roussy is coordinated by Pr. Eric
Solary.
In the last years, a global reflection has
been initiated about the evolution of the
technologies core facilities within Gustave
Roussy. As far as genomics is concerned,
Gustave Roussy has externalised the high-
throughput sequencing for the molecular
medicine program (through a partnership
with a biotech company, INTEGRAGEN,
which installed and operates a “clinical
sequencing unit” within the Institute), and
proposes to merge its 2 genomics facilities
(for clinical and basic research) within a
unique facility that can share expertise,
personnel and technology.
The robotised fluorescence videomicroscopic
facility for high-throughput screening
is now available and the creation of a
“pharmacology Platform” for clinical and
basic research is envisioned. Moreover, the
management of the Tumour Bank (~150,000
tumor samples) is being profoundly
modified to give a better access to tumour
samples and to store biological samples
upon prospective research programs.
The Molecular Medicine Program has been
refined by new trial designs with the aim
to answer the question of resistance to
targeted therapies (i.e. MATCH-R) including
sequential biopsies and xenografts.
The Gustave Roussy Immunotherapy
Program (GRIP) has been initiated following
the recruitment of clinical immunologist
who is setting up immunotherapy clinical
trials associated with translational
research.
The onco-haematology program will be
reinforced by the creation of the hospital
haematology department which will give
visibility and coherence to the haematology
clinical activities and foster collaboration
with Gustave Roussy research teams.
According to the SAB 2013 recommendations,
several cross-program research projects
are being developed (e.g linking immunology
and DNA repair).
The development of the clinical research
has been mainly focused on early phase
clinical trials through the creation of
the Drug Development department
dedicated to therapeutic innovations and
Alexander Eggermont
Director General Eric Solary
Director of Gustave Roussy Research
early clinical trials, the recruitment of a
senior methodologist specialised in early
phase trial and adaptive designs, and the
coordination of the Institute’s industrial
partnerships.
The present book introduces research groups
and clinical committees currently operating
in Gustave Roussy and the platforms they
use. DNA repair, tumour immunology and
molecular medicine are the three main axes of
basis and translational research, with clinical
research introducing new drugs and testing
biomarkers.
Strengthening international partnerships
Internationally, Gustave Roussy is developing a
program to promote its model of care, to train
foreign professionals, and to improve access
to cancer care for all patients through hospital
projects abroad, which may be one-off or occur
several times a year.
These have taken place in partner countries
such as Kazakhstan, Kuwait and the United
Arab Emirates.
On the research side, the Institute played a key
role in the founding, in July 2014, of “Cancer Core
Europe”, a European comprehensive cancer
center consortium that involves 5 other Cancer
Centres (DKFZ / NCT, VHIO, NKI, Cambridge
Cancer Center, Karolinska Institute). Cancer
Core Europe will make the bridge «bench-to-
bedside and bedside-to-bench» and conduct
next-generation clinical trials focused on
proof-of-concept, companion, predictive and
resistance monitoring, biomarkers.
Several working groups have been set up,
among which the “IT/ Data Sharing working
group” will develop a common software
platform to integrate all patient data that
federates the databases from each of the
centres. In less than a year, the consortium has
already been successful in two European calls:
TRANSCAN and EIT Health.
Gustave Roussy has drawn its future roadmap
through its Development Program 2015-2020.
Resulting from several months of work by all
the professionals at the Institute, it provides a
framework, based on existing foundations, for
an innovative Comprehensive Cancer Centre.
Within this program, the three main actions
for research are: (i) the creation of clinician-
researchers positions (MD/PhD or PharmaD/
PhD) whose workload will be mainly focused
on ambitious exploratory and/or translational
research projects; (ii) the construction of a
preclinical cancer research facility (PRECAN);
(iii) the creation in 2020 of a renewed Research
Centre endorsed by the National Institutions
(including basic, translational and clinical
research).
This last objective is highly strategic. The
Institute aims at building on an integrated,
first-class, innovative research based on
highly-talented scientists, clinicians and staff
members. After evaluating the potential of
candidate research team leaders, a proposal
for a future research strategy and organisation
of the Research Centre will be discussed, in a
very open system of exchange.