ROME trial Wasn't Built in a Day: The Decade-Long Journey to Randomized Evidence in Precision Oncology

Precision oncology has long promised to transform cancer treatment by matching patients to therapies based on their tumor's molecular profile. Despite regulatory approvals for tumor-agnostic biomarkers including microsatellite instability, NTRK and RET fusions, and BRAFV600 mutations skepticism has persisted about whether genomically-guided therapy truly outperforms standard care[1]. The ROME trial now provides the answer[2].