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FIMM – Building a Bridge from Discovery to Medicine  iCAN Digital Precision
                                                     Cancer Medicine Flagship

                                                     iCAN is an Academy of Finland national research and
                                                     innovation flagship for 2019-2026. At the core of iCAN is
                                                     a large pan-cancer public-private research partnership
                                                     project, combining cancer genetics, translational and
                                                     clinical cancer research, biobanks, information technology
                                                     and artificial intelligence (AI) in a novel way. The project
                                                     links deep molecular profiling of at least 15,000 tumours
                                                     with patients’ longitudinal health data. Using machine
                                                     learning and AI to extract relevant predictive features from
                                                     each dataset, the study is expected to increase knowledge
                                                     of immuno-oncology, the tumour microenvironment and
                                                     development of disease resistance, thereby resulting in
                                                     discoveries of new targets and contributing to the devel-
                                                     opment of improved therapeutics. The study currently in-
                                                     cludes 15 subprojects, many of which involve FIMM senior
                                                     staff. In addition, FIMM data scientists, cancer researchers
                                                     and technology platforms contribute to most subprojects.

                                                     Drug Sensitivity and Resistance
                                                     Testing platform

                                                     This unique platform developed at FIMM provides func-
                                                     tional profiling of patient-derived cancer cells or drug
                                                     responses to hundreds of approved and emerging inves-
                                                     tigational oncology compounds covering a wide range of
                                                     molecular targets. The most potent drugs are identified
                                                     based on cell viability or microscopy and image analysis.
                                                     The platform is used in FIMM’s translational precision
                                                     medicine pipeline and is applied in drug repurposing
                                                     studies, defining optimal patient groups for clinical trials
                                                     in collaboration with pharmaceutical companies.

                                                     Computational Systems
                                                     Medicine Approaches

                                                     A key area of focus for many FIMM researchers is the
                                                     development of AI and machine learning tools to integrate
                                                     clinical, functional, and genomic profiles to predict thera-
                                                     peutic targets and identify robust marker panels predictive
                                                     of treatment responses for improved clinical translation
                                                     and patient stratification. An additional key aspect is the
                                                     ability to predict synergistic, effective and safe drug com-
                                                     binations for individual patients. The work has resulted
                                                     in multiple high-profile publications. Furthermore, FIMM
                                                     researchers, along with their collaborators at the Helsinki
                                                     Institute for Information Technology (HIIT), have excelled
                                                     in several international crowdsourcing competitions with
                                                     solutions to highly demanding scientific problems, includ-
                                                     ing response prediction in cancer cells and patients.

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