Conditioned and original chips are compared within each patient. Clinical resistance is the positive class for sensitivity, and thresholds were fitted within the 22-case cohort.
Published Evidence
Study Design
Compare FOLFOX/bevacizumab chip responses with RECIST-derived clinical response groups.
Study Sample
22 patient-derived models with clinical information; experimental assays performed in triplicate per patient.
Comparison
Original versus conditioned-HUVEC chips; complete/partial response versus stable/progressive disease.
Finding
Optimized model sensitivity 81.82%, specificity 90.91%, accuracy 86.36%; original 54.55%, 90.91%, 72.73%, with resistance as the positive class.
Interpretation & Limits
Threshold selection and evaluation used the same limited cohort.
HUVEC conditioning reproduces selected tumor-vessel properties rather than the complete vascular microenvironment.
Small-molecule tests remain exploratory; prospective multicenter validation is needed.
A colorectal tumoroid chip pairs patient-derived cultures with perfusable endothelial networks. Conditioning endothelial cells with IGFBP5 produced more tumor-like vascular features and improved agreement with treatment outcomes in a 22-patient comparison.