Method Profile

Patient-Derived Colorectal Spheroid Drug Profiling

Functional profiling of metastatic colorectal cancer spheroids against targeted agents and standard-of-care drug combinations.

Tumor ModelsSpheroids
Complete Figure 6 comparing spheroid dose-response AUC measurements for VEGFR inhibitors with the available clinical treatment outcomes.
Spheroid drug-response measurements and the small clinical comparison for antiangiogenic treatment. (El-Khoury et al., npj Precision Oncology, 2026, Fig. 6, CC BY 4.0)

Research Applications

Explore patient-to-patient differences in direct tumor-cell drug responses while identifying drug classes that need a vascular or stromal context.

Model & Design

Tumor-derived spheroids established from 12 of 19 patient samples; the standard-of-care combination screen covered eight models.

Experimental Format

Concentration–response drug screens with viability measurements; selected standard-of-care combinations measured after three days.

Model Components

  • Component

    Tumor models

    Description

    Twelve established spheroid cultures from nineteen metastatic colorectal cancer samples.

  • Component

    Drug groups

    Description

    Forty-two anticancer small molecules, five standard-of-care agents and selected drug combinations; VEGFR inhibitors examined separately.

  • Component

    Readouts

    Description

    Calcein-stained area or ATP-based viability and concentration–response area-under-the-curve measures, compared with available genomic and clinical treatment records closest to sample collection.

Measurements & Endpoints

  • Model-establishment success
  • Time to drug-screen result
  • Drug-response curve area
  • Comparison with available treatment histories

Analysis

Separate direct tumor-cell effects from treatments acting through vascular or other microenvironmental components. A clinical-treatment comparison is not interchangeable with an ex vivo assay using a different intervention.

Published Evidence

  • Study Design

    Patient-derived spheroid drug screening with selected genomic and retrospective clinical comparisons.

    Study Sample

    12 established models from 19 samples; eight models for standard-of-care combinations; one matched fresh/frozen model; three patients in the antiangiogenic clinical comparison.

    Comparison

    Within-model drug response curves, genotype and treatment histories closest to sample collection; ex vivo VEGFR inhibitors versus clinical chemotherapy plus bevacizumab in the small antiangiogenic comparison.

    Finding

    Some anti-EGFR and chemotherapy responses varied by patient. VEGFR inhibitors showed little direct spheroid viability effect and did not reproduce the three-patient antiangiogenic clinical grouping.

    Interpretation & Limits
    • No vascular compartment in the spheroids.
    • Ex vivo VEGFR inhibitors and the clinical bevacizumab-containing regimen were different interventions.
    • Small, treatment-experienced cohort limits predictive interpretation.

Sources

  1. El-Khoury V et al. Predicting therapeutic responses in metastatic colorectal cancer through personalized functional profiling of patient-derived spheroids. npj Precision Oncology. 2026. DOI: 10.1038/s41698-026-01356-7. ↗