[astazangasta]

Targeted therapies were not developed as a result of genomics. Erlotinib was approved in 2005. We've had Sanger sequencing assays for EGFR, BRAF etc for years, and they're still standard of care. We can identify resistance mutations, but we often don't know what to do with this information. Your patient becomes resistant, you identify the causative variants, you watch your patient progress and die.

Sure, genomics gives us a comprehensive way to sequence, but my point is that it did not yield the sudden, vast sweep of insights that we expected it would.

[jldugger]

IMO, it's a bit like geneticists walked into the human genome expecting a simple SQL database, and discovered the thing was littered with pl/sql functions, and that some of the functions actually double as data, when shifted over a byte or two. It's no surprise then that it's taking longer to understand the genome, and nor surprising why differential genomics is so useful.

Whether this was the best use of scientific resources, I donno.