Next Generation Sequence Target-Directed Therapy in Treating Patients With Cancer

Inclusion Criteria

• •Patients must have histologically or cytologically confirmed cancer
• •Patients must have evaluable disease; measureable disease is not required; however, if measurable disease is present, it is defined as at least one lesion that can be accurately measured in at least one dimension in accordance with Response Evaluation Criteria in Solid Tumors (RECIST) criteria version (v.) 1.1; furthermore, if only evaluable disease is present, a relevant tumor marker (per investigator discretion) must be \>= 2 times upper limit of normal (ULN) at baseline, and can be used as a response indicator
• •Patients must be considered good candidates for a phase 1 trial and the treating physician must intend to enroll the patient on a phase 1 clinical protocol, if possible; patients are not required to have progressed on their last line of therapy prior to enrollment
• •* Other clinical trials are also acceptable; for example, an applicable phase 2 or phase 3 trial may exist for which the patient would be eligible and for which available information (inclusive of next generation sequencing \[NGS\]) would be relevant to such enrollment; regardless, the pertinent point is that it is the intent of the physician to use NGS data, to the degree possible, to select appropriate therapy, when selecting patients for this trial
• •Eastern Cooperative Oncology Group (ECOG) performance status =\< 2
• •Absolute neutrophil count \> 1,000/mcL
• •Platelets \> 80,000/mcL
• •Total bilirubin =\< 1.5 times ULN and stable X 1 month
• •Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) (serum glutamic oxaloacetic transaminase \[SGOT\]/serum glutamate pyruvate transaminase \[SGPT\]) \< 3 times ULN (if liver metastasis is present then =\< 5 X ULN)
• •Serum creatinine =\< 1.5 X ULN and stable X 1 month OR creatinine clearance \>= 60 Ml/min/1.73 m\^2
• •Estimated life expectancy of \>= 3 months
• •Ability to understand and willingness to sign a written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization
• •Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
• •Known human immunodeficiency virus (HIV)-positive patients on combination antiretroviral therapy
• •Pregnancy or breastfeeding