Oral presentations (OP-01 to OP-88) OP-01 Federated learning enables cancer subtyping by proteomics Zhaoxiang Cai1, Emma Boys1, Zainab Noor1, Adel Aref1, Dylan Xavier1, Natasha Lucas1, Steven Williams1, Jennifer Koh1, Rebecca Poulos1, Yangxiu Wu1, Michael Dausmann1, Karen MacKenzie1, Adriana Aguilar2, Carolina Niell3,4, Maria Barranco3,4, Mark Basik2, Elise Bowman5, Rory Clifton-Bligh6,7,8, Elizabeth Connolly1, Wendy Cooper9, Bhavik Dalal5, Anna de Fazio10,11,12, Martin Filipits13, Peter Flynn14, J Dinny Graham10,15, Jacob George6,16, Anthony Gill6,7,16,17, Michael Gnant18,19, Rosemary Habib10,20,21, Curtis Harris5, Kate Harvey22,23, Lisa Horvath6,24,25, Christopher Jackson26, Maija Kohonen-Corish27,28, Elgene Lim25, Georgina Long29, Reginald Lord30, Graham Mann31, Geoff McCaughan32,33, Lucy Morgan6, Leigh Murphy34, Adnan Nagrial6,35, Ben Panizza26, Jas Samra6,36, Richard Scolyer29, Ioannis Souglakos37, Alexander Swarbrick22,23,37, David Thomas38, Peter G. Hains1, Rosemary Balleine1,10, Phillip J. Robinson1, Qing Zhong1, Roger R. Reddel1 1The University of Sydney, ProCan, Children’s Medical Research Institute, Faculty of Medicine and Health, Westmead, Australia 2Jewish General Hospital, Lady Davis Institute at the Jewish General Hospital, Montreal, Canada 3Germans Trias i Pujol Research Institute (IGTP), Childhood Liver Oncology Group, Badalona, Spain 4Networking Biomedical Research Centre (CIBER) in Hepatic and Digestive Diseases, Barcelona, Spain 5National Institutes of Health, National Cancer Institute, Bethesda, MD, United States 6The University of Sydney, Faculty of Medicine and Health, Sydney, Australia 7Royal North Shore Hospital, Kolling Institute of Medical Research, St Leonards, Australia 8Royal North Shore Hospital, Department of Endocrinology, St Leonards, Australia 9Royal Prince Alfred Hospital, NSW Health Pathology, Camperdown, Australia 10The University of Sydney, The Westmead Institute for Medical Research, Westmead, Australia 11The University of Sydney, a joint venture with Cancer Council, The Daffodil Centre, Woolloomooloo, Australia 12Westmead Hospital, Department of Gynaecological Oncology, Westmead, Australia 13Medical University of Vienna, Center for Cancer Research, Vienna, Austria 14Nepean Hospital, Kingswood, Australia 15Westmead Hospital, Westmead Breast Cancer Institute, Westmead, Australia 16Westmead Hospital, Storr Liver Centre, The Westmead Institute for Medical Research, Westmead, Australia 17Royal North Shore Hospital, NSW Health Pathology, Department of Anatomical Pathology, St Leonards, Australia 18Medical University of Vienna, Comprehensive Cancer Center, Vienna, Austria 19Austrian Breast and Colorectal Cancer Study Group, Vienna, Austria 20Westmead Hospital, Crown Princess Mary Cancer Centre, Westmead, Australia 21Blacktown Hospital, Blacktown Cancer and Haematology Centre, Blacktown, Australia 22Garvan Institute of Medical Research, Cancer Ecosystems Program, Darlinghurst, Australia 23University of New South Wales, School of Clinical Medicine, St Vincent’s Clinical Campus, Sydney, Australia 24Chris O’Brien Lifehouse, Camperdown, Australia 25Garvan Institute of Medical Research, Darlinghurst, Australia 26Princess Alexandra Hospital, Department of Otolaryngology, Head and Neck Surgery, Brisbane, Australia 27Macquarie University, Woolcock Institute of Medical Research, Sydney, Australia 28Macquarie University, Macquarie Medical School, Faculty of Medicine, Sydney, Australia 29The University of Sydney, Melanoma Institute Australia, Sydney, Australia 30St. Vincent’s Centre for Applied Medical Research, Darlinghurst, Australia 31Australian National University, John Curtin School of Medical Research, Canberra, Australia 32Royal Prince Alfred Hospital, AW Morrow Gastroenterology and Liver Centre, Camperdown, Australia 33Centenary Institute, Camperdown, Australia 34University of Manitoba, Cancer Care Manitoba Research Institute, Manitoba Tumour Bank, Winnipeg, Canada 35Western Sydney Local Health District, Westmead, Australia 36Royal North Shore Hospital, Department of Upper GIT Surgery, St Leonards, Australia 37University Hospital of Heraklion, University of Crete, Department of Medical Oncology, Faculty of Medicine, Crete, Greece 38University of New South Wales, Centre for Molecular Oncology, Sydney, Australia Introduction: The availability of large quantities of online data is underpinning the rapid development of many artificial intelligence (AI) applications. However, in biological and healthcare settings AI applications face challenges, including data privacy and security. Federated learning (FL), a distributed machine learning method, enables analysis of large biomedical datasets while ensuring data privacy, confidentiality and regulatory compliance. In this approach, local models are trained using data held inside several participating sites, with the data remaining private behind local firewalls. Local model updates are then aggregated in the server to improve the global model. Methods: We obtained 30 distinct tissue sample cohorts, including a pan-cancer cohort (N = 1,260) from biobanks in Australia, with the remainder (N = 6,265) being largely single-cancer cohorts from centres in North America, Europe and Australia. We quantified 9,051 proteins across 7,525 tissue samples encompassing 57 28