Precision oncology: neither a silver bullet nor a dream.

作者: Nora S Sánchez , Gordon B Mills , Kenna R Mills Shaw

DOI: 10.2217/PGS-2017-0094

关键词: Clinical trialMedical physicsPrecision oncologyMagic bulletPrecision medicineClinical PracticeTargeted therapyEnd pointSilver bulletMedicine

摘要: Precision oncology is not an illusion, nor it the magic bullet that will eradicate all cancers. simply another weapon in our growing armament against cancer. Rather than honing on failures of a relatively young field, one should advocate for integrating its successes into widespread clinical practice, especially indications, such as: ABL, ALK, BRAF, BRCA1, BRCA2, EGFR, KIT, KRAS, PDGFRA, PDGFRB, ROS1, BCR-ABL, FLT3 and where aberrations have been shown to alter responses US FDA approved drugs - is, level 1 data. Moreover, truly assess promise precision oncology, we must first begin by defining expectations this field. Importantly, recognize conception arose as antithesis 'one-size fits all' cancer therapeutics approach. Consequently, tools used evaluating these conventional, large-scale trials, are directly transferable assessing nonconventional, smaller-scale trials needed oncology. Hence, thorough vetting tool trade, reassessing well current trial designs end point measurements. most targeted therapy approaches their infancy, with only monotherapy being assessed combination therapies likely necessary fulfill

参考文章(177)
Vicki Brower, NCI-MATCH pairs tumor mutations with matching drugs Nature Biotechnology. ,vol. 33, pp. 790- 791 ,(2015) , 10.1038/NBT0815-790
Brian J. Druker, Elisabeth Buchdunger, Thomas Meyer, Marcel Müller, Nicholas B. Lydon, Helmut Mett, Jürg Zimmermann, Inhibition of the Abl Protein-Tyrosine Kinase in Vitro and in Vivo by a 2-Phenylaminopyrimidine Derivative Cancer Research. ,vol. 56, pp. 100- 104 ,(1996)
Carlo Gambacorti‐Passerini, Jorge E. Cortes, Jeff H. Lipton, Anna Dmoszynska, Raymond S. Wong, Victor Rossiev, Dmitri Pavlov, Karin Gogat Marchant, Ladan Duvillié, Navin Khattry, Hagop M. Kantarjian, Tim H. Brümmendorf, Safety of bosutinib versus imatinib in the phase 3 BELA trial in newly diagnosed chronic phase chronic myeloid leukemia. American Journal of Hematology. ,vol. 89, pp. 947- 953 ,(2014) , 10.1002/AJH.23788
Sumithra J. Mandrekar, Suzanne E. Dahlberg, Richard Simon, Improving Clinical Trial Efficiency: Thinking outside the Box. American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting. ,vol. 35, pp. 141- 147 ,(2015) , 10.14694/EDBOOK_AM.2015.35.E141
Frank Boschelli, Carlo Etienne, Kim Arndt, Danielle Nardin, Fei Ye, Philip Frost, Jennifer M Golas, James Gibbons, Judy Lucas, Diane H Boschelli, SKI-606, a 4-Anilino-3-quinolinecarbonitrile Dual Inhibitor of Src and Abl Kinases, Is a Potent Antiproliferative Agent against Chronic Myelogenous Leukemia Cells in Culture and Causes Regression of K562 Xenografts in Nude Mice Cancer Research. ,vol. 63, pp. 375- 381 ,(2003)
Krishnansu S. Tewari, Ramez N. Eskander, Bradley J. Monk, Development of Olaparib for BRCA-Deficient Recurrent Epithelial Ovarian Cancer Clinical Cancer Research. ,vol. 21, pp. 3829- 3835 ,(2015) , 10.1158/1078-0432.CCR-15-0088
Richard Kaplan, The FOCUS4 design for biomarker stratified trials. Chinese clinical oncology. ,vol. 4, pp. 35- 35 ,(2015) , 10.3978/J.ISSN.2304-3865.2015.02.03
Andrew V. Biankin, Steven Piantadosi, Simon J. Hollingsworth, Patient-centric trials for therapeutic development in precision oncology Nature. ,vol. 526, pp. 361- 370 ,(2015) , 10.1038/NATURE15819