New paradigm in dose-finding trials: patient-specific dosing and beyond phase I.

作者: André Rogatko , James S. Babb , Mourad Tighiouart , Fadlo R. Khuri , Gary Hudes

DOI: 10.1158/1078-0432.CCR-05-0458

关键词: DosingClinical trialPathologyRegimenDose findingMedical physicsPhase (combat)Research designPatient specificCombined Modality TherapyMedicine

摘要: We propose a new paradigm for the clinical evaluation of cancer therapies. It entails adjusting search optimal dose on basis measurable patient characteristics that may be predictive adverse responses to treatment, and extending this beyond phase I into phases II III. provide examples (a) how fine-tuning involve utilization patient-specific attributes obtain personalized treatment regimen, (b) novel methods design can used update working conduct III trials. These should interpreted as an enticement development implement proposed paradigm.

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