TY - JOUR
T1 - Future Clinical Trials
T2 - Genetically Driven Trials
AU - Astsaturov, Igor
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/10
Y1 - 2017/10
N2 - The design of modern oncology clinical trials seeks to match patients’ cancer molecular biomarkers with medications that specifically target those biomarkers, a general paradigm shift in cancer care coined clinical cancer biology. This approach exploits the synthetic lethality between a specific genetic alteration in the cancer cell and a drug: rapid termination of exaggerated kinase activity exemplifies this phenomenon. Synthetic lethality-based investigations are driven by rapidly evolving technologies for cancer molecular profiling. As these technologies evolve, future clinical trials will test drugs’ activity based on the molecular mechanisms rather than by the tumor's appearance under a microscope.
AB - The design of modern oncology clinical trials seeks to match patients’ cancer molecular biomarkers with medications that specifically target those biomarkers, a general paradigm shift in cancer care coined clinical cancer biology. This approach exploits the synthetic lethality between a specific genetic alteration in the cancer cell and a drug: rapid termination of exaggerated kinase activity exemplifies this phenomenon. Synthetic lethality-based investigations are driven by rapidly evolving technologies for cancer molecular profiling. As these technologies evolve, future clinical trials will test drugs’ activity based on the molecular mechanisms rather than by the tumor's appearance under a microscope.
KW - Biomarkers, Tumor/genetics
KW - Humans
KW - Medical Oncology/methods
KW - Molecular Targeted Therapy/methods
KW - Neoplasms/diagnosis
KW - Pharmacogenetics
KW - Precision Medicine/trends
KW - Treatment Outcome
UR - http://www.scopus.com/inward/record.url?scp=85027543498&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000412969600017&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1016/j.soc.2017.05.014
DO - 10.1016/j.soc.2017.05.014
M3 - Review article
C2 - 28923231
SN - 1055-3207
VL - 26
SP - 791
EP - 797
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 4
ER -