Strategies for optimizing combinations of molecularly targeted anticancer agents

Janet E Dancey1, Helen X Chen

  • 1Investigational Drug Branch, Cancer Therapy Evaluation Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, 6130 Executive Boulevard EPN 7131, Rockville, Maryland 20852, USA. danceyj@ctep.nci.nih.gov

Insights

Developing targeted cancer therapies faces challenges due to numerous drug combinations. A strategic approach is crucial for prioritizing promising targeted-agent combinations for efficient clinical evaluation.

Area of Science:

  • Oncology
  • Pharmacology
  • Drug Development

Background:

  • Hundreds of new cancer-specific molecularly targeted agents are emerging.
  • Evaluating these agents individually and in various combinations presents significant development challenges.

Purpose of the Study:

  • To outline a development strategy for targeted-agent combinations.
  • To identify challenges in the preclinical and clinical evaluation of targeted-agent combinations.
  • To discuss potential approaches to overcome these challenges.

Main Methods:

  • This study considers the crucial elements of a development strategy for targeted-agent combinations.
  • It describes issues that pose challenges to rational preclinical and clinical evaluation.
  • It discusses possible approaches to overcoming these challenges.

Main Results:

  • The sheer number of potential drug combinations necessitates a strategic approach.
  • Rational evaluation requires addressing specific preclinical and clinical challenges.
  • Prioritization of combinations is essential for efficient drug development.

Conclusions:

  • A robust strategy is vital for navigating the complexities of targeted-agent combination development.
  • Overcoming evaluation challenges will accelerate the delivery of novel cancer therapies.
  • Prioritizing promising combinations ensures efficient resource allocation in drug development.

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