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Updated: Jul 13, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
The convergent development of molecular-targeted drugs for cancer treatment and prevention
Scott M Lippman1, John V Heymach
1Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. slippman@mdanderson.org
Abstract:
Advances in our understanding of multistep and field carcinogenesis are erasing the clear demarcation of intraepithelial neoplasia from invasive neoplasia. The growing ability to define a very high risk of cancer is forging important commonalities between prevention and therapy, such as in potential prognostic/predictive markers, agents, and side effects that patients would be willing to tolerate, and the logistics of definitive trials. The emergence of promising new molecular-targeted agents and new technologies for screening and early detection provides new opportunities for applying clinical trial designs that integrate therapy and prevention end points. Such trials may be used to facilitate targeted drug development and help identify strategies for both cancer prevention and advanced cancer therapy. These several advances are creating a convergence of cancer therapy with cancer prevention that promises to streamline the development of targeted drugs and improve the control of major cancers.
Insights
Cancer research is blurring lines between prevention and therapy by identifying high-risk individuals. New trials integrating targeted agents and early detection aim to improve cancer prevention and treatment strategies.
Area of Science:
- Oncology
- Cancer Research
- Molecular Biology
Background:
- Advances in understanding multistep and field carcinogenesis challenge traditional distinctions between intraepithelial neoplasia and invasive neoplasia.
- The ability to identify individuals at very high risk for cancer is creating common ground between cancer prevention and therapy strategies.
Purpose of the Study:
- To explore the convergence of cancer prevention and therapy.
- To leverage new molecular-targeted agents and early detection technologies for clinical trial design.
- To facilitate targeted drug development and identify strategies for cancer prevention and treatment.
Main Methods:
- Integration of prevention and therapy endpoints in clinical trial designs.
- Utilizing new molecular-targeted agents.
- Employing advanced screening and early detection technologies.
Main Results:
- Emerging commonalities in prognostic/predictive markers, therapeutic agents, and patient-tolerable side effects.
- New opportunities for clinical trial designs that bridge prevention and therapy.
- Streamlined development of targeted drugs.
Conclusions:
- The convergence of cancer therapy and prevention promises to enhance the development of targeted drugs.
- Improved strategies for controlling major cancers are anticipated.
- Clinical trials integrating therapy and prevention endpoints can accelerate progress in oncology.
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