Related Experiment Video
Updated: Jun 4, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Optimizing preclinical study design in oncology research
Luke A Wittenburg1, Daniel L Gustafson
1Flint Animal Cancer Center, Department of Clinical Sciences, Colorado State University, 300 West Drake Road, Fort Collins, CO 80523-1620, United States. Luke.Wittenburg@colostate.edu
Abstract:
The current drug development pathway in oncology research has led to a large attrition rate for new drugs, in part due to a general lack of appropriate preclinical studies that are capable of accurately predicting efficacy and/or toxicity in the target population. Because of an obvious need for novel therapeutics in many types of cancer, new compounds are being investigated in human Phase I and Phase II clinical trials before a complete understanding of their toxicity and efficacy profiles is obtained. In fact, for newer targeted molecular agents that are often cytostatic in nature, the conventional preclinical evaluation used for traditional cytotoxic chemotherapies utilizing primary tumor shrinkage as an endpoint may not be appropriate. By utilizing an integrated pharmacokinetic/pharmacodynamic approach, along with proper selection of a model system, the drug development process in oncology research may be improved leading to a better understanding of the determinants of efficacy and toxicity, and ultimately fewer drugs that fail once they reach human clinical trials.
Insights
Improving oncology drug development requires better preclinical studies. An integrated pharmacokinetic/pharmacodynamic approach can enhance efficacy and toxicity prediction, reducing clinical trial failures for new cancer therapeutics.
Area of Science:
- Oncology
- Pharmacology
- Drug Development
Background:
- High attrition rates in oncology drug development are linked to inadequate preclinical studies.
- Current preclinical models may not accurately predict efficacy or toxicity for novel targeted cancer agents.
- There is a critical need for improved preclinical evaluation methods in cancer research.
Purpose of the Study:
- To highlight the limitations of current preclinical studies in oncology drug development.
- To propose an integrated pharmacokinetic/pharmacodynamic (PK/PD) approach to improve preclinical evaluation.
- To reduce the failure rate of new cancer drugs in clinical trials.
Main Methods:
- Discussing the limitations of conventional preclinical endpoints for cytostatic agents.
- Advocating for the integration of pharmacokinetic and pharmacodynamic analyses.
- Emphasizing the importance of selecting appropriate preclinical model systems.
Main Results:
- Current preclinical methods often fail to predict clinical outcomes accurately.
- PK/PD modeling offers a more comprehensive understanding of drug behavior.
- Appropriate model selection is crucial for reliable preclinical data.
Conclusions:
- An integrated PK/PD approach, coupled with suitable models, can significantly improve oncology drug development.
- This strategy enhances the understanding of efficacy and toxicity determinants.
- Ultimately, this leads to a reduction in drug attrition during clinical trials.
Related Concept Videos
Preclinical Development: Overview
Bioavailability Study Design: Healthy Subjects Versus Patients
Cancer Survival Analysis
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Mouse Models of Cancer Study
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
Bioavailability Study Design: Single Versus Multiple Dose Studies
