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Updated: Jun 4, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Advances in the preclinical testing of cancer therapeutic hypotheses
Giordano Caponigro1, William R Sellers
1Novartis Institutes For BioMedical Research, Oncology Research and Oncology Translational Medicine, 250 Massachusetts Avenue, Cambridge, Massachusetts 02139, USA. giordano.caponigro@novartis.com
Abstract:
The genetic and epigenetic underpinnings of cancer are becoming increasingly clear owing to impressive and well-coordinated ventures occurring worldwide. As our understanding of the molecular alterations driving human cancer increases, there is an opportunity to direct the clinical application of cancer therapeutics with improved accuracy. The often empirical treatment of cancer--which was initially based on inhibiting DNA synthesis and cellular division--while having led to a number of remarkable successes, remains prone to a high rate of clinical failure that results partly from a lack of understanding of how best to implement drugs in the clinic. Consequently, it is vital that robust translational strategies be developed preclinically to both reduce failure rates in the clinic and shorten the time required to identify patient populations most likely to benefit from a given therapeutic. Here, we review both historical and current uses of preclinical model systems, being mindful that a combination of approaches will be needed to address all meritorious therapeutic hypotheses.
Insights
Understanding cancer's genetic and epigenetic factors improves treatment accuracy. Preclinical models are vital for developing translational strategies to reduce clinical failure and identify patient populations benefiting from targeted cancer therapeutics.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Increasing understanding of cancer's genetic and epigenetic drivers.
- Need for improved accuracy in clinical application of cancer therapeutics.
- Limitations of empirical cancer treatments and high clinical failure rates.
Approach:
- Review of historical and current preclinical model systems for cancer research.
- Emphasis on developing robust preclinical translational strategies.
- Highlighting the necessity of a combined approach to validate therapeutic hypotheses.
Key Points:
- Advances in understanding cancer's molecular basis offer opportunities for more precise therapeutic targeting.
- Current treatment strategies, often empirical, face high failure rates due to incomplete understanding of drug implementation.
- Preclinical models are crucial for bridging the gap between basic research and clinical application.
Conclusions:
- Robust preclinical strategies are essential to reduce clinical trial failures.
- Accelerating the identification of patient populations likely to benefit from specific therapies.
- A multifaceted approach utilizing various preclinical models is necessary to address diverse therapeutic hypotheses in oncology.
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