Drug development and clinical trials--the path to an approved cancer drug

Eric H Rubin1, D Gary Gilliland

  • 1Merck Research Laboratories, 351 North Sumneytown Pike, North Wales, PA 19454, USA. eric_rubin@merck.com

Insights

New strategies in cancer drug development, including advanced genomics and adaptive trials, aim to improve oncology drug approval rates. Collaboration is key to delivering targeted cancer therapies with companion diagnostics to the right patients.

Area of Science:

  • Oncology
  • Drug Development
  • Genomics

Background:

  • Cancer biology advances reveal numerous therapeutic targets.
  • Oncology drug approval rates lag behind other therapeutic areas despite progress.

Purpose of the Study:

  • To review innovative preclinical and clinical strategies for accelerating oncology drug development and approval.
  • To emphasize the role of companion diagnostics in personalized cancer treatment.

Main Methods:

  • Review of advanced genomic technologies in preclinical research.
  • Discussion of branched adaptive clinical trial designs.
  • Highlighting the need for inter-agency collaboration.

Main Results:

  • Innovative approaches can potentially increase the success rate of oncology drug approvals.
  • Companion diagnostics are crucial for identifying patient populations likely to benefit from new treatments.

Conclusions:

  • Accelerated drug approval requires integrating novel preclinical and clinical strategies.
  • Effective cancer treatment relies on a collaborative approach to match patients with targeted therapies and diagnostics.

Related Concept Videos

Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Clinical Trials01:16

Clinical Trials

Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
Preclinical Development: Overview01:28

Preclinical Development: Overview

Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Drug Discovery: Overview01:26

Drug Discovery: Overview

Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...