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Published on: March 20, 2021
Evidence-based laboratory medicine in oncology drug development: from biomarkers to diagnostics
Vijay Modur1, Eric Hailman, J C Barrett
1HTG Molecular Diagnostics, Inc., 3430 E. Global Loop, Tucson, AZ 85706, USA. vmodur@htgmolecular.com
Background:
The promise of targeted therapies in molecularly defined subsets of cancer has led to a transformation of the process of drug development in oncology. To target cancer successfully and precisely requires high-quality translational data. Such data can be generated by the use of biomarkers that answer key questions in drug development.
Content:
Translational data for aiding in decision-making and driving cancer drug development can be generated by systematic assessments with biomarkers. Types of biomarkers that support decisions include: pharmacodynamic assessments for selecting the best compound or dosage; assessment of early tumor response with tissue biomarkers and imaging, mutation, and other assessment strategies for patient selection; and the use of markers of organ injury to detect toxicity and improve safety. Tactics used to generate biomarker data include fit-for-purpose assay validation and real-time biomarker assessments. Successfully translated and clinically informative biomarkers can mature into novel companion diagnostic tests that expand the practice of laboratory medicine.
Summary:
Systematic biomarker assessments are a key component of the clinical development of targeted therapies for cancer. The success of these biomarker assessments requires applying basic principles of laboratory medicine to generate the data required to make informed decisions. Successful biomarkers can transition into diagnostic tests that expand the laboratory medicine armamentarium.
Insights
Biomarker assessments are crucial for developing targeted cancer therapies. These systematic evaluations, using laboratory medicine principles, generate essential data for informed decisions and can evolve into diagnostic tests.
Area of Science:
- Oncology
- Translational Medicine
- Laboratory Medicine
Background:
- Targeted therapies offer promise for molecularly defined cancer subsets, transforming oncology drug development.
- High-quality translational data, generated through biomarkers, is essential for precise and successful cancer targeting.
- Biomarkers guide critical decisions in drug development, from compound selection to patient safety.
Purpose of the Study:
- To highlight the indispensable role of systematic biomarker assessments in advancing targeted cancer therapy development.
- To underscore the importance of applying fundamental laboratory medicine principles in generating reliable biomarker data.
- To illustrate how successful biomarkers can transition into companion diagnostic tests, expanding laboratory medicine practices.
Main Methods:
- Utilizing pharmacodynamic assessments for optimal compound and dosage selection.
- Employing tissue biomarkers, imaging, and mutation analysis for early tumor response and patient selection.
- Implementing markers of organ injury to monitor toxicity and enhance patient safety.
Main Results:
- Systematic biomarker assessments provide critical translational data for cancer drug development.
- Fit-for-purpose assay validation and real-time assessments are key tactics for generating robust biomarker data.
- Clinically informative biomarkers can mature into companion diagnostic tests, enhancing laboratory medicine.
Conclusions:
- Systematic biomarker assessments are integral to the clinical development of targeted cancer therapies.
- Adherence to laboratory medicine principles is vital for generating data that supports informed decision-making.
- Effective biomarkers can evolve into valuable diagnostic tests, broadening the scope of laboratory medicine.
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