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Implementing precision medicine initiatives in the clinic: a new paradigm in drug development
Antoine Hollebecque1, Christophe Massard, Jean-Charles Soria
1aDrug Development Department (DITEP: Département d'Innovations Thérapeutiques et Essais Précoces) bInserm Unit U981, Gustave Roussy Cancer Campus, Villejuif cFaculté du Kremlin Bicêtre, Université Paris Sud, France.
Purpose Of Review:
With the recent advances in genome sequencing technology, greater knowledge of cancer biology allows the identification of different molecular alterations in tumor samples from patients with advanced cancer, some of which are promising potential therapeutic targets. This review highlights the different methods for molecular screening, examines the recent success and preliminary precision medicine programs' results. Challenges and perspectives of this approach are discussed.
Recent Findings:
The emergence of high-throughput technologies has allowed the stratification of most common diseases into rare molecular segments. The recent success of predictive biomarkers showed that molecular screening has become essential in the development of drugs in early clinical trials. Several prospective trials are ongoing worldwide with very promising results.
Summary:
Characterization of the genomic alterations in cancer patients is now critical to better select molecular-targeted therapies and to accelerate the drug development process in phase I/II. High-throughput analysis is feasible in daily practice, and allows enrichment of phase I trials in molecularly selected patients.
Insights
Genomic screening identifies molecular targets for advanced cancer, improving precision medicine. High-throughput analysis in daily practice aids targeted therapy selection and accelerates drug development.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Advances in genome sequencing reveal molecular alterations in advanced cancers.
- These alterations present potential therapeutic targets for precision medicine.
Purpose of the Study:
- Review methods for molecular screening in cancer.
- Examine the success of precision medicine programs.
- Discuss challenges and future perspectives.
Main Methods:
- High-throughput technologies for disease stratification.
- Analysis of molecular screening methods.
- Review of precision medicine program outcomes.
Main Results:
- High-throughput technologies enable stratification of diseases into molecular subtypes.
- Predictive biomarkers are crucial for drug development in early clinical trials.
- Ongoing prospective trials show promising results.
Conclusions:
- Genomic characterization is critical for selecting targeted therapies.
- High-throughput analysis is feasible for daily practice.
- Molecular screening enriches early-phase clinical trials.
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