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The future of clinical research in oncology: where are we heading to?
1The European Organisation for Research and Treatment of Cancer (EORTC) Headquarters, Brussels, Belgium. denis.lacombe@eortc.be.
Abstract:
Despite considerable investment in oncological research, the rate of improvement in cancer treatments remains frustratingly slow and the attrition rate in anticancer drug development has reached exasperatingly high levels. New skills are required to expand upon platforms to integrate clinical, biological and imaging data in the decision making process so that we can control the attrition rate of new drugs and/or determine tumor molecular sub-entities which will ultimately benefit new therapeutic strategies. Furthermore, modern clinical trials will be unable to generate reliable and robust evidence if they are not quality assured. Decreasing the number of poorly designed clinical trials through stronger collaboration between industry and academia is a win-win situation and will reduce the current high attrition rate and minimize exposure of patients to ineffective investigational therapies.
Insights
Improving cancer drug development requires integrating diverse data and enhancing clinical trial quality. Collaboration can reduce drug attrition rates and patient exposure to ineffective treatments.
Area of Science:
- Oncology
- Clinical Pharmacology
- Biostatistics
Background:
- Anticancer drug development faces slow progress and high attrition rates.
- Current approaches struggle to integrate clinical, biological, and imaging data effectively.
- The quality and design of modern clinical trials are critical for reliable evidence generation.
Purpose of the Study:
- To highlight the need for new skills in integrating multimodal data for improved decision-making in drug development.
- To emphasize the importance of quality assurance in clinical trials.
- To advocate for enhanced collaboration between industry and academia to reduce drug attrition.
Main Methods:
- Review of current challenges in oncological research and drug development.
- Discussion of data integration strategies (clinical, biological, imaging).
- Emphasis on quality assurance and collaborative models for clinical trials.
Main Results:
- High attrition rates in anticancer drug development necessitate new strategies.
- Integration of diverse data can identify tumor molecular sub-entities and guide therapeutic strategies.
- Improved clinical trial design and quality assurance are essential for robust evidence.
Conclusions:
- Enhanced data integration and improved clinical trial quality are crucial for advancing cancer treatments.
- Stronger industry-academia collaboration can reduce drug attrition and minimize patient risk.
- New skills and platforms are needed to optimize the drug development pipeline and therapeutic strategies.
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