The future of clinical research in oncology: where are we heading to?

Denis Lacombe1, Yan Liu2

  • 1The European Organisation for Research and Treatment of Cancer (EORTC) Headquarters, Brussels, Belgium. denis.lacombe@eortc.be.

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.

Related Concept Videos

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...
11.2K
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...
5.5K
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.5K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.2K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.8K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.9K