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Updated: Feb 23, 2026

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Published on: September 20, 2019
New designs for basket clinical trials in oncology
1a R Simon Consulting , Potomac , MD , USA.
Abstract:
The established molecular heterogeneity of human cancers has had profound effects on the design of cancer therapeutics. Most cancer drugs are today targeted to molecular alterations present in cancer cells. Tumors of the same primary site, however, often differ with regard to the alterations that they harbor. Consequently, this heterogeneity has required the development of new paradigms for clinical development. In this paper, we review some clinical trial designs finding active use in co-development of therapeutics and predictive biomarkers to inform their use in oncology.
Insights
Human cancer
Area of Science:
- Oncology and molecular biology
Background:
- Human cancers exhibit significant molecular heterogeneity, impacting therapeutic strategies.
- Current cancer drugs target specific molecular alterations within cancer cells.
- Tumors from the same primary site can possess distinct molecular profiles.
Purpose of the Study:
- To review clinical trial designs for co-developing therapeutics and predictive biomarkers.
- To inform the application of these strategies in oncology.
Main Methods:
- Review of existing clinical trial designs.
- Analysis of approaches for integrating therapeutic and biomarker development.
Main Results:
- Identification of various clinical trial designs suitable for co-development.
- Demonstration of how predictive biomarkers guide therapeutic use.
Conclusions:
- Novel clinical trial designs are essential to address cancer's molecular heterogeneity.
- Co-development of therapeutics and predictive biomarkers represents a key strategy in modern oncology.
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