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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
New horizons in systemic anti-cancer therapy in older people
J L Parry1, P S Hall1, J Young2
1Edinburgh Cancer Research Centre, University of Edinburgh, Edinburgh EH4 2XR, UK.
Abstract:
Cancer is a disease associated with ageing. Increased life expectancy means that cancer in older adults is becoming an increasingly common problem. There are unique issues to consider when making decisions about cancer treatment in older populations. Unfortunately, however, this group is still under-represented in clinical trials for new cancer therapies meaning there are less evidence-based data to guide management. This article aims to look at how we can optimise the cancer treatment for older patients with a focus on systemic anti-cancer therapy and addressing particular issues around patient selection, improving treatment tolerance and use of newer agents with different toxicity profiles.
Insights
Cancer treatment for older adults faces challenges due to under-representation in clinical trials. This review focuses on optimizing systemic anti-cancer therapy for seniors, improving patient selection, and managing treatment toxicity.
Area of Science:
- Geriatric Oncology
- Clinical Pharmacology
Background:
- Cancer incidence rises with age, making older adults a growing patient population.
- Older adults are under-represented in clinical trials, limiting evidence-based treatment guidelines.
- Unique physiological and comorbidity factors complicate cancer treatment decisions in the elderly.
Purpose of the Study:
- To review strategies for optimizing cancer treatment in older patients.
- To focus on systemic anti-cancer therapies for the geriatric population.
- To address challenges in patient selection, treatment tolerance, and novel agent toxicity.
Main Methods:
- Literature review of studies on cancer treatment in older adults.
- Analysis of factors influencing systemic anti-cancer therapy in the elderly.
- Examination of newer anti-cancer agents and their toxicity profiles in older patients.
Main Results:
- Older adults require tailored approaches to systemic anti-cancer therapy.
- Patient selection criteria need refinement to include geriatric-specific assessments.
- Strategies to improve treatment tolerance and manage unique toxicities are crucial for efficacy.
Conclusions:
- Optimizing cancer care for older adults necessitates individualized treatment plans.
- Further research and inclusion of seniors in clinical trials are essential.
- Addressing age-related complexities in systemic therapy improves outcomes for elderly cancer patients.
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