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Related Concept Videos

Cancer02:18

Cancer

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Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
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Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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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.
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Tumor Immunotherapy01:27

Tumor Immunotherapy

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Tumor Progression02:07

Tumor Progression

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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
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Combination Therapies and Personalized Medicine02:50

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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
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Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
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Tumor-Agnostic Drug Development.

Michael Offin1, Dazhi Liu1, Alexander Drilon1

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Targeted cancer therapies and next-generation sequencing are revolutionizing oncology. Tumor-agnostic basket trials improve access to these treatments for rare molecular alterations.

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Area of Science:

  • Oncology
  • Genomics
  • Clinical Trial Design

Background:

  • Molecularly targeted therapies have transformed cancer treatment.
  • Next-generation sequencing (NGS) increases identification of specific cancer alterations.
  • Rare molecular alterations present challenges for traditional drug development.

Purpose of the Study:

  • To review genomically enriched trial strategies.
  • To discuss the impact of these trials on drug development and approval.
  • To highlight the role of basket trials in studying targeted therapies.

Main Methods:

  • Review of key aspects of tumor-agnostic trial designs.
  • Analysis of the impact on oncologic drug development.
  • Examination of patient access to novel therapies.

Main Results:

  • Genomically enriched trials accelerate the study of targeted therapies.
  • Basket trials facilitate investigation of treatments across diverse tumor types.
  • These strategies increase patient access to precision oncology drugs.

Conclusions:

  • Tumor-agnostic trials, like basket trials, are crucial for developing targeted cancer therapies.
  • These innovative designs improve drug approval pathways.
  • They enhance patient access to treatments for rare molecular alterations.