Model Informed Drug Development: Novel Oncology Agents are Lost in Translation

Kapil Mayawala1, Dinesh P de Alwis2, Jeffrey R Sachs1

  • 1Quantitative Pharmacology and Pharmacometrics, PPDM, Merck & Co., Inc., Kenilworth, New Jersey.

Insights

Quantitative modeling can improve oncology drug development by informing critical decisions. This approach maximizes research investment and enhances the health impact of new cancer therapies.

Area of Science:

  • Oncology
  • Clinical Pharmacology
  • Biostatistics

Background:

  • Oncology drug development is experiencing significant investment and excitement.
  • Maximizing the return on investment in oncology R&D is crucial.
  • Quantitative modeling offers a strategic approach to enhance decision-making.

Purpose of the Study:

  • To highlight the importance of quantitative modeling in early clinical oncology.
  • To demonstrate how modeling can guide key development decisions.
  • To advocate for the integration of modeling in Go/No-Go and dose selection processes.

Main Methods:

  • Review of current practices in oncology drug development.
  • Discussion of the role of quantitative modeling in decision-making.
  • Case examples illustrating the application of modeling in Go/No-Go and dose selection.

Main Results:

  • Quantitative modeling provides a data-driven framework for critical decisions.
  • Early clinical data analysis using modeling can optimize Go/No-Go decisions.
  • Modeling aids in selecting appropriate doses for late-stage studies, improving efficiency.

Conclusions:

  • Integrating quantitative modeling into early clinical oncology is essential.
  • Modeling enhances the productivity and health impact of oncology R&D investments.
  • Strategic application of modeling supports more informed and efficient drug development.

Related Concept Videos

Generation of Comprehensive Thoracic Oncology Database - Tool for Translational Research11:18

Generation of Comprehensive Thoracic Oncology Database - Tool for Translational Research

A thoracic oncology database was developed to serve as a comprehensive repository for clinical and laboratory data for the purposes of translational research. The database will serve translational cancer researchers within the Thoracic Oncology Research Program. This database is adaptable to other cancer models, as well as other human...
16.4K
A Human Peripheral Blood Mononuclear Cell (PBMC) Engrafted Humanized Xenograft Model for Translational Immuno-oncology (I-O) Research08:17

A Human Peripheral Blood Mononuclear Cell (PBMC) Engrafted Humanized Xenograft Model for Translational Immuno-oncology (I-O) Research

We describe a human peripheral blood mononuclear cell (PBMC) — based humanized xenograft mouse model for translational immuno-oncology research. This protocol could serve as a general guideline for establishing and characterizing similar models for I-O therapy...
15.3K
Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
836
Biobank for Translational Medicine: Standard Operating Procedures for Optimal Sample Management08:01

Biobank for Translational Medicine: Standard Operating Procedures for Optimal Sample Management

Biobanks are crucial resources for biomedical research and the Biobank for Translational and Digital Medicine Unit at the European Institute of Oncology is a model in this field. Here, we provide a detailed description of biobanks' standard operating procedures for the management of different types of human biological...
5.5K
A Computerized Test Battery to Study Pharmacodynamic Effects on the Central Nervous System of Cholinergic Drugs in Early Phase Drug Development07:02

A Computerized Test Battery to Study Pharmacodynamic Effects on the Central Nervous System of Cholinergic Drugs in Early Phase Drug Development

A validated computerized battery of neuropsychological and neurophysiological tests is used to study pharmacodynamic effects on the central nervous system of newly developed drugs in early phase development. To demonstrate the test battery, the acute effects of mecamylamine and the reversal of these effects by two agonist drugs are...
10.2K
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
521