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Strategies for successful dose optimization in oncology drug development: a practical guide
Qiqi Deng1, Lili Zhu1, Brendan Weiss2
1Biostatistics and Programming, Moderna Inc., Cambridge, MA, USA.
Journal of Biopharmaceutical Statistics
|August 11, 2024
Summary
New oncology drugs require novel dose optimization strategies beyond traditional maximum tolerated dose (MTD) methods. This study proposes a framework for improved dose selection in early-phase clinical trials for novel cancer therapeutics.
Area of Science:
- Pharmacology and Drug Development
- Oncology Therapeutics
- Clinical Trial Design
Background:
- Traditional oncology dose-finding historically focused on maximum tolerated dose (MTD), diverging from non-oncology approaches.
- Emerging oncology drug classes (immunotherapies, targeted therapies) exhibit varied dose-response relationships, differing from cytotoxic chemotherapies.
- Doses below MTD may offer comparable efficacy with better tolerability, aligning with non-oncology treatment paradigms.
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