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Updated: Mar 27, 2026

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Finding the most promising indications for novel treatments in oncology
Maren Eckhoff1, Stefan Klingelschmitt2, Lisbeth Van Ruijssevelt3
1McKinsey & Company, London, UK.
Abstract:
Tackling cancer with effective therapies is a major challenge our society faces with significant costs and complexities of designing and validating treatments. In this article we show that representation learning based on real-world data can suggest indications for which a chosen mechanism of action is likely to be effective. We trained a machine learning model to rank histology-based malignant indications against expected biological relevance of anti-PD-1 treatment, leveraging reference indications and an embedding generating approach for features based on events in the patient's medical journey. We call our approach INSPIRE. When restricting the model to data before broad establishment of PD-1 inhibitors in the clinic, the method successfully prioritizes 70% of subsequent approvals. This indicates that INSPIRE could accelerate the process of selecting, testing and eventually treating patients with effective drugs, therefore reducing costs and improving care for patients.
Insights
This study introduces INSPIRE, a machine learning model that uses real-world patient data to predict effective cancer therapies. The approach successfully identified 70% of later drug approvals, potentially speeding up treatment selection.
Area of Science:
- Oncology
- Computational Biology
- Machine Learning
Background:
- Developing effective cancer therapies involves significant costs and complexities.
- Identifying optimal treatment indications for specific drugs, like anti-PD-1, remains a challenge.
- Real-world data holds potential for improving treatment selection.
Purpose of the Study:
- To develop a machine learning model that predicts effective cancer therapy indications.
- To leverage representation learning on real-world patient data for treatment discovery.
- To accelerate the identification of drugs like anti-PD-1 for specific cancer types.
Main Methods:
- Trained a machine learning model (INSPIRE) to rank cancer indications based on anti-PD-1 treatment relevance.
- Utilized histology-based indications and patient medical journey data for feature generation.
- Employed an embedding approach for biological relevance and reference indications.
Main Results:
- The INSPIRE model prioritized 70% of subsequent anti-PD-1 inhibitor approvals when trained on pre-clinical data.
- The approach demonstrated the ability to predict the biological relevance of treatments for specific indications.
- Successfully identified potential effective treatments by analyzing patient medical journey events.
Conclusions:
- INSPIRE can accelerate the selection and testing of effective cancer drugs.
- This approach has the potential to reduce healthcare costs and improve patient care.
- Representation learning on real-world data offers a promising avenue for precision oncology.
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