Related Experiment Video
Updated: Aug 21, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Systematic modeling of phenotypic drug response profiles in patient-derived organoids
Seungil Kim1, Einar Bjarki Gunnarsson2,3, Michael E Doche1
1Ellison Medical Institute, Los Angeles, CA. USA.
Abstract:
Patient-derived tumor organoids provide a physiologically relevant 3D disease model for preclinical drug discovery, surpassing the limitations of conventional 2D cell lines. To better capture the dynamic nature of organoid drug responses, we developed a new systematic evaluation method called SCOPE (Systematic Classification of Organoids for Phenotypic Evaluation), harnessing phenotypic assessments from multi-timepoint 3D imaging data. By integrating artificial intelligence (AI)-based image analysis of organoid viability with tracking and mathematical modeling of organoid growth over time, we captured temporal- and dose-dependent dynamics of phenotypic changes, culminating in two novel metrics: a combined growth and viability (GV) score as well as a cytostatic-cytotoxic transition range (CCTR) that separates drug effects on organoid growth and viability. Our approach supports classification of specific drug responses into four distinct phenotypic groups: (1) cytotoxic, (2) cytostatic plus cytotoxic, (3) late cytotoxic, and (4) cytostatic. This novel drug evaluation system can identify previously unknown drug effects or new therapeutic use cases for existing drugs, facilitating the design of alternative therapeutic options to overcome efficacy or drug resistance challenges and improving the clinical applicability of organoid-based drug discovery results.
Insights
A new method, Systematic Classification of Organoids for Phenotypic Evaluation (SCOPE), uses AI and imaging to analyze organoid drug responses. This system classifies drug effects into four phenotypes, improving preclinical drug discovery.
Area of Science:
- Oncology
- Biotechnology
- Pharmacology
Background:
- Patient-derived tumor organoids are advanced 3D models for preclinical drug discovery.
- Traditional 2D cell lines have limitations in mimicking in vivo tumor complexity.
- Dynamic drug responses in organoids require sophisticated evaluation methods.
Purpose of the Study:
- To develop a systematic method for evaluating dynamic organoid drug responses.
- To introduce novel metrics for quantifying drug effects on organoid growth and viability.
- To classify drug-induced phenotypic changes in organoids.
Main Methods:
- Developed Systematic Classification of Organoids for Phenotypic Evaluation (SCOPE).
- Utilized multi-timepoint 3D imaging and AI-based image analysis for organoid viability.
- Integrated mathematical modeling for tracking organoid growth dynamics.
- Defined combined growth and viability (GV) score and cytostatic-cytotoxic transition range (CCTR).
Main Results:
- Captured temporal and dose-dependent dynamics of organoid phenotypic changes.
- Introduced GV score and CCTR metrics to differentiate drug effects.
- Classified drug responses into four distinct phenotypic groups: cytotoxic, cytostatic plus cytotoxic, late cytotoxic, and cytostatic.
- Demonstrated potential for identifying novel drug effects and therapeutic applications.
Conclusions:
- The SCOPE system provides a robust framework for evaluating organoid drug responses.
- Novel metrics enhance the understanding of drug mechanisms and patient-specific responses.
- This approach can accelerate the development of new therapies and overcome drug resistance challenges.
- Improved clinical applicability of organoid-based drug discovery findings.
Related Concept Videos
Pharmacodynamic Models: Direct Effect Model and Indirect Response Model
Pharmacokinetic Models: Overview
There are three primary types of models: empirical, compartment, and physiological. Empirical models, with minimal assumptions,...
Pharmacodynamic Models: Overview
Pharmacodynamic Models: Additive and Proportional Drug Effect Model

