预测多发性骨髓瘤的活体治疗反应:试验格式,临床相关性和未来方向
Gavin R Oliver1, Carlton C Barnett1,2, Kendra E Hightower1
1Xilis, Inc., Durham, NC 27703, USA.
Cancers
|February 13, 2026
概括
对多发性骨髓瘤的ex vivo功能测试正在推进,但没有任何单一的测试是临床可靠的治疗决策. 本综述考察了当前的二维,3D和动态模型,强调了它们的优点和局限性,用于未来的测试开发.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 生物医学工程 生物医学工程
背景情况:
- 对多发性骨髓瘤的ex vivo功能测试对于指导治疗决策至关重要.
- 目前的测定缺乏可靠性和临床实用性,用于例行决策.
研究的目的:
- 审查和评估现有的多发性骨髓瘤的ex vivo功能测定.
- 在临床相关性中评估不同试验格式的优点和局限性.
- 讨论制定最佳未来试验的考虑因素.
主要方法:
- 对已发表的多发性骨髓瘤临床相关性已被证明的ex vivo试验的综述.
- 将试验分类为二维培养,三维模型和动态系统.
- 测试格式,强度,限制和临床相关性的评估.
主要成果:
- 二维测试已经成熟,具有临床相关性,但过度简化了骨髓微环境.
- 3D系统 (球体,有机体) 更好地保留瘤异质性和微环境,显示出新兴的临床相关性.
- 动态系统 (微流体, perfused 模型) 在生理上是先进的,但在技术上是复杂的和不太有效的.
结论:
- 在多发性骨髓瘤的ex vivo功能测试方面取得了实质性的进展.
- 目前没有单一的测定方法符合最佳临床工具的标准.
- 未来的测试开发应该旨在整合微环境复杂性和生理相关性,以提高临床效用.
更多相关视频
09:41An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
9.1K
10:04Establishment of a Human Multiple Myeloma Xenograft Model in the Chicken to Study Tumor Growth, Invasion and Angiogenesis
Published on: May 1, 2015
13.5K
相关概念视频
Correlations
36.6K
Correlation means that there is a relationship between two or more variables (such as ice cream consumption and crime), but this relationship does not necessarily imply cause and effect. When two variables are correlated, it simply means that as one variable changes, so does the other. We can measure correlation by calculating a statistic known as a correlation coefficient. A correlation coefficient is a number from -1 to +1 that indicates the strength and direction of the relationship between...
36.6K
Correlation and Causation
43.0K
Statistical tests can calculate whether there is a relationship, or correlation, between independent and dependent variables. An indirect relationship of the variables signifies a correlation, while a direct relationship shows causation. If it is determined that no connection exists between the variables, then the correlation is a coincidence.
Correlation versus Causation
If the dependent variable increases or decreases when the independent variable increases, there is a positive or negative...
Correlation versus Causation
If the dependent variable increases or decreases when the independent variable increases, there is a positive or negative...
43.0K
Drug Product Performance: In Vitro–In Vivo Correlation
288
In pharmaceutical development, it's crucial to establish a predictive in vitro–in vivo correlation (IVIVC) for two or more formulations to gain a comprehensive understanding of release properties. IVIVC reduces the need for costly in vivo studies and facilitates the establishment of meaningful dissolution specifications with significant cost savings and decreased regulatory burden. Furthermore, a meaningful IVIVC should predict Cmax and AUC within 20%, aligning with FDA guidance while...
288
Correlation
15.2K
In statistics, two variables are said to be correlated if the values of one variable are associated with the other variable. Depending on the relationship between two variables, correlation can be of three types– positive correlation, negative correlation, and zero correlation.
Two variables, for example, a and b, are said to be positively correlated if both variables move in the same direction. In other words, a positive correlation exists between two variables, a and b, if:
Two variables, for example, a and b, are said to be positively correlated if both variables move in the same direction. In other words, a positive correlation exists between two variables, a and b, if:
15.2K
Predicting Molecular Geometry
46.1K
VSEPR Theory for Determination of Electron Pair Geometries
46.1K
Pharmacodynamic Models: Direct Effect Model and Indirect Response Model
2
Pharmacodynamic models are essential tools in understanding the relationship between drug concentrations and their effects on biological systems. By characterizing the dynamics of drug action, these models guide dose selection, optimize therapeutic efficacy, and inform the development of new drugs. Two major classes of pharmacodynamic models include direct effect and indirect response models.Direct Effect ModelsDirect effect models describe the immediate relationship between drug concentration...
2
