Translating cancer research into targeted therapeutics

被引:247
作者
de Bono, J. S. [1 ,2 ]
Ashworth, Alan [3 ]
机构
[1] Inst Canc Res, Sutton SM2 5NG, Surrey, England
[2] Royal Marsden NHS Fdn Trust, Sutton SM2 5PT, Surrey, England
[3] Inst Canc Res, Breakthrough Breast Canc Ctr, London SW3 6JB, England
关键词
CIRCULATING TUMOR-CELLS; RESISTANT PROSTATE-CANCER; PROGRESSION-FREE SURVIVAL; CLINICAL-TRIAL; ABIRATERONE ACETATE; PHASE-I; DRUG; GENE; IMATINIB; INHIBITION;
D O I
10.1038/nature09339
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The emphasis in cancer drug development has shifted from cytotoxic, non-specific chemotherapies to molecularly targeted, rationally designed drugs promising greater efficacy and less side effects. Nevertheless, despite some successes drug development remains painfully slow. Here, we highlight the issues involved and suggest ways in which this process can be improved and expedited. We envision an increasing shift to integrated cancer research and biomarker-driven adaptive and hypothesis testing clinical trials. The goal is the development of specific cancer medicines to treat the individual patient, with treatment selection being driven by a detailed understanding of the genetics and biology of the patient and their cancer.
引用
收藏
页码:543 / 549
页数:7
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