Challenging Standard-of-Care Paradigms in the Precision Oncology Era.

Abstract:

:The pace of genomic and immunological breakthroughs in oncology is accelerating, making it likely that large randomized trials will increasingly become outdated before their completion. Traditional clinical research/practice paradigms must adapt to the reality unveiled by genomics, especially the need for customized drug combinations, rather than one-size-fits-all monotherapy. The raison-d'être of precision oncology is to offer 'the right drug for the right patient at the right time', a process enabled by transformative tissue and blood-based genomic technologies. Genomically targeted therapies are most suitable in early disease, when molecular heterogeneity is less pronounced, while immunotherapy is most effective against tumors with unstable genomes. Next-generation cancer research/practice models will need to overcome the tyranny of tradition and emphasize an innovative, precise and personalized patient-centric approach.

journal_name

Trends Cancer

journal_title

Trends in cancer

authors

Subbiah V,Kurzrock R

doi

10.1016/j.trecan.2017.12.004

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

101-109

issue

2

eissn

2405-8033

issn

2405-8025

pii

S2405-8033(17)30237-6

journal_volume

4

pub_type

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