Incorporating genomics into the cancer clinical trial process.

Abstract:

:The effectiveness of current chemotherapeutic approaches for the treatment of solid tumors has reached a near plateau, suggesting we are nearing the limit of cytoreduction. It is hypothesized that this may be due to "subset effect," and that drugs administered according to responses predicted for particular subgroups within the population being treated could overcome what appears to be a limit of cytoreduction. However, the clinical trial process, as currently structured, prevents efficient discovery and validation of predictive markers of treatment response. An alternative process is proposed, based on preoperative therapy and high-throughput multiplexing of markers to provide a built-in, unbiased discovery and validation process for predictive markers. Semin Oncol 28:305-309.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Paik S

doi

10.1016/s0093-7754(01)90123-x

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

305-9

issue

3

eissn

0093-7754

issn

1532-8708

pii

S009377540100118X

journal_volume

28

pub_type

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