Clinical trials for precision oncology using next-generation sequencing

Richard Simon, Eric Polley

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

The demonstrated genomic heterogeneity of human cancers is having major impacts on the development and evaluation of cancer therapeutics and molecular diagnostics. Many new cancer drugs target somatic alterations in tumors and are being developed with companion diagnostics. Oncology drug development and practice are likely to become increasingly stratified and utilize the enrichment Phase III trial paradigm. Although this paradigm includes an increasing number of successes, single-agent molecularly targeted treatment of metastatic disease will generally provide limited patient benefit. More substantial gains will require better understanding of crosstalk among signaling pathways, ability to combine drugs and use of drugs at initial diagnosis. Early phase discovery clinical trials in which patients will have genome-wide tumor characterization at diagnosis and at critical retreatment points will provide data sets for learning how to effectively match therapeutics to genomic alterations. However, moving tumor genomics to clinical oncology entails many practical challenges. We review some of these challenges and the clinical studies that are being undertaken to translate genomics to clinical oncology.

Original languageEnglish (US)
Pages (from-to)485-495
Number of pages11
JournalPersonalized Medicine
Volume10
Issue number5
DOIs
StatePublished - Jul 1 2013

Keywords

  • cancer biomarker
  • cancer clinical trial
  • next-generation sequencing
  • personalized medicine
  • precision medicine

ASJC Scopus subject areas

  • Molecular Medicine
  • Pharmacology

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