期刊
CLINICAL CANCER RESEARCH
卷 17, 期 21, 页码 6634-6640出版社
AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1078-0432.CCR-11-1105
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资金
- Ortho Biotech Oncology Research and Development
- MSKCC SPORE in Prostate Cancer [P50 CA92629]
- Department of Defense [PC051382]
- Research and Therapeutics Program for Prostate Cancer
- Prostate Cancer Foundation
- Medivation
A critical challenge in the development of new molecularly targeted anticancer drugs is the identification of predictive biomarkers and the concurrent development of diagnostics for these biomarkers. Developing matched diagnostics and therapeutics will require new clinical trial designs and methods of data analysis. The use of adaptive design in phase III trials may offer new opportunities for matched diagnosis and treatment because the size of the trial can allow for subpopulation analysis. We present an adaptive phase III trial design that can identify a suitable target population during the early course of the trial, enabling the efficacy of an experimental therapeutic to be evaluated within the target population as a later part of the same trial. The use of such an adaptive approach to clinical trial design has the potential to greatly improve the field of oncology and facilitate the development of personalized medicine. Clin Cancer Res; 17(21); 6634-40. (C)2011 AACR.
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