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. 2011 Nov 1;17(21):6634-40.
doi: 10.1158/1078-0432.CCR-11-1105.

Adaptive Clinical Trial Designs for Simultaneous Testing of Matched Diagnostics and Therapeutics

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Free PMC article

Adaptive Clinical Trial Designs for Simultaneous Testing of Matched Diagnostics and Therapeutics

Howard I Scher et al. Clin Cancer Res. .
Free PMC article

Abstract

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.

Conflict of interest statement

Disclosure of Potential Conflicts of Interest

No potential conflicts of interest were disclosed.

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