Incorporating Biomarker Stratification into STAMPEDE: an Adaptive Multi-arm, Multi-stage Trial Platform

被引:16
作者
Gilson, C. [1 ]
Chowdhury, S. [2 ]
Parmar, M. K. B. [1 ]
Sydes, M. R. [1 ]
机构
[1] UCL, MRC Clin Trials Unit, London, England
[2] Guys & St Thomas NHS Fdn Trust, London, England
关键词
Biomarkers; clinical trial design; platform trials; precision medicine; prostate cancer; PROSTATE-CANCER; HORMONE AGONISTS; TRANSDERMAL ESTROGEN; MAINTENANCE THERAPY; BREAST-CANCER; OPEN-LABEL; MUTATIONS; REPAIR; OLAPARIB; LETHAL;
D O I
10.1016/j.clon.2017.10.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The treatment and outcomes for advanced prostate cancer have experienced significant progress over recent years. Importantly, the additional benefits of 'up front' chemotherapy (docetaxel) and abiraterone, over and above conventional androgen deprivation, have been separately demonstrated in the multi-arm, multi-stage (MAMS) STAMPEDE protocol, which continues recruitment to other questions. Alongside this, insights into the underlying molecular biology and, inevitably, the molecular heterogeneity of prostate cancer are opening the door to new therapeutic approaches. Incorporating this understanding and testing these hypotheses within STAMPEDE brings new challenges to the MAMS approach, but has the potential to further improve the outlook for this disease. (c) 2017 The Royal College of Radiologists. Published by Elsevier Ltd.
引用
收藏
页码:778 / 786
页数:9
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