Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research

Abstract The increasing use of genomics to define the pattern of actionable mutations and to test and validate new therapies for individual cancer patients, and the growing application of liquid biopsy to dynamically track tumor evolution and to adapt molecularly targeted therapy according to the em...

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Main Authors: Nicola Silvestris, Gennaro Ciliberto, Paolo De Paoli, Giovanni Apolone, Maria Luisa Lavitrano, Marco A. Pierotti, Giorgio Stanta, On the behalf of the “dynamic medicine OECI group”
Format: Article
Language:English
Published: BMC 2017-09-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13046-017-0598-x
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author Nicola Silvestris
Gennaro Ciliberto
Paolo De Paoli
Giovanni Apolone
Maria Luisa Lavitrano
Marco A. Pierotti
Giorgio Stanta
On the behalf of the “dynamic medicine OECI group”
author_facet Nicola Silvestris
Gennaro Ciliberto
Paolo De Paoli
Giovanni Apolone
Maria Luisa Lavitrano
Marco A. Pierotti
Giorgio Stanta
On the behalf of the “dynamic medicine OECI group”
author_sort Nicola Silvestris
collection DOAJ
description Abstract The increasing use of genomics to define the pattern of actionable mutations and to test and validate new therapies for individual cancer patients, and the growing application of liquid biopsy to dynamically track tumor evolution and to adapt molecularly targeted therapy according to the emergence of tumor clonal variants is shaping modern medical oncology., In order to better describe this new therapeutic paradigm we propose the term “Liquid dynamic medicine” in the place of “Personalized or Precision medicine”. Clinical validation of the “Liquid dynamic medicine” approach is best captured by N-of-1 trials where each patient acts as tester and control of truly personalized therapies.
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spelling doaj.art-aaed13d6eead4f4995b4651c81c4cf372022-12-22T02:40:03ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662017-09-013611510.1186/s13046-017-0598-xLiquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology researchNicola Silvestris0Gennaro Ciliberto1Paolo De Paoli2Giovanni Apolone3Maria Luisa Lavitrano4Marco A. Pierotti5Giorgio Stanta6On the behalf of the “dynamic medicine OECI group”Medical Oncology Unit and Scientific Directorate, Cancer Institute “Giovanni Paolo II”Scientific Directorate, IRCCS National Cancer Institute “Regina Elena”Scientific Directorate, IRCCS “Centro di Riferimento Oncologico”Scientific Directorate, Fondazione IRCCS Istituto Nazionale dei TumoriBBMRI.it and Department of Medicine and Surgery University Milano-BicoccaSenior Group Leader Foundation Institute FIRC Molecular Oncology (IFOM) MilanDepartment of Medical Sciences of the University of TriesteAbstract The increasing use of genomics to define the pattern of actionable mutations and to test and validate new therapies for individual cancer patients, and the growing application of liquid biopsy to dynamically track tumor evolution and to adapt molecularly targeted therapy according to the emergence of tumor clonal variants is shaping modern medical oncology., In order to better describe this new therapeutic paradigm we propose the term “Liquid dynamic medicine” in the place of “Personalized or Precision medicine”. Clinical validation of the “Liquid dynamic medicine” approach is best captured by N-of-1 trials where each patient acts as tester and control of truly personalized therapies.http://link.springer.com/article/10.1186/s13046-017-0598-xDynamicFluidPersonalized medicineTarget therapyClinical trialsN-of-1 trials
spellingShingle Nicola Silvestris
Gennaro Ciliberto
Paolo De Paoli
Giovanni Apolone
Maria Luisa Lavitrano
Marco A. Pierotti
Giorgio Stanta
On the behalf of the “dynamic medicine OECI group”
Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
Journal of Experimental & Clinical Cancer Research
Dynamic
Fluid
Personalized medicine
Target therapy
Clinical trials
N-of-1 trials
title Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
title_full Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
title_fullStr Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
title_full_unstemmed Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
title_short Liquid dynamic medicine and N-of-1 clinical trials: a change of perspective in oncology research
title_sort liquid dynamic medicine and n of 1 clinical trials a change of perspective in oncology research
topic Dynamic
Fluid
Personalized medicine
Target therapy
Clinical trials
N-of-1 trials
url http://link.springer.com/article/10.1186/s13046-017-0598-x
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