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J. Pers. Med. 2014, 4(3), 386-401; doi:10.3390/jpm4030386

Non-Small Cell Lung Cancer beyond Biomarkers: The Evolving Landscape of Clinical Trial Design

1
Department of Medicine, Albert Einstein Medical Center, 5501 Old York Street, Philadelphia, PA 19141, USA
2
Department of Thoracic Head and Neck, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 432, Houston, TX 77030, USA
*
Author to whom correspondence should be addressed.
Received: 26 March 2014 / Revised: 10 June 2014 / Accepted: 13 June 2014 / Published: 30 June 2014
(This article belongs to the Special Issue Personalized Cancer Therapy)
View Full-Text   |   Download PDF [467 KB, uploaded 30 June 2014]

Abstract

The approval of EGFR and ALK directed tyrosine kinase inhibitors materialized the concept of tailoring therapy on the basis of specific biomarkers for treating patients with NSCLC. Research for other biologics, although demonstrating clinical benefit, has been less successful so far for producing biomarkers that predict response. Blocking angiogenesis is the prototype for the agents that belong in the latter group that target specific molecules, yet they are currently approved for relatively unselected groups of patients. In order to meet the goal of personalizing care in the various settings of NSCLC, a wealth of biologics and compounds are currently being tested in clinical trials in different phases of clinical development. In a subset of the relevant studies, a biomarker perspective is appreciated. This review summarizes the clinical rationale of the major ongoing phase II and III NSCLC studies that employ targeting specific molecules with novel agents, as well as innovative strategies, and includes a comparative discussion of the different designs. View Full-Text
Keywords: targeted therapies; selumetinib; NSCLC; onartuzumab; MET; PI3K; MEK; ALK; erlotinib; afatinib; crizotinib targeted therapies; selumetinib; NSCLC; onartuzumab; MET; PI3K; MEK; ALK; erlotinib; afatinib; crizotinib
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Dimou, A.; Papadimitrakopoulou, V. Non-Small Cell Lung Cancer beyond Biomarkers: The Evolving Landscape of Clinical Trial Design. J. Pers. Med. 2014, 4, 386-401.

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