["Precision oncology": not yet ready for prime time?]

Les limites de l’ « oncologie de précision » - Chroniques génomiques.

Journal

Medecine sciences : M/S
ISSN: 1958-5381
Titre abrégé: Med Sci (Paris)
Pays: France
ID NLM: 8710980

Informations de publication

Date de publication:
Nov 2019
Historique:
entrez: 18 12 2019
pubmed: 18 12 2019
medline: 12 6 2020
Statut: ppublish

Résumé

The concept of precision oncology is straightforward, but the actual results of treating advanced cancer patients with the targeted drug suggested by genomic analysis have been generally disappointing, indicating that this approach is not yet ready for routine clinical practice. A number of possible improvements can and will be tested by additional clinical trials.

Identifiants

pubmed: 31845885
doi: 10.1051/medsci/2019177
pii: msc190256
doi:

Types de publication

Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

905-907

Informations de copyright

© 2019 médecine/sciences – Inserm.

Références

Garraway LA, Verweij J, Ballman KV. Precision oncology: an overview. J Clin Oncol 2013 ; 31 : 1803–5.
Garraway LA. Genomics-driven oncology: framework for an emerging paradigm. J Clin Oncol 2013 ; 31 : 1806–14.
Mendelsohn J. Personalizing oncology: perspectives and prospects. J Clin Oncol 2013 ; 31 : 1904–11.
Le Tourneau C, Delord JP, Gonçalves A, et al. Molecularly targeted therapy based on tumour molecular profiling versus conventional therapy for advanced cancer (SHIVA): a multicentre, open-label, proof-of-concept, randomised, controlled phase 2 trial. Lancet Oncol 2015 ; 16 : 1324–34.
Trédan O, Wang Q, Pissaloux D, et al. Molecular screening program to select molecular-based recommended therapies for metastatic cancer patients: analysis from the ProfiLER trial. Ann Oncol 2019 ; 30 : 757–65.
Billaud M, Guchet X. L’invention de la médecine personnalisée : entre mutations technologiques et utopie. Med Sci (Paris) 2015 ; 31 : 797–803.
Tannock IF, Hickman JA. Molecular screening to select therapy for advanced cancer? Ann Oncol 2019 ; 30 : 661–3.
Jordan B. Hétérogénéité des tumeurs : l’apport du séquençage sur cellules individuelles. Med Sci (Paris) 2014 ; 30:1184–6.
Lin A, Giuliano CJ, Palladino A, et al. Off-target toxicity is a common mechanism of action of cancer drugs undergoing clinical trials. Sci Transl Med 2019 ; 11. pii: eaaw8412.
Jordan B. L’invasion des tests non-invasifs. Med Sci (Paris) 2014 ; 30 : 107–8.
Mattox AK, Bettegowda C, Zhou S, et al. Applications of liquid biopsies for cancer. Sci Transl Med 2019 ; 11. Pii: eaay1984.

Auteurs

Bertrand Jordan (B)

UMR 7268 ADÉS, Aix-Marseille, Université/EFS/CNRS ; CoReBio PACA, case 901, Parc scientifique de Luminy, 13288 Marseille Cedex 09, France.

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Classifications MeSH