Ethical considerations of neuro-oncology trial design in the era of precision medicine.
J Neurooncol
; 134(1): 1-7, 2017 Aug.
Article
in En
| MEDLINE
| ID: mdl-28555425
ABSTRACT
The field of oncology is currently undergoing a paradigm shift. Advances in the understanding of tumor biology and in tumor sequencing technology have contributed to the shift towards precision medicine, the therapeutic framework of targeting the individual oncogenic changes each tumor harbors. The success of precision medicine therapies, such as targeted kinase inhibitors and immunotherapies, in other cancers have motivated studies in brain cancers. The high specificity and cost of these therapies also encourage a shift in clinical trial design away from randomized control trials towards smaller, more exclusive early phase clinical trials. While these new trials advance the clinical application of increasingly precise and individualized therapies, their design brings ethical challenges . We review the pertinent ethical considerations for clinical trials of precision medicine in neuro-oncology and discuss methods to protect patients in this new era of trial design.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Precision Medicine
/
Clinical Studies as Topic
/
Medical Oncology
/
Neoplasms
/
Neurology
Type of study:
Clinical_trials
Limits:
Humans
Language:
En
Journal:
J Neurooncol
Year:
2017
Type:
Article
Affiliation country:
United States