The Valley of Death in anticancer drug development: a reassessment.

The Valley of Death in anticancer drug development: a reassessment.
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DOI:
10.1016/j.tips.2012.02.001
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发表时间:
2012-04
影响因子:
13.8
通讯作者:
Adams DJ
Adams DJ
中科院分区:
医学1区
文献类型:
--
作者:
Adams DJ

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在过去的十年里,我们对癌症生物学以及随之而来的许多新的潜在疾病靶标的理解有了爆炸性的增长。然而,我们将这些进步转化为治疗方法的能力很差,失败率接近 90%。人们对抗癌药物开发中所谓的“死亡之谷”进行了很多讨论,但问题仍然存在。我们是否可能忽略了对这个高度复杂问题的一些直接解释?肿瘤生理学、药物药代动力学、临床前模型、药物递送和临床转化的重要方面通常不被强调,但可能至关重要。这一观点总结了当前对该问题的看法并提出了可行的替代方案。
The past decade has seen an explosion in our understanding of cancer biology and with it many new potential disease targets. Yet our ability to translate these advances into therapies is poor, with a failure rate approaching 90%. Much discussion has been devoted to this so-called ‘Valley of Death’ in anticancer drug development, but the problem persists. Could we have overlooked some straight-forward explanations to this highly complex problem? Important aspects of tumor physiology, drug pharmacokinetics, preclinical models, drug delivery, and clinical translation are not often emphasized and could be critical. This perspective summarizes current views on the problem and suggests feasible alternatives.
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