Lewin David A, Weiner Michael P
CuraGen Corporation, Pharmacogenomics Services & Biomarkers, 555 Long Wharf Drive, New Haven, CT 065011, USA.
Drug Discov Today. 2004 Nov 15;9(22):976-83. doi: 10.1016/S1359-6446(04)03272-6.
Arguably, the most immediately promising reverberation of the genomics era has been the application of biomarkers to drug development. The promise of applying biomarkers to early drug development is that they might aid in preclinical and early clinical decisions such as dose ranging, definition of treatment regimen, or even a preview of efficacy. Later in the clinic, biomarkers could be used to facilitate patient stratification, selection and the description of surrogate endpoints. Information derived from biomarkers should result in a better understanding of preclinical and clinical data, which ultimately benefits patients and drug developers. If the promise of biomarkers is realized, they will become a routine component of drug development and companions to newly discovered therapies.
可以说,基因组学时代最直接有前景的反响就是生物标志物在药物研发中的应用。将生物标志物应用于早期药物研发的前景在于,它们可能有助于临床前和早期临床决策,如剂量范围确定、治疗方案定义,甚至疗效预判。在临床后期,生物标志物可用于促进患者分层、选择以及替代终点的描述。从生物标志物获得的信息应能使人们更好地理解临床前和临床数据,最终使患者和药物开发者受益。如果生物标志物的前景得以实现,它们将成为药物研发的常规组成部分以及新发现疗法的伴随物。