Kawaishi Makoto, Koizum Fumiaki, Nishio Kazuto
Shien Lab, Medical Oncology, National Cancer Center Hospital.
Gan To Kagaku Ryoho. 2006 Oct;33(10):1373-9.
Molecular targeted drugs have been developed and have come to play a part in the standard treatment of cancers. However, issues such as the optimum dose, selection of patients, and verification of the molecular targets remain to be discussed, because unexpected clinical problems related to the clinical efficacy, adverse events, and development of resistance have appeared. Therefore, proof of principle (POP) studies and pharmacodynamic or pharmacogenomic research to explore new bio-markers for the drugs are essential for clinical progress. On the other hand, the higher cost of development and care must also be discussed as new problems.
分子靶向药物已被研发出来,并在癌症的标准治疗中发挥作用。然而,诸如最佳剂量、患者选择以及分子靶点的验证等问题仍有待探讨,因为已出现了与临床疗效、不良事件及耐药性发展相关的意外临床问题。因此,进行原理验证(POP)研究以及探索药物新生物标志物的药效学或药物基因组学研究对临床进展至关重要。另一方面,研发和治疗成本较高这一新问题也必须加以讨论。