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I期试验中的转化研究。

Translational research in phase I trials.

作者信息

Fasolo Angelica, Sessa Cristiana

机构信息

Medical Oncology, Montabone Unit for New Drugs Development, Istituto Nazionale Tumori Milano, Milan, Italy.

出版信息

Clin Transl Oncol. 2009 Sep;11(9):580-8. doi: 10.1007/s12094-009-0408-9.

Abstract

"Translational research" (TR) has the main aim of transferring the results of preclinical research into clinical practice and includes the study of the biology of the disease to provide solid rationales for the development or improvement of new drugs, the evaluation of the biological effects of the drugs in animals to define how to best use those drugs in humans and the study of the biological effects of those drugs in humans. To facilitate the development of new cancer targeted therapies, TR focuses its efforts on the discovery and validation of biomarkers, defined as "a characteristic that is objectively measured and evaluated as an indicator of normal biological processes, pathogenic processes or pharmacologic responses to a therapeutic intervention". Biomarkers could allow a rational development of targeted agents, based on the mechanistic assessment of their effects. This knowledge can then be used during the subsequent steps of drug discovery, screening, preclinical and clinical testing. This review will focus on the contributions provided by biomarkers to facilitate the development of new targeted therapies.

摘要

“转化研究”(TR)的主要目标是将临床前研究结果转化为临床实践,包括对疾病生物学的研究,为新药的开发或改进提供坚实的理论依据;评估药物在动物体内的生物学效应,以确定如何在人体中最佳使用这些药物;以及研究这些药物在人体中的生物学效应。为促进新型癌症靶向治疗的发展,转化研究致力于生物标志物的发现和验证,生物标志物被定义为“一种可客观测量和评估的特征,作为正常生物学过程、致病过程或对治疗干预的药理反应的指标”。基于对其作用机制的评估,生物标志物可以使靶向药物得到合理开发。这些知识随后可用于药物发现、筛选、临床前和临床试验的后续步骤。本综述将聚焦于生物标志物为促进新型靶向治疗发展所做出的贡献。

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