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A target map of clinical combination therapies in oncology: an analysis of clinicaltrials.gov
Yang, Jing1; Kang, Heming2; Lyu, Liyang1; Xiong, Wei3; Hu, Yuanjia1,2
2023-08-21
Source PublicationDiscover Oncology
ISSN2730-6011
Volume14Issue:1Pages:151
Abstract

Combination therapies have taken center stage for cancer treatment, however, there is a lack of a comprehensive portrait to quantitatively map the current clinical combination progress. This study aims to capture clinical combination therapies of the validated FDA-approved new oncology drugs by a macro data analysis and to summarize combination mechanisms and strategies in the context of the existing literature. A total of 72 new molecular entities or new therapeutic biological products for cancer treatment approved by the FDA from 2017 to 2021 were identified, and the data on their related 3334 trials were retrieved from the database of ClinicalTrials.gov. Moreover, these sampled clinical trials were refined by activity status and combination relevance and labeled with the relevant clinical arms and drug combinations, as well as drug targets and target pairs. Combination therapies are increasingly prevalent in clinical trials of new oncology drugs. From retrospective work, existing clinical combination therapies in oncology are driven by different patterns (i.e., rational design and industry trends). The former can be represented by mechanism-based or structure-based combinations, such as targeting different domains of HER2 protein or in-series co-targeting in RAF plus MEK inhibitors. The latter is an empirically driven strategy, including redundant combinations in hot targets, such as PD-1/PD-L1, PI3K, CDK4/6, and PARP. Because of an explosion in the number of clinical trials and the resultant shortage of available patients, it is essential to rationally design drug combinations.

KeywordBispecific Antibodies Combination Therapy Immuno-oncology Therapy Kinase Inhibitors Pd-1/pd-l1 Inhibitors Targeted Therapy
DOI10.1007/s12672-023-00758-4
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaOncology ; Endocrinology & Metabolism
WOS SubjectOncology ; Endocrinology & Metabolism
WOS IDWOS:001052800600001
Scopus ID2-s2.0-85168448100
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Document TypeJournal article
CollectionFaculty of Health Sciences
Institute of Chinese Medical Sciences
THE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
Corresponding AuthorHu, Yuanjia
Affiliation1.Institute of Chinese Medical Sciences, State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, SAR, Macao
2.DPM, Faculty of Health Sciences, University of Macau, Room 1049, E12, 999078, Macao
3.Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China
First Author AffilicationInstitute of Chinese Medical Sciences
Corresponding Author AffilicationInstitute of Chinese Medical Sciences;  Faculty of Health Sciences
Recommended Citation
GB/T 7714
Yang, Jing,Kang, Heming,Lyu, Liyang,et al. A target map of clinical combination therapies in oncology: an analysis of clinicaltrials.gov[J]. Discover Oncology, 2023, 14(1), 151.
APA Yang, Jing., Kang, Heming., Lyu, Liyang., Xiong, Wei., & Hu, Yuanjia (2023). A target map of clinical combination therapies in oncology: an analysis of clinicaltrials.gov. Discover Oncology, 14(1), 151.
MLA Yang, Jing,et al."A target map of clinical combination therapies in oncology: an analysis of clinicaltrials.gov".Discover Oncology 14.1(2023):151.
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