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Enabling Oncology Diagnostics: Predictive Biomarkers Based on Genes, Proteins, and Pathways

¸®¼­Ä¡»ç Decision Resources, Inc.
¹ßÇàÀÏ 2008³â 12¿ù »óǰÄÚµå 79017
ÆäÀÌÁö Á¤º¸ 33 Pages
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US $ 3,338 £Ü 3,977,200 PDF by E-mail (Global License)


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Abstract

Introduction

In efforts to fi nd new ways to transform the drug development paradigm and the clinical management of cancer, scientists are increasingly turning to discovering cancer biomarkers and developing targeted therapies. The infusion of novel methods, technologies, and strategies - through exploring genes, proteins, and pathways - is enriching traditional approaches. Although notable challenges exist, the possibilities are essentially endless: Where will targeted therapies and companion diagnostics in oncology take us?

Get the Answers You Need to Shape Your Strategy

  • ER/PR, HER2, KRAS mutations, VEGF pathway, and EGFR expression, mutation, and amplifi cation. An ever-increasing number of identifi ed biomarkers exist for breast, colorectal, and lung cancers - which ones will lead us to the better targeted therapies and companion diagnostics?
  • The monumental role of Dako' s HercepTest in the dramatic success of Roche/Genentech/Chugai' s Herceptin is undeniable and infamous in biopharma circles. How will other companion diagnostics and targeted therapies fare in comparison? Will Abbott' s recent alliance with Roche, OSI Pharmaceuticals, and Genentech to develop a diagnostic test for Tarceva in non-small-cell lung cancer be as successful?
  • HER2 protein expression is commonly detected using technologies such as immunochemistry (IHC), fl uorescence in situ hybridization (FISH), and chromogenic in situ hybridization (CISH). What is the role of emerging technologies, such as silver in situ hybridization (SISH), in the discovery and development of predictive biomarker-based diagnostic tests?

Scope

  • Predictive biomarkers for the treatment of breast, colo rectal, and lung cancers: Explores how genes, proteins, and pathways in oncology are being studied, incorporated in clinical trials, and used to improve treatment options for patients suffering from these cancers.
  • Industry trends to improve therapeutics: A renewed interest in predictive biomarkers from both the diagnostics and drug industries is creating changes and increasing collaboration. Using biomarkers earlier in drug development, considering changes in business models, and participating in related consortia are some of the ways companies are advancing the notion of personalized medicine.
  • Expert commentary: Decision Resources analyst Andrew Merron, Ph.D., examines the impact of predictive biomarkers on the drug market, with specifi c emphasis on the role of companion diagnostics as threats or opportunities for the NSCLC drug market.
  • Outlook: Biomarker discovery and diagnostics development are at the core of novel products in the war on cancer. Examine ways stakeholders can ensure a streamlined approach to applying cancer biomarker development to targeted therapies and companion diagnostics.

Table of Contents

  • Executive Summary
    • Strategic Considerations
    • Stakeholder Implications
  • Introduction
  • Predictive Biomarkers for Targeted Therapies in Breast Cancer
    • Key Predictive Biomarkers for Trastuzumab Therapy
      • HER2
      • PTEN/Akt/PI3K Pathway
    • Endocrine Therapy
      • Hormone Receptors
      • HER2
  • Predictive Biomarkers for Anti-EGFR Antibody Therapies in Colorectal Cancer
    • EGFR Expression
    • EGFR Mutations
    • EGFR Amplifi cation
    • KRAS Mutations
    • PTEN/PI3K/Akt Pathway
    • VEGF Pathway
  • Predictive Biomarkers for EGFR TKI Therapies in Lung Cancer
    • EGFR Mutations
    • Secondary EGFR Mutations
    • EGFR Amplifi cation
    • KRAS Mutations
    • Matrix Metalloproteinases-9
  • Biomarker-Based Diagnostics in Oncology
    • ER/PR Status
    • Overexpression of HER2
    • KRAS Mutations
  • Consortia for Advancing Cancer Biomarker Research
    • Oncology Biomarker Qualifi cation Initiative
    • The Biomarkers Consortium
    • International Cancer Biomarker Consortium
  • Key Players in the Cancer Biomarker-Based Diagnostics Market
    • Abbott
    • Agendia
    • bioTheranostics
    • Dako
    • DxS
    • Genomic Health
    • Monogram Biosciences
    • Rosetta Genomics
    • Ventana Medical Systems/Roche
  • Recommendations for Streamlining Cancer Biomarker Development
    • Providing Tools and Resources for Cancer Biomarker Discovery and Development
    • Providing Guidelines and Incentives for Cancer Biomarker Validation
    • Developing a Fair Pricing Structure for Commercialization and Adoption
  • Outlook
  • Spectrum Expert Commentary:
    • Current Trends in Predictive Biomarkers for Targeted Therapies in NSCLC
      • A Diagnostic Test for Tarceva - A Long Time Coming
      • Impact on Current and Emerging Therapies for NSCLC
      • Future Applications of Companion Diagnostics for Predictive Biomarkers in Oncology
    • Current Trends in Predictive Biomarkers for Targeted Therapies in NSCLC, by Andrew Merron, Ph.D., analyst, Decision Resources

Tables

  • 1. Select FDA-Approved Targeted Therapies
  • 2. Select Cancer Biomarker-Based Diagnostic Tests for Diagnosis
  • 3. Select Cancer Biomarker-Based Diagnostic Tests for Monitoring Disease Progression
  • 4. Select Cancer Biomarker-Based Diagnostic Tests for Selecting Cancer Therapies
  • 5. Select Cancer Biomarker-Based Diagnostic Tests for Prognosis
  • 6. Recent Oncology Collaborations Between Pharmaceutical and Diagnostics Companies
  • 7. Members of the Biomarkers Consortium

Figures

  • 1. Representative Examples of Cancer Molecular Targets
  • 2. Applications of Biomarkers in Cancer Management
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