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E-raamat: Enabling Precision Medicine: The Role of Genetics in Clinical Drug Development: Proceedings of a Workshop

  • Formaat: 144 pages
  • Ilmumisaeg: 17-Oct-2017
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309462662
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  • Formaat: 144 pages
  • Ilmumisaeg: 17-Oct-2017
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309462662

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Those involved in the drug development process face challenges of efficiency and overall sustainability due in part to high research costs, lengthy development timelines, and late-stage drug failures. Novel clinical trial designs that enroll participants based on their genetics represent a potentially disruptive change that could improve patient outcomes, reduce costs associated with drug development, and further realize the goals of precision medicine.





On March 8, 2017, the Forum on Drug Discovery, Development, and Translation and the Roundtable on Genomics and Precision Health of the National Academies of Sciences, Engineering, and Medicine hosted the workshop Enabling Precision Medicine: The Role of Genetics in Clinical Drug Development. Participants examined successes, challenges, and possible best practices for effectively using genetic information in the design and implementation of clinical trials to support the development of precision medicines, including exploring the potential advantages and disadvantages of such trials across a variety of disease areas. This publication summarizes the presentations and discussions from the workshop.

Table of Contents



Front Matter 1 Introduction 2 Overarching Considerations for Implementing Successful Genetics-Enabled Drug Development 3 Case Studies in Precision Drug Development 4 Integrating Genetics into the Drug Development Pathway for Complex Diseases 5 Finding Innovative Ways to Integrate Genetic Research into the Drug Development Process 6 Reflecting Back and Looking Forward: Key Themes and Potential Next Steps in Genetics-Enabled Drug Development Appendix A: References Appendix B: Statement of Task and Workshop Agenda Appendix C: Speaker Biographical Sketches Appendix D: Registered Attendees
Acronyms and Abbreviations xxi
1 Introduction
1(8)
Workshop Objectives
4(1)
Overview of Cross-Cutting Topics Highlighted During Presentations and Discussions
4(3)
Organization of the Workshop and Proceedings
7(2)
2 Overarching Considerations For Implementing Successful Genetics-Enabled Drug Development
9(14)
Biomarker Tests for Molecularly Targeted Therapies: Highlights from a National Academies Consensus Study
10(1)
Perspective of a Patient and Patient Advocate
11(3)
Navigating the Regulatory Pathway for In Vitro Diagnostic Tests and Biomarkers in Clinical Drug Development
14(9)
3 Case Studies in Precision Drug Development
23(20)
Lung-MAP: A Biomarker-Driven Umbrella Trial for Squamous Cell Lung Cancer
24(6)
STARTRK-2: A Basket Trial of Entrectinib for the Treatment of Solid Tumors with Specific Gene Rearrangements
30(5)
Clinical Drug Development for Spinal Muscular Atrophy
35(2)
Using Genetics in Clinical Trials for Mitochondrial Diseases
37(6)
4 Integrating Genetics Into the Drug Development Pathway For Complex Diseases
43(26)
Patient Perspective on Genetics-Enabled Drug Development: View from the Prader-Willi Syndrome Community
45(4)
Pharmacogenetics for Safety and Efficacy Assessments in Complex Diseases: Challenges and Lessons Learned---Viewpoint from Industry
49(5)
Challenges and Opportunities for Leveraging GWAS Findings During Drug Development: A Phase III Case Study
54(3)
Clopidogrel Pharmacogenetics in Coronary Artery Disease: The TAILOR-PCI Trial
57(4)
Reaction Panel and Discussion
61(8)
5 Finding Innovative Ways to Integrate Genetic Research into the Drug Development Process
69(14)
New Targets, Modalities, and Challenges: The Inconvenient Path of Human Genetics in Drug Discovery
70(3)
Grouping Rare Disease Patients by Shared Molecular Etiology to Accelerate Clinical Trials
73(3)
Return on Investment from Patient Input in Drug Development: Lessons from CTTI and Pfizer
76(7)
6 Reflecting Back and Looking Forward: Key Themes and Potential Next Steps in Genetics-Enabled Drug Development
83(10)
Patient-Centered Approaches to Genetics-Enabled Drug Development
84(2)
Including Diverse Populations in Genetics-Enabled Research
86(1)
Implementing Innovative Methods for Genetics-Enabled Research
87(2)
Collaboration to Advance Precision Medicine
89(2)
Concluding Remarks
91(2)
APPENDIXES
A References
93(6)
B Statement of Task and Workshop Agenda
99(8)
C Speaker Biographical Sketches
107(10)
D Registered Attendees
117