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New omics information for clinical trial utility in the primary setting.

Abstract
Cancer is a complex cellular disease caused by multiple factors via genetic mutations (hereditary or somatic) or environmental factors. The emerging omics technologies, including genomics, epigenomics, transcriptomics, proteomics, metabolomics, and interactomics, are increasingly being used for cancer research and personalized medicine; they have provided new opportunities in the molecular analysis of human cancer with unprecedented speed and detail. The omic approach has brought powerful ability to screen cancer cells at different levels from gene to metabolite and to search for novel drug targets, expounding the drug mechanism of action, identifying adverse effects in unexpected interaction, validating current drug targets, exploring potential applications for novel drugs, and enabling the translation from bench to bedside. As a clinical research tool, the neoadjuvant approach in breast cancer is the perfect setting for individualization of treatment based on clinical, pathological, image-guided, or molecular assessment, based on the omics techniques of tumors during treatment; neoadjuvant treatment offers the ability to discern treatment effect in vivo and may allow smaller trials targeting specific breast cancer subtypes.
AuthorsGiovanna Damia, Massimo Broggini, Silvia Marsoni, Sergio Venturini, Daniele Generali
JournalJournal of the National Cancer Institute. Monographs (J Natl Cancer Inst Monogr) Vol. 2011 Issue 43 Pg. 128-33 ( 2011) ISSN: 1745-6614 [Electronic] United States
PMID22043059 (Publication Type: Journal Article)
Chemical References
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Receptor, ErbB-2
  • Trastuzumab
Topics
  • Antibodies, Monoclonal, Humanized (therapeutic use)
  • Antineoplastic Agents (therapeutic use)
  • Biomedical Technology (trends)
  • Breast Neoplasms (drug therapy, metabolism, surgery)
  • Chemotherapy, Adjuvant
  • Clinical Trials as Topic
  • Epigenomics
  • Female
  • Gene Expression Profiling
  • Genome, Human
  • Genomics
  • Humans
  • Metabolomics
  • Molecular Targeted Therapy
  • Precision Medicine (trends)
  • Proteomics
  • Receptor, ErbB-2 (drug effects, metabolism)
  • Transcriptome
  • Translational Research, Biomedical
  • Trastuzumab

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