DEMLOVÁ, Regina, Lenka ZDRAŽILOVÁ DUBSKÁ, Jaroslav ŠTĚRBA, Giorgio STANTA and Dalibor VALÍK. Host-dependent variables: The missing link to personalized medicine. EJSO. OXFORD: ELSEVIER SCI LTD, 2018, vol. 44, No 9, p. 1289-1294. ISSN 0748-7983. Available from: https://dx.doi.org/10.1016/j.ejso.2018.04.014.
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Basic information
Original name Host-dependent variables: The missing link to personalized medicine
Authors DEMLOVÁ, Regina (203 Czech Republic, belonging to the institution), Lenka ZDRAŽILOVÁ DUBSKÁ (203 Czech Republic, belonging to the institution), Jaroslav ŠTĚRBA (203 Czech Republic, belonging to the institution), Giorgio STANTA (380 Italy) and Dalibor VALÍK (203 Czech Republic, guarantor, belonging to the institution).
Edition EJSO, OXFORD, ELSEVIER SCI LTD, 2018, 0748-7983.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.379
RIV identification code RIV/00216224:14110/18:00104207
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.ejso.2018.04.014
UT WoS 000444356500002
Keywords in English Cancer; Personalized medicine; Tumour microenvironment; Immunobiology; Targeted therapy; Pharmacogenetics
Tags 14110321, 14110516, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 26/4/2021 13:06.
Abstract
Individualized medicine has the potential to tailor anticancer therapy with the best response and highest safety margin to provide better patient care. However, modern targeted therapies are still being tested through clinical trials comparing preselected patient cohorts and assessed upon behaviour of group averages. Clinically manifesting malignant disease requires identification of host - and tumour-dependent variables such as biological characteristics of the tumour and its microenvironment including immune response features, and overall capacity of the host to receive, tolerate and efficiently utilize treatment. Contemporary medical oncology including clinical trial design need to refocus from assessing group averages to individuality taking into consideration time dependent host-associated characteristics and reinventing outliers to be appreciated as naturally occurring variables collectively determining the ultimate outcome of malignant disease. (C) 2018 Published by Elsevier Ltd.
Links
LM2015090, research and development projectName: Český národní uzel Evropské sítě infrastruktur klinického výzkumu (Acronym: CZECRIN)
Investor: Ministry of Education, Youth and Sports of the CR
NV16-33209A, research and development projectName: Sekvenování nové generace a expresní profilování jako diagnostický podklad pro návrhy individualizovaných léčebných plánů pro děti se solidními nádory
NV16-34083A, research and development projectName: Receptorové tyrozinkinázy a navazující signální dráhy jako potenciální cíle léčby refrakterních solidních nádorů dětského věku
90089, large research infrastructuresName: BBMRI-CZ II
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