Evidence map›Paper›PMID 35804968›Full record

ReviewCancers2022

Challenges and Obstacles in Applying Therapeutical Indications Formulated in Molecular Tumor Boards.

Edoardo Crimini, Matteo Repetto, Paolo Tarantino, Liliana Ascione, Gabriele Antonarelli, Elena Guerini Rocco, Massimo Barberis, Luca Mazzarella, Giuseppe Curigliano

Abstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Edoardo CriminiDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Matteo RepettoDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Paolo TarantinoDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0001-8686-0228
Liliana AscioneDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-2807-7400
Gabriele AntonarelliDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-9758-3665
Elena Guerini RoccoDepartment of Oncology and Hematology (DIPO), University of Milan, 20122 Milan, Italy.
Massimo BarberisDivision of Pathology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.ORCID 0000-0002-0943-4804
Luca MazzarellaDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Giuseppe CuriglianoDivision of Early Drug Development, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0003-1781-2518

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Considering the rapid improvement of cancer drugs' efficacy and the discovery of new molecular targets, the formulation of therapeutical indications based on the multidisciplinary approach of MTB is becoming increasingly important for attributing the correct salience to the targets identified in a single patient. Nevertheless, one of the biggest stumbling blocks faced by MTBs is not the bare indication, but its implementation in the clinical practice. Indeed, administering the drug suggested by MTB deals with some relevant difficulties: the economical affordability and geographical accessibility represent some of the major limits in the patient's view, while bureaucracy and regulatory procedures are often a disincentive for the physicians. In this review, we explore the current literature reporting MTB experiences and precision medicine clinical trials, focusing on the challenges that authors face in applying their therapeutical indications. Furthermore, we analyze and discuss some of the solutions devised to overcome these difficulties to support the MTBs in finding the most suitable solution for their specific situation. In conclusion, we strongly encourage regulatory agencies and pharmaceutical companies to develop effective strategies with medical centers implementing MTBs to facilitate access to innovative drugs and thereby allow broader therapeutical opportunities to patients.

Indexed as

cancerdrug accessibilitymolecular tumor boardoncologyprecision oncologytargeted therapy

Identifiers

PMID35804968
PMCPMC9264928

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.