Evidence map›Paper›PMID 37777307›Full record

ReviewAnnals of oncology : official journal of the European Society for Medical Oncology2023

Treatment of evolving cancers will require dynamic decision support.

M A R Strobl, J Gallaher, M Robertson-Tessi, J West, A R A Anderson

Abstract readReview
In one paragraph

Review in Annals of oncology : official journal of the European Society for Medical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

53 citing papers in PubMed.

  1. Article
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  11. Review
  12. Stochastic Evolutionary Control in Heterogeneous Populations.bioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Article
  15. "Excluded phenotypes" restrict genetic paths toward adaptation in declining populations.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  16. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
  17. Review
  18. Article
  19. Review
  20. Article
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

5 authors.

M A R StroblIntegrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa; Translational Hematology and Oncology Research, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, USA.
J GallaherIntegrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa.
M Robertson-TessiIntegrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa.
J WestIntegrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa.
A R A AndersonIntegrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa. Electronic address: Alexander.Anderson@moffitt.org.

Funding

"Research Supplement to Promote Diversity in Health-Related Research", as part of Moffitt PS-OC, "Cancer as a Complex adaptive System"U54CA193489 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANDERSON, ALEXANDER ROBERTSON ALLAN, GATENBY, ROBERT A · 2015 to 2020
$12.5M
Eco-Evolutionary dynamics of NSCLC to immunotherapy: Response and ResistanceU01CA232382 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANDERSON, ALEXANDER ROBERTSON ALLAN, ANTONIA, SCOTT J. · 2018 to 2022
$3.3M
NCI NIH HHS U01 CA232382NCI NIH HHS U54 CA193489
6 · The paper itself

Abstract

Cancer research has traditionally focused on developing new agents, but an underexplored question is that of the dose and frequency of existing drugs. Based on the modus operandi established in the early days of chemotherapies, most drugs are administered according to predetermined schedules that seek to deliver the maximum tolerated dose and are only adjusted for toxicity. However, we believe that the complex, evolving nature of cancer requires a more dynamic and personalized approach. Chronicling the milestones of the field, we show that the impact of schedule choice crucially depends on processes driving treatment response and failure. As such, cancer heterogeneity and evolution dictate that a one-size-fits-all solution is unlikely-instead, each patient should be mapped to the strategy that best matches their current disease characteristics and treatment objectives (i.e. their 'tumorscape'). To achieve this level of personalization, we need mathematical modeling. In this perspective, we propose a five-step 'Adaptive Dosing Adjusted for Personalized Tumorscapes (ADAPT)' paradigm to integrate data and understanding across scales and derive dynamic and personalized schedules. We conclude with promising examples of model-guided schedule personalization and a call to action to address key outstanding challenges surrounding data collection, model development, and integration.

Indexed as

Decision Support Systems, ClinicalNeoplasmsHumansModels, TheoreticalPrecision Medicinecancer ecology and evolutionmathematical modelingtreatment scheduling

Identifiers

PMID37777307
PMCPMC10688269

What OpenQuestion holds

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LicenceCC BY
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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.