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Considerations in the development of circulating tumor cell technology for clinical use
Authors:David R Parkinson  Nicholas Dracopoli  Brenda Gumbs Petty  Carolyn Compton  Massimo Cristofanilli  Albert Deisseroth  Daniel F Hayes  Gordon Kapke  Prasanna Kumar  Jerry SH Lee  Minetta C Liu  Robert McCormack  Stanislaw Mikulski  Larry Nagahara  Klaus Pantel  Sonia Pearson-White  Elizabeth A Punnoose  Lori T Roadcap  Andrew E Schade  Howard I Scher  Caroline C Sigman  Gary J Kelloff
Affiliation:1. New Enterprise Associates, Menlo Park, CA, 94025, USA
2. Johnson &Johnson, Radnor, PA, 19087, USA
3. CCS Associates, Mountain View, CA, 94043, USA
4. Critical Path Institute, Tucson, AZ, 85718, USA
5. Fox Chase Cancer Center, Philadelphia, PA, 19111, USA
6. Center for Drug Evaluation Research, US Food & Drug Administration, Silver Spring, MA, 20903, USA
7. University of Michigan, Ann Arbor, MI, 48109, USA
8. Covance Genomic Lab, Covance Central Labs, Seattle, WA, 98382, USA
9. Daiichi-Sankyo Pharma Development, Edison, NJ, 08837, USA
10. National Cancer Institute, Bethesda, MA, 20892, USA
11. Georgetown University, Washington, DC, 20007, USA
12. Veridex, LLC, Raritan, NJ, 08869, USA
13. EMD Serono, Rockland, MA, 02370, USA
14. University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany
15. Foundation for the National Institutes of Health, Bethesda, MA, 20814, USA
16. Genentech, South San Francisco, CA, 94080, USA
17. GlaxoSmithKline, Collegeville, PA, 19426, USA
18. Eli Lilly and Company, Indianapolis, IN, 46285, USA
19. Memorial Sloan-Kettering Cancer Center, New York, NY, 10065, USA
Abstract:ABSTRACT: This manuscript summarizes current thinking on the value and promise of evolving circulating tumor cell (CTC) technologies for cancer patient diagnosis, prognosis, and response to therapy, as well as accelerating oncologic drug development. Moving forward requires the application of the classic steps in biomarker developmentanalytical and clinical validation and clinical qualification for specific contexts of use. To that end, this review describes methods for interactive comparisons of proprietary new technologies, clinical trial designs, a clinical validation qualification strategy, and an approach for effectively carrying out this work through a public-private partnership that includes test developers, drug developers, clinical trialists, the US Food & Drug Administration (FDA) and the US National Cancer Institute (NCI).
Keywords:
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