Clinical Trial Designs for Evaluating the Medical Utility of Prognostic and Predictive Biomarkers in Oncology
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Many earlier molecular assays failed to achieve widespread adoption due to limited reproducibility, lack of external validation, and unclear incremental value beyond standard clinicopathologic variables.
“Although some demonstrated initial associations with clinical outcomes, many failed to achieve widespread adoption due to limited reproducibility, lack of external validation, and unclear incremental value beyond standard clinicopathologic variables [15, 16].”
From A decision-oriented framework for genomic testing across the prostate cancer continuum (2026) · cites this paper as [16]
The Prognostic biomarkers passage (labelled Abstract; page unavailable) says that very few published prognostic factors are used in clinical practice. Another Abstract passage says retrospective studies often fail to show predictive value beyond standard prognostic factors. The paper emphasizes reproducibility and rigorous validation, but it does not establish that limited reproducibility and lack of external validation caused earlier molecular assays to go unused. (LLM, conf=0.85)
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Amado, R. G., Wolf, M., Peeters, M., Van Cutsem, E., Siena, S., Freeman, D. J., Juan, T., Sikorski, R., Suggs, S., Radinsky, R., et al. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.14.7116 · Cited by 3,207 · see citing works
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A decision-oriented framework for genomic testing across the prostate cancer continuum
Cobran, E. K., Samadder, N. J., Schaid, D. J., Conti, D. V., Haiman, C., Vargas, L., Gionfriddo, M. R., & Tilburt, J. C. (2026) · Cancer Genetics · doi:10.1016/j.cancergen.2026.06.002 · Cited by 1 · see citing works
- Authors
- Simon, R.
- Affiliations
- National Cancer Institute, 9000 Rockville Pike, Bethesda, MD20892-7434, USA. Tel.: Fax:
- Venue
- Personalized Medicine
- Publisher
- Informa UK Limited
- Published
- 2009-12-21
- Volume
- 7
- Issue
- 1
- Pages
- 33-47
- ISSN
- 1741-0541
- 1744-828X
- Cited by
- 177
- References
- 1
- Language
- en
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