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Editorial
. 2015 May;15(5):487-9.
doi: 10.1586/14737140.2015.1031219. Epub 2015 Mar 30.

Onartuzumab in lung cancer: the fall of Icarus?

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Editorial

Onartuzumab in lung cancer: the fall of Icarus?

Christian Rolfo et al. Expert Rev Anticancer Ther. 2015 May.

Abstract

The development of targeted therapies has led to a revolution in non-small-cell lung cancer, and opened up possibilities for improved personalized medicine. With the constant findings of new targets, a lot of inhibitors are being developed. However, reliable biomarkers are urgently needed. The design of clinical trials needs to become more flexible in order to obtain the best results and gain the US FDA/EMEA approval for the new drugs. A recent example of a failed trial is the Phase III MetLung trial that compared the effects of the c-MET monovalent antibody onartuzumab with erlotinib versus erlotinib alone in late-stage non-small-cell lung cancer. Here, we discuss several points as to why this trial could have failed.

Keywords: Phase I; c-MET; non-small-cell lung cancer; ornatuzumab; trial design.

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