James B. Baker, Arnab Ghatak, Mark R. Cullen, Ralph I. Horwitz
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引用次数: 0
Abstract
Molecular stratification has improved
drug development,
yet treatment
effects remain heterogeneous within apparently similar patients. We
propose that selected lived exposures be studied as bio-biographical
response states: prospectively measured combinations of experience,
candidate mediator biology, and treatment context that may modify
efficacy, toxicity, adherence, or end point ascertainment. This Perspective
translates the concept into a falsifiable development framework. It
defines pathway-specific hypotheses, consolidates trial-feasible measures,
uses immuno-oncology as an implementation test case, and specifies
stage-appropriate evidentiary gates. The framework does not treat
adversity as destiny or assume that association establishes causation.
It requires reliable measurement, formal interaction estimates, competing-explanation
analyses, independent replication, and a defined decision consequence.
Used with these guardrails, biography can complement molecular pharmacology
by revealing reproducible host states that otherwise appear as unexplained
response heterogeneity.
期刊介绍:
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