10 Recommendations to Transform Cancer
The “Cancer Moonshot” Blue Ribbon Panel has issued a report with 10 recommendations it says could lead to significant advances in the understanding of cancer and how to intervene in its initiation and progression. The Blue Ribbon Panel included cancer researchers, oncologists, patient advocates, and representatives from government and the private sector. It established seven working groups to assess the state of the science in specific areas and identify major research opportunities that could uniquely benefit from Cancer Moonshot support.
The working groups looked at clinical trials, enhanced data sharing, cancer immunology, implementation science, pediatric cancer, precision prevention and early detection, and tumor evolution and progression. They said that the most compelling research opportunities that should be supported through the Cancer Moonshot include:
- direct patient engagement through a federated network where patients are offered comprehensive tumor profiling;
- cancer immunotherapy clinical trials network to develop and implement a rational strategy to discover and evaluate novel immune-based approaches;
- therapeutic target identification to overcome drug resistance;
- a national cancer data ecosystem for sharing and analysis;
- fusion oncoproteins in pediatric cancer;
- symptom management research;
- implementation of evidence-based approaches for prevention and early detection;
- retrospective analysis of biospecimens from patients treated with standard of care;
- generation of human tumor atlases; and
- development of new enabling cancer technologies.
“Cancer Moonshot funding would enable a remarkable level of coordination, especially across organizations, that will allow data from many difference researchers, clinicians, and patients across the country to be assembled in new ways that will help them be of use to patients, doctors, and researchers,” the report concludes.
Several of the working groups identified issues beyond the scope of the panel’s scientific charge that were forwarded to Vice President Joe Biden’s Moonshot task force. They included coverage and reimbursement, privacy and consent with regard to patient data, fragmentation of the delivery of patient care in the community, needed improvements in the clinical trial system, incentives to encourage pediatric drug development, new federal research funding models, and barriers to data sharing.