OnCo
ideasIdea

A standing platform for testing new drugs with radiotherapy

Radiotherapy is given to half of all cancer patients but few new drugs are tested alongside it. A permanent trial platform would test drug-plus-radiation pairs systematically.

Radiosensitisers and immune-radiation combinations have strong biological rationale but almost no industry sponsorship because radiotherapy is unpatentable. The CONCORDE platform in the UK tests DNA-damage-response inhibitors with thoracic radiotherapy. Extending the model to a standing multi-tumour radiotherapy-drug platform with dose-finding modules and a shared radiotherapy quality-assurance backbone would fill a systematic gap.

Hypothesis
A radiotherapy-drug platform will complete dose-finding for at least four novel agent-radiotherapy pairs per year, compared with fewer than one per year in the preceding decade across the same tumour types.
Rationale
Radiotherapy quality assurance and dose-finding are the expensive fixed costs; a platform amortises them across agents.
What would test it
Fund a three-tumour platform (lung, head and neck, glioma) with four initial drug modules; measure agents through dose-finding per year.
Maturity
early clinical
Who has to act
research
Cost to try
Large (over $50M)
Years to first evidence
5
Bottlenecks it attacks

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