In the clinic, precision medicine aims to select the most effective therapies for each patient based on their genetics, metabolic profile, lifestyle, comorbidities, environment, and other relevant factors. This quest for precision medicine is making its mark in preclinical drug discovery. Pharmaceutical companies are increasingly focusing on developing precision medicine drugs, such as those targeting specific mutations in patients' tumors. In fact, 43% of the 198 FDA-approved oncology drugs between 1998 and 2022 were precision oncology therapies guided by biomarker testing, according to a study published in Cancer Discovery.
Companies and academic labs are designing drugs for specific subsets of patients based on their genetic profiles or to specifically target their tumors' mutations. This precision is important in oncology because of the high heterogeneity of many tumor types, both within one patient and between patients who have the same type of cancer, such as melanoma or breast cancer.
For example, researchers designed the tumor-agnostic drugs larotrectinib, entrectinib, and repotrectinib to target NTRK gene fusion, which drives growth in a subset of tumors, regardless of the organ from which the tumor originated. FDA approved these drugs in 2018, 2019, and 2024, respectively, and also approved diagnostic tests to identify patients with the NTRK fusion protein who can benefit from these treatments.
Clinicians, industry and academic researchers, and regulators are working together to overcome challenges and pave the way for more gene therapies that can contribute to precision medicine.
Delivering More Predictive Outcomes with 3D Cell Cultures
Meanwhile, researchers are increasingly turning to 3D cell cultures for a more physiologically relevant view of drug candidates' potential for success and a more predictive understanding of drug effects in the body. Compared to 2D cell cultures, 3D cultures such as spheroids and organoids can better mimic the in vivo environment of cells within an organ or a tumor. This allows 3D cultures to capture aspects of the in vivo environment, such as concentration gradients for drugs, oxygen, and metabolites; cell-cell and cell-extracellular matrix (ECM) interactions; and heterogeneity within an organ or tumor—any of which can affect how drugs will function within the bodies of real patients.
In line with recent legislation that reduces the requirements for preclinical animal testing, FDA has signaled its support for alternative techniques, such as organoid models. These changes underscore the importance of developing robust 3D culture models that capture key aspects of human biology while mitigating the effects of interspecies differences.
In preclinical drug development, 3D culture enables researchers to move toward precision medicine and future therapies. In oncology, 3D cultures enable researchers to better replicate the complexity of real tumors, such as by culturing organoids that contain multiple cell types to mimic tumors with multiple cell types or multiple mutations in vivo. Exciting technological developments, like those detailed in the journal Stem Cells, enable the miniaturization of 3D cultures, including scaffold-supported organoids, so they can be used in high-throughput applications.
The increasing ease of using 3D culture systems also allows scientists who wish to perform more realistic assays to scale up patient-derived cells to the large volumes needed for drug screening or molecular studies, rather than waiting for rarely available clinical samples. Combined with miniaturization techniques, researchers can screen libraries with hundreds of thousands of compounds directly against 3D spheroids derived from patient cells.
Being Part of the Future of Drug Discovery and Development
Trends in drug discovery, like AI in drug development, animal-testing alternatives, precision medicine, and 3D cell cultures are opening new possibilities for research directions, including ways of using these strategies together. One example is research matching cancer patients to the most effective drugs by growing patient-derived tumor cells or tumoroids, which are then screened against approved drugs for effectiveness.
Life sciences manufacturers and scientists must collaborate to keep these exciting trends moving forward. Because technologies like organoids rely on complex inputs to be used in a scalable way, drug development labs are collaborating with companies that have expertise in setting up 3D culture systems to solve problems as they arise. In turn, manufacturers can collect feedback from industry and academic researchers on the problems they're trying to solve and design products accordingly.
Corning Life Sciences offers a wide variety of tools and expert support to help you solve drug development challenges. With more than 35 years as a leader and innovator in 3D cell culture, we offer gold-standard extracellular matrices (ECMs) like Matrigel matrix, established permeable supports, like Corning Transwell® and other innovative scaffold-free technologies like 3D culture spheroid flasks and microplates, along with a comprehensive line of products and tools for drug discovery.
Stay informed with Corning's extensive library of protocols, webinars, and articles to stay up-to-date on the latest trends in drug discovery, drug development, drug screening, and 3D culture tools. Learn more about 3D cell culture and drug discovery solutions.