Precision Oncology: 2025 in Review.

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Journal: Cancer discovery

This publication is a 2025 year-in-review of advances in precision oncology. It highlights:

  • Expanded indications for existing targeted agents: Multiple already-approved precision oncology drugs gained new, biomarker-driven indications, underscoring the maturing impact of targeted therapy across additional tumor types and molecular subsets.
  • Novel targeted agents, including “undruggable” targets: Early data are presented for new molecules directed at both classical signaling pathways and previously considered undruggable targets, reflecting progress in drug design and target validation.
  • Growth of antibody–drug conjugates (ADCs) and PROTACs: The field continues to move beyond simple inhibitors, with ADCs and proteolysis-targeting chimeras being refined as potent, mechanism-driven strategies to selectively deliver cytotoxics or degrade disease-driving proteins.
  • Blood-based early detection methodologies: Multiple liquid biopsy and blood-based platforms are emerging for early cancer detection, suggesting a near-term shift toward less invasive screening and earlier-stage diagnosis.
  • Nontraditional biomarkers: The definition of actionable biomarkers is broadening beyond classic genomic alterations to include novel or composite markers that may better predict response or resistance.
  • Integration of artificial intelligence: AI-based tools are increasingly used to interpret complex multi-omic and clinical datasets, aiming to generate more precise, individualized treatment insights.

Overall, the article portrays 2025 as a year of consolidation and diversification in precision oncology, with significant steps toward earlier detection, broader biomarker use, and more sophisticated therapeutic modalities.

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