Last few seats available – registration extended – new deadline 11th June 2024

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Satellite Symposium - Getting the dose right first!
Regulatory perspective and impact of Project Optimus on RP2D selection in 
oncology

Date: 25th June 2024, 13:00-18:00h CET
Venue: Orange Hall, Ergife Palace Hotel, Largo Lorenzo Mossa, 8, 00165 Rome, 
Italy


UCL Clinical Pharmacology & Therapeutics Group together with a panel of 
representatives from pharmaceutical R&D, clinical oncology research, and 
regulatory agencies (U.S. Food and Drug Administration and European Medicines 
Agency) has the pleasure to invite PAGE delegates to attend this satellite 
event in person. We also invite the wider clinical pharmacology community to 
participate online.

WHY THIS SYMPOSIUM: The objective of this public symposium is to reflect on 
current practices and discuss approaches for dosage optimization for medicinal 
products progressing in clinical development in oncological indications and 
provide further context for the Project Optimus initiative.

Historically, dose-finding studies for oncology drugs following 3+3 designs 
have been used to determine the “maximum tolerated dose" (MTD). However, this 
approach can lead to poorly tolerated doses for many modern medications, 
including targeted therapies and immunotherapies, which defy the premise that 
efficacy and toxicity increase monotonically with dose, in contrast to 
traditional cytotoxic chemotherapy.


WHAT IS GOING ON: The FDA Oncology Center of Excellence launched Project 
Optimus to address this issue. Project Optimus has been trying to revolutionize 
the paradigm of dose selection and optimization in oncology drug development 
since its start in 2021. The emphasis on determining the optimal dose 
necessitates the evaluation of modern designs, moving away from the traditional 
3+3 design for dose escalation, and the evaluation of the totality of the data, 
including careful integration of data on the pharmacokinetics and 
pharmacodynamics (i.e., exposure-response relationships) as basis for the 
characterisation of the safety, efficacy and benefit-risk profile of novel 
medicinal products.

This symposium will provide a forum for discussion on expectations, best 
practices for dose finding, and on the role of clinical pharmacology approaches 
based on modelling and simulation in achieving this goal.


AGENDA: An outline of the preliminary agenda can be found 
here<https://www.page-meeting.org/content_assets/Getting_the_dose_right_first_-_Satellite_Symposium_Agenda_V2.pdf>.


REGISTRATION: Participation in person or online is free of charge, but 
registration is mandatory due to venue capacity limitations. Delegates will be 
enrolled on a first-come first served basis. Registration will be open until 
11th June 2024.

Please fill in the form in this link to 
register<https://docs.google.com/forms/d/e/1FAIpQLScFb8xH-9H6cx7YAtNWup4iqif7gkejCXsUrVAnxfpDNvmFcQ/viewform>.
 Participants are expected to submit a question, outline an issue, or share 
their experience with regard dose selection in oncology. These questions will 
support the discussion and highlight common issues faced by different 
stakeholders.

You can email Salvatore D’Agate 
(s.d’[email protected]<mailto:s.d%e2%80%[email protected]>) if you have any 
queries regarding the event.


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