Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial

Abstract In oncology, the conventional reliance on the maximum tolerated dose (MTD) strategy for chemotherapy may not optimize treatment outcomes for individual patients. CURATE.AI is an AI-derived platform that utilizes a patient’s own, small dataset to dynamically personalize only their own dose r...

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Main Authors: Agata Blasiak, Anh T. L. Truong, Nigel Foo, Lester W. J. Tan, Kirthika S. Kumar, Shi-Bei Tan, Chong Boon Teo, Benjamin K. J. Tan, Xavier Tadeo, Hon Lyn Tan, Cheng Ean Chee, Wei Peng Yong, Dean Ho, Raghav Sundar
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-025-00835-7
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author Agata Blasiak
Anh T. L. Truong
Nigel Foo
Lester W. J. Tan
Kirthika S. Kumar
Shi-Bei Tan
Chong Boon Teo
Benjamin K. J. Tan
Xavier Tadeo
Hon Lyn Tan
Cheng Ean Chee
Wei Peng Yong
Dean Ho
Raghav Sundar
author_facet Agata Blasiak
Anh T. L. Truong
Nigel Foo
Lester W. J. Tan
Kirthika S. Kumar
Shi-Bei Tan
Chong Boon Teo
Benjamin K. J. Tan
Xavier Tadeo
Hon Lyn Tan
Cheng Ean Chee
Wei Peng Yong
Dean Ho
Raghav Sundar
author_sort Agata Blasiak
collection DOAJ
description Abstract In oncology, the conventional reliance on the maximum tolerated dose (MTD) strategy for chemotherapy may not optimize treatment outcomes for individual patients. CURATE.AI is an AI-derived platform that utilizes a patient’s own, small dataset to dynamically personalize only their own dose recommendations. The primary objective of this feasibility trial was to assess the logistical and scientific feasibility of providing dynamically personalized AI-derived chemotherapy dose recommendations for patients with advanced solid tumors at/for treatment with single-agent capecitabine, capecitabine in combination with oxaliplatin (XELOX), or capecitabine in combination with irinotecan (XELIRI). CURATE.AI demonstrated adaptability to clinically relevant situations encountered by patients often treated with palliative intent of care. High rates of user adherence were demonstrated, which could be in part due to the high engagement of the physicians in selecting data and boundaries for CURATE.AI operations.
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series npj Precision Oncology
spelling doaj-art-72fd84f04f5d413ab8313f843daa66522025-08-20T02:15:15ZengNature Portfolionpj Precision Oncology2397-768X2025-02-01911710.1038/s41698-025-00835-7Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trialAgata Blasiak0Anh T. L. Truong1Nigel Foo2Lester W. J. Tan3Kirthika S. Kumar4Shi-Bei Tan5Chong Boon Teo6Benjamin K. J. Tan7Xavier Tadeo8Hon Lyn Tan9Cheng Ean Chee10Wei Peng Yong11Dean Ho12Raghav Sundar13The Institute for Digital Medicine (WisDM), National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeThe Institute for Digital Medicine (WisDM), National University of SingaporeDepartment of Haematology-Oncology, National University Cancer Institute, Singapore (NCIS), National University Health SystemYong Loo Lin School of Medicine, National University of SingaporeDepartment of Haematology-Oncology, National University Cancer Institute, Singapore (NCIS), National University Health SystemThe Institute for Digital Medicine (WisDM), National University of SingaporeThe N.1 Institute for Health (N.1), National University of SingaporeAbstract In oncology, the conventional reliance on the maximum tolerated dose (MTD) strategy for chemotherapy may not optimize treatment outcomes for individual patients. CURATE.AI is an AI-derived platform that utilizes a patient’s own, small dataset to dynamically personalize only their own dose recommendations. The primary objective of this feasibility trial was to assess the logistical and scientific feasibility of providing dynamically personalized AI-derived chemotherapy dose recommendations for patients with advanced solid tumors at/for treatment with single-agent capecitabine, capecitabine in combination with oxaliplatin (XELOX), or capecitabine in combination with irinotecan (XELIRI). CURATE.AI demonstrated adaptability to clinically relevant situations encountered by patients often treated with palliative intent of care. High rates of user adherence were demonstrated, which could be in part due to the high engagement of the physicians in selecting data and boundaries for CURATE.AI operations.https://doi.org/10.1038/s41698-025-00835-7
spellingShingle Agata Blasiak
Anh T. L. Truong
Nigel Foo
Lester W. J. Tan
Kirthika S. Kumar
Shi-Bei Tan
Chong Boon Teo
Benjamin K. J. Tan
Xavier Tadeo
Hon Lyn Tan
Cheng Ean Chee
Wei Peng Yong
Dean Ho
Raghav Sundar
Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
npj Precision Oncology
title Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
title_full Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
title_fullStr Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
title_full_unstemmed Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
title_short Personalized dose selection platform for patients with solid tumors in the PRECISE CURATE.AI feasibility trial
title_sort personalized dose selection platform for patients with solid tumors in the precise curate ai feasibility trial
url https://doi.org/10.1038/s41698-025-00835-7
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