| AbstractTreatment guidelines modern oncology has  improved oncological outcomes of cancer patients, but intrinsic and acquired  drug resistance and relapse rates remain disappointingly high [1,2].  Future estimates suggest increase on  incidence, late diagnosis and mortality rates if current conventional research  and clinical practice will be continued [3].replica watches Recent whole genome and  transcriptome next generation sequencing of bulk samples as well as single cell  genomics and transcriptomics have unraveled extensive intratumor heterogeneity  and discovery of multiple drug targets. Tumor region-to-region and cell-to-cell  heterogeneity-guided drug sensitivity as well as complex cancer-immune cell  interactions shape the new era of precision oncology [4-6]. In this focus article  clinical predictive biomarkers to guide tailored multi-drug therapy is  discussed. [7-9].
                                    Moreover, combination drug therapy including  molecularly targeted drugs and immunotherapeutic agents such as Pembrolizumab, Nivolumab, ipilimumab and atezolizumab as well as nine approved immune  checkpoint inhibitors for tailored treatment on the basis of tumor mutational  burden, PLD1, MMR/MSI guide precision  immune-oncology in the clinical setting [10].
 
                                   (Citation: Gastric & Breast Cancer 2021; 16(1): 64-71) |