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REVIEWS far feasible.This point with multipl ch in ses such nty of the coml activation of the molecular target in their tumour,as also being investigated o ST1-571 ST-57I 02 47. 21641 -2298 ,ag0a 61221-22E133 d he (P N M 34. 2) ang BOR-AB 1188121 CR- of the M& . LUME 2002 Nature Publishing Grour© 2002 Nature Publishing Group NATURE REVIEWS | DRUG DISCOVERY VOLUME 1 | JULY 2002 | 501 REVIEWS far as is technically feasible. This point has been cru￾cial in the successful outcome of the CML, GIST and CMML trials. The activity of Glivec in more common cancers with multiple and more complex molecular abnormalities remains to be determined, and is the objective of continuing research in diseases such as SCLC, prostate cancer and gliomas. The potential activity of the combination of Glivec with other sig￾nal-transduction inhibitors or anticancer agents is also being investigated. pathways, or through targeting of the tumour micro￾environment. However, most human cancers are likely to be heterogeneous with regard to molecular abnor￾malities, such as oncogene activation, and involve multiple signalling pathways in addition to either c￾KIT and/or the PDGFR. Consequently, careful atten￾tion will have to be paid in designing clinical trials in these more complex indications as to how patients should be selected on the basis of the expression or activation of the molecular target in their tumour, as 1. Rowley, J. D. A new consistent abnormality in chronic myelogenous leukaemia identified by quinacrine fluorescence and giemsa staining. Nature 243, 290–293 (1973). 2. Nowell, P. C. & Hungerford, D. A. A minute chromosome in human chronic granulocytic leukemia. Science 132, 1497 (1960). 3. Daley, G. Q., Van Etten, R. A. & Baltimore, D. Induction of chronic myelogenous leukemia in mice by the p210Bcr/Abl gene of the Philadelphia chromosome. Science 247, 824–830 (1990). 4. Kelliher, M. A. et al. 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