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The prediction accuracy of virtual clinical trials based on patient organoids reached 82% ( 6.3 Global research progress Notable recent global research advances include the biomarker exploration of the GEMSTONE trial and the NCI-MATCH sub-program announced by ESMO in 2023 provides new directions for overcoming drug resistance: The GEMSTONE trial evaluated a novel oral gemcitabine formulation (such as liposomes or prodrug forms) (Zhang et al., 2024), which improved bioavailability by optimizing the drug delivery system (Zhang et al., 2024) and bypassed the hENT1 dependent cellular uptake pathway ( The NCI-MATCH subprogram (NCI-Molecular Analysis for Therapy Choice) is a large scale precision medicine clinical trial officially launched by the National Cancer Institute (NCI) in August 2015 ( + T cells indicated immune microenvironment suppression ( 7 Conclusion and thoughts Gemcitabine, a deoxycytidine analogue with potent antineoplastic activity, remains a cornerstone of modern oncology

Acknowledgements This research was supported by the Momentum/Lendlet Grant of Hungarian Academy of Sciences (LP2023-6) (G Juhsz)
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