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Innovations archive

Medicine & Health

Chemotherapy against solid tumours

1950s–1960sHarlem Hospital and New York Medical College, New YorkJane Cooke Wright Documented

The problem

Chemical agents were thought useful only for blood cancers; solid tumours were treated with surgery and radiation, and patients who could not have either had nothing.

The innovation

Systematic patient trials of chemotherapeutic agents, including methotrexate, against solid tumours — and a method of testing candidate drugs on tissue taken from the patient's own tumour before treating them.

How it worked

Wright's group correlated laboratory response in cultured tumour tissue with patient response, and worked out dose and delivery, including catheter delivery to tumours in difficult sites.

Why it mattered

Chemotherapy moved from a desperate measure to a planned, dosed, evidence-led part of cancer treatment.

The legacy

The logic of matching a drug to a specific patient's tumour is the ancestor of today's personalised oncology.

Sources

  1. [1]Jane C. Wright clinical research records, Harlem Hospital Cancer Research Foundation

    Primary record

    US National Library of Medicine · Government archive

  2. [2]Founding members and history record

    Institutional record

    American Society of Clinical Oncology · Institutional record