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One hundred and thirty clinicians and researchers from cancer centres in Australia and around the world meet in Washington, DC today to crowdsource a way to design an ambitious clinical trial aimed at rapidly identifying a cure for the world鈥檚 deadliest and most common brain cancer, .

鈥淭his will be a Silicon Valley approach to medical research,鈥� says medical oncologist , the Australian liaison for the study who will attend this week鈥檚 meeting in Washington. 鈥淲e want to fail early and fail often so we can rapidly discriminate between effective and ineffective therapies,鈥� says Dr Khasraw, a senior research fellow at the University of Sydney鈥檚 .

Glioblastoma is a malignant brain tumour that grows and spreads aggressively, overpowering healthy cells by consuming their space, blood and nutrients. About 1500 Australians are diagnosed with glioblastoma each year. It has one of the poorest of all cancer outcomes鈥攐ne in five cases survive two years from diagnosis鈥攁nd no effective therapies have been developed for more than a decade, despite hundreds of clinical trials of new drugs and technologies.

The collaboration, known as (an Adaptive, Global, Innovative Learning Environment) is a large international adaptive clinical trial鈥攕o-named because clinicians and researchers will adapt and change drugs, doses and other aspects of the trial based on early feedback and results, rather than waiting years to make conclusions.

Dr Khasraw says the new line of attack against glioblastoma can be summarised in three words 鈥� disrupt, cure and collaborate.

鈥淲e鈥檒l be disrupting many of the traditional methods used in clinical trials,鈥� he says. 鈥淲e will be applying the latest methods of trial design in the hope that multiple treatments can be tested within the same trial protocol, to accelerate drug evaluation far beyond current research methods. That鈥檚 because we want to learn as much as possible from every patient鈥攁bout treatments, combinations of treatments, and biomarkers鈥攁nd ultimately use that knowledge for effective treatment for all glioblastoma patients.

鈥淕iven that there have been no therapeutic breakthroughs to date we are completely focused on developing a cure for this deadly disease. To do that we need break down the silos of information that hinder rapid progress. This will be an enormous international collaboration, including a relatively large number of patients who will be enrolled into multiple arms of an adaptive trial using Bayesian statistics to assess efficacy of many new agents or treatment approaches at the same time. This will allow much faster assessment of new potentially useful therapies.鈥澛�