N-of-1 medicine

The fields of precision and personalised medicine have led to promising advances in tailoring treatment to individual patients. Examples include genome/molecular alteration-guided drug selection, single-patient gene therapy design and synergy-based drug combination development, and these approaches...

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Main Authors: Peter Wang, Qiao Ying Leong, Ni Yin Lau, Wei Ying Ng, Siong Peng Kwek, Lester Tan, Shang-Wei Song, Kui You, Li Ming Chong, Isaiah Zhuang, Yoong Hun Ong, Nigel Foo, Xavier Tadeo, Kirthika Senthil Kumar, Smrithi Vijayakumar, Yoann Sapanel, Marlena Natalia Raczkowska, Alexandria Remus, Agata Blasiak, Dean Ho
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-03-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-243
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author Peter Wang
Qiao Ying Leong
Ni Yin Lau
Wei Ying Ng
Siong Peng Kwek
Lester Tan
Shang-Wei Song
Kui You
Li Ming Chong
Isaiah Zhuang
Yoong Hun Ong
Nigel Foo
Xavier Tadeo
Kirthika Senthil Kumar
Smrithi Vijayakumar
Yoann Sapanel
Marlena Natalia Raczkowska
Alexandria Remus
Agata Blasiak
Dean Ho
author_facet Peter Wang
Qiao Ying Leong
Ni Yin Lau
Wei Ying Ng
Siong Peng Kwek
Lester Tan
Shang-Wei Song
Kui You
Li Ming Chong
Isaiah Zhuang
Yoong Hun Ong
Nigel Foo
Xavier Tadeo
Kirthika Senthil Kumar
Smrithi Vijayakumar
Yoann Sapanel
Marlena Natalia Raczkowska
Alexandria Remus
Agata Blasiak
Dean Ho
author_sort Peter Wang
collection DOAJ
description The fields of precision and personalised medicine have led to promising advances in tailoring treatment to individual patients. Examples include genome/molecular alteration-guided drug selection, single-patient gene therapy design and synergy-based drug combination development, and these approaches can yield substantially diverse recommendations. Therefore, it is important to define each domain and delineate their commonalities and differences in an effort to develop novel clinical trial designs, streamline workflow development, rethink regulatory considerations, create value in healthcare and economics assessments, and other factors. These and other segments are essential to recognise the diversity within these domains to accelerate their respective workflows towards practice-changing healthcare. To emphasise these points, this article elaborates on the concept of digital health and digital medicine-enabled N-of-1 medicine, which individualises combination regimen and dosing using a patient’s own data. We will conclude with recommendations for consideration when developing novel workflows based on emerging digital-based platforms.
format Article
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institution Kabale University
issn 0037-5675
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language English
publishDate 2024-03-01
publisher Wolters Kluwer – Medknow Publications
record_format Article
series Singapore Medical Journal
spelling doaj-art-031ae48a3c1a4d3ba72da490081bbc412025-02-09T10:19:44ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-03-0165316717510.4103/singaporemedj.SMJ-2023-243N-of-1 medicinePeter WangQiao Ying LeongNi Yin LauWei Ying NgSiong Peng KwekLester TanShang-Wei SongKui YouLi Ming ChongIsaiah ZhuangYoong Hun OngNigel FooXavier TadeoKirthika Senthil KumarSmrithi VijayakumarYoann SapanelMarlena Natalia RaczkowskaAlexandria RemusAgata BlasiakDean HoThe fields of precision and personalised medicine have led to promising advances in tailoring treatment to individual patients. Examples include genome/molecular alteration-guided drug selection, single-patient gene therapy design and synergy-based drug combination development, and these approaches can yield substantially diverse recommendations. Therefore, it is important to define each domain and delineate their commonalities and differences in an effort to develop novel clinical trial designs, streamline workflow development, rethink regulatory considerations, create value in healthcare and economics assessments, and other factors. These and other segments are essential to recognise the diversity within these domains to accelerate their respective workflows towards practice-changing healthcare. To emphasise these points, this article elaborates on the concept of digital health and digital medicine-enabled N-of-1 medicine, which individualises combination regimen and dosing using a patient’s own data. We will conclude with recommendations for consideration when developing novel workflows based on emerging digital-based platforms.https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-243digital healthdigital medicinen-of-1personalised medicine
spellingShingle Peter Wang
Qiao Ying Leong
Ni Yin Lau
Wei Ying Ng
Siong Peng Kwek
Lester Tan
Shang-Wei Song
Kui You
Li Ming Chong
Isaiah Zhuang
Yoong Hun Ong
Nigel Foo
Xavier Tadeo
Kirthika Senthil Kumar
Smrithi Vijayakumar
Yoann Sapanel
Marlena Natalia Raczkowska
Alexandria Remus
Agata Blasiak
Dean Ho
N-of-1 medicine
Singapore Medical Journal
digital health
digital medicine
n-of-1
personalised medicine
title N-of-1 medicine
title_full N-of-1 medicine
title_fullStr N-of-1 medicine
title_full_unstemmed N-of-1 medicine
title_short N-of-1 medicine
title_sort n of 1 medicine
topic digital health
digital medicine
n-of-1
personalised medicine
url https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-243
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