An improved
system for screening a multiple of candidate therapeutic or chemotherapeutic agents for
efficacy as to a specific patient, in which a
tissue sample from the patient is harvested, cultured and separately exposed to a plurality of treatments and / or therapeutic agents for the purpose of objectively identifying the best treatment or agent for the particular patient. Specific method innovations such as
tissue sample preparation techniques render this method practically as well as theoretically useful. One particularly important
tissue sample preparation technique is the initial preparation of cohesive multicellular
particulates of the tissue sample, rather than enzymatically dissociated
cell suspensions or preparations, for initial
tissue culture monolayer preparation. With respect to the culturing of
malignant cells, for example, it is believed (without any intention of being bound by the theory) that by maintaining the
malignant cells within a multicellular particulate of the originating tissue, growth of the
malignant cells themselves is facilitated versus the overgrowth of fibroblasts or other cells which tends to occur when suspended
tumor cells are grown in culture. Practical monolayers of cells may thus be formed to enable meaningful screening of a plurality of treatments and / or agents. Growth of cells is monitored to ascertain the time to initiate the
assay and to determine the growth rate of the cultured cells; sequence and timing of
drug addition is also monitored and optimized. By subjecting uniform samples of cells to a wide variety of active agents (and concentrations thereof), the most promising agent and concentration for treatment of a particular patient can be determined. For assays concerning
cancer treatment, a two-stage evaluation is contemplated in which both acute cytotoxic and longer term
inhibitory effect of a given anti-
cancer agent are investigated.