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Clinical Trials

Resistance Trials

Experts In IND-Exempt Drug Resistance Trials

Your path to new druggable targets.

Fast to launch. Fully managed. Proven results.

The Problem We're Solving

bottle of pills spilled on table

Targeted therapies have transformed lung cancer treatment, but resistance is inevitable. When a cancer evolves to evade a therapy, physicians need rapid, real-world data on what mutations are driving that resistance and what might come next. 

That insight doesn't come from traditional IND trials. It comes from lean, agile, biomarker-focused studies, which is just the kind ALCMI has been designing and running for two decades.


The ALCMI Resistance Trial Model

Our resistance mechanism trials are IND-exempt, observational biospecimen studies conducted with patients who have progressed on marketed targeted therapies. Here's what makes our model unique:

  • IND-exempt. Less regulatory complexity, faster startup.
  • Fully decentralized. Patients participate remotely from anywhere in the US. No clinic visits required.
  • Sponsor-friendly. Medical affairs/medical marketing budget appropriate. Typically under $1M.
  • Easy lift for sponsors. ALCMI manages everything, including protocol, IRB approval, site coordination, specimen logistics, data, and reporting.
  • KOL-led. We partner with principal investigators at the world's top oncology institutions.
  • Publication-ready. All trials are designed for peer-reviewed publication and conference presentation.

Our Resistance Trial Portfolio


Let's Build Your Resistance Trial

If your company has a marketed targeted therapy in lung cancer and you want real-world resistance data without the complexity of an IND trial, we should talk.

Contact Us to Start a Conversation

Or download a PDF that outlines the basics of our drug resistance program.

Our Impact

  • Total Clinical Trials
    Total Clinical Trials

    24

  • Trial Participants
    Trial Participants

    1,754

  • Publication Citations and Downloads
    Publication Citations and Downloads

    13,659

  • Partners and Sponsors
    Partners and Sponsors

    56

Addario Lung Cancer Medical Institute (ALCMI)
1100 Industrial Road, Suite 1, San Carlos, CA 94070
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