First-in-human (FIH) oncology trials present some of the most complex scientific, regulatory, and operational challenges in clinical development.
As sponsors transition from preclinical promise to first patient dosing, success depends on rigorous regulatory preparation, risk-based execution, and a genuinely patient-centric trial design. The focus is shifting from purely protocol-driven execution to a strategic, end-to-end approach that de-risks early development while safeguarding patient safety and data integrity.