“…Instead, controlling the disease, rather than attempting to cure it, may be the only viable option in advanced cancers (Gatenby et al, 2009). Although this sounds radical in Oncology, disease management is well established in fields such as HIV (Ghosn et al, 2018) and antibiotic resistance (Nichol et al, 2015), as well as pest control (Alto et al, 2013;Neve et al, 2009;Oliveira et al, 2007). In cancer, different groups have explored this concept of 'adaptive therapy' (Gatenby et al, 2009) where drug dose is modulated in response to the underling evolutionary dynamics (Enriquez-Navas et al, 2016;Gallaher et al, 2018), with encouraging preliminary results in clinical trials (Zhang et al, 2017).…”