Nature Medicine

Nature Medicine

@natmed.nature.com

Nature Medicine is a research journal devoted to publishing the latest advances in translational and clinical research for scientists and physicians. www.nature.com/nm

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At #ESMO26: in the phase 2 MDT-BRIDGE trial, neoadjuvant durvalumab + chemotherapy in patients with resectable NSCLC, followed by multidisciplinary reassessment, enabled surgery in the majority of patients, leading to encouraging response rates

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CAR-T therapies are generating excitement beyond cancer, with trials in autoimmune disease. But recent results have complicated that picture. In our latest news story, Marianne Guenot asks what the latest developments mean for the field. Read more:

dlvr.itA reality check for autoimmune CAR T cellsThe hope with CAR T cell therapies for autoimmune disease is that they can reset the immune system and induce deep remission. But recent trial pauses have renewed concerns about safety, patient selection and acceptable risk.

A high-profile chronotherapy trial was retracted. What does the fallout mean for a field built around the idea that when we treat disease can matter? Natalie Healey investigates what comes next for chronotherapy in NatureMedicine. Read more:

dlvr.itOnly time will tell - Nature MedicineChronotherapy promises to improve medicine by aligning treatment with the body’s internal clock. As this idea moves into clinical trials, a high-profile retraction reveals the ups and downs of circadian medicine.

News & Views: New studies of trends in the global burden of #measles and #pertussis offer a reminder of how much vaccination has achieved, and a warning of the need for more resilient and sustainable vaccination programs.

dlvr.itThe need for resilience in global vaccination programs - Nature MedicineNew studies of trends in the global burden of measles and pertussis offer a reminder of how much vaccination has achieved and a warning of the need to build more resilient and sustainable vaccination programs.

Now #ESMO26: In a phase 2 trial evaluating a peptide vaccine in patients with mKRAS PDAC, the 1ry endpoint of DFS was not met but prespecified analyses showed that significant DFS was seen in the vaccine arm in patients with ctDNA- disease.

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As presented at #ESMO26: In a phase 1/2 trial in patients with solid tumors, a first-in-class bispecific antibody targeting the Vβ6/Vβ10 T cell subsets was well tolerated and showed preliminary efficacy signals in immunologically hot and cold tumors

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News & Views: A small study shows that patients with #epilepsy can help fine-tune their own seizure detectors by chatting with an #AI agent. However, the more difficult challenge ahead is to build AI that responds appropriately.

dlvr.itConversational brain AI for adaptive epilepsy care - Nature MedicineA small study shows that patients can help fine-tune their own seizure detectors by chatting with an AI agent. However, the more difficult challenge ahead is to build AI that responds appropriately.

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Nature Reviews Nephrology@natrevneph.nature.com

Join @natmed.nature.com, @natrevneph.nature.com and our speakers Valerie Luyckx, Ole Norheim, Laura Sola & Yot Teerawattananon for a webinar on financing kidney replacement therapy. Watch live today, Wed Oct 21st, at 14.30 (BST) or on demand afterwards. cassyni.com/events/5PxZX...

📢Webinar: Join Nature Medicine & Nature Reviews Nephrology for a discussion on approaches to financing #dialysis, a leading cause of catastrophic health expenditure Wednesday, Oct 21 With Valerie Luyckx, Ole Norheim, Laura Sola, Yot Teerawattananon @natrevneph.nature.com cassyni.com/events/5PxZX...

cassyni.comFinancing kidney replacement therapyIn 2025, The World Health Organization adopted a historic resolution that recognises kidney disease as a global health priority and calls on Member States to include kidney care services in universal ...

New studies provide evidence on performance, safety & implementation of the #Galleri multi-cancer early detection test, underscoring the next challenge: demonstrating population-level benefit. Catherine Marinac et al. @DanaFarber discuss the data:

dlvr.itSome answers, more questions for multi-cancer early detection tests - Nature MedicineThe PATHFINDER 2 and NHS-Galleri studies provide complementary evidence on the clinical performance, safety and implementation of multi-cancer early detection, while underscoring the next challenge: demonstrating population-level benefit.

Integrating numerous multimodal, patient-level biomarkers enhances the prediction of #cancer #immunotherapy response, but generalizability is still a challenge. News & Views from Raquel Perez-Lopez, Mireia Crispin-Ortuzar @CRUKCamCentre @VHIO

dlvr.itA multimodal murmuration for immunotherapy - Nature MedicineA study shows that integrating numerous multimodal, patient-level biomarkers enhances the prediction of cancer immunotherapy response, but generalizability is still a challenge.

New studies provide evidence on performance, safety & implementation of the #Galleri multi-cancer early detection test, underscoring the next challenge: demonstrating population-level benefit. Catherine Marinac et al. @DanaFarber discuss the data:

dlvr.itSome answers, more questions for multi-cancer early detection tests - Nature MedicineThe PATHFINDER 2 and NHS-Galleri studies provide complementary evidence on the clinical performance, safety and implementation of multi-cancer early detection, while underscoring the next challenge: demonstrating population-level benefit.

Integrating numerous multimodal, patient-level biomarkers enhances the prediction of #cancer #immunotherapy response, but generalizability is still a challenge. News & Views from Raquel Perez-Lopez, Mireia Crispin-Ortuzar @CRUKCamCentre @VHIO

dlvr.itA multimodal murmuration for immunotherapy - Nature MedicineA study shows that integrating numerous multimodal, patient-level biomarkers enhances the prediction of cancer immunotherapy response, but generalizability is still a challenge.

What happens when an AI agent is deployed in routine clinical care? In a new Comment, Tien Yin Wong and colleagues share early lessons from the real-world deployment of an AI-native model in a large public hospital in Beijing, China.

dlvr.itInitial lessons from real-world implementation of an AI-agent eye clinic in China - Nature MedicineThe transition from AI-assisted tools to more integrated, AI-native models of care requires workflow integration, clinician engagement and measurable clinical value.

As clinical trial activity grows across Africa, strengthening ethics review and regulatory oversight is becoming increasingly important. A new Nature Medicine Correspondence shares lessons from the TRACE initiative. Read more:

dlvr.itStrengthening clinical trial ethics and regulatory oversight in Africa: lessons from the TRACE initiative - Nature MedicineAfrica bears nearly 25% of the global burden of disease yet conducts only 2% of the world’s clinical trials and receives less than 2% of global health research funding1. In 2022, the World Health Assembly issued Resolution 75.8, calling for stronger clinical trial quality, coordination, and accountability worldwide. Delivering on that call requires more than additional resources: it requires knowing which structural deficit to fix first. The TRACE initiative (Trial Regulation and Clinical Ethics Optimization)2, operating across Rwanda, Tanzania, Nigeria, Zimbabwe and Kenya in partnership with National Ethics Committees, Institutional Review Boards, and National Regulatory Authorities, offers an early answer. Across all five countries, the interventions producing the fastest, most measurable gains in trial readiness were not those that added technical capacity in isolation, but those that coordinated ethics and regulatory review into a single, parallel process. This is a preview of subscription content, access via your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value online-access subscription $32.99 / 30 days cancel any time Receive 12 print issues and online access $259.00 per year only $21.58 per issue Purchase on SpringerLink Instant access to the full article PDF. USD 39.95 Prices may be subject to local taxes which are calculated during checkout References World Economic Forum. Healthcare Access in Africa: the Role of Clinical Trials https://go.nature.com/4c93gEe (accessed 4 June 2026). TRACE Project. Trial Regulation and Clinical Ethics Optimization: Project Overview and Country Milestones https://traceclinicaltrialethics.com (accessed 4 June 2026). WHO. Global Action Plan for Clinical Trial Ecosystem Strengthening (2023). Download references Funding This work was supported, in whole or in part, by the Gates Foundation. The conclusions and opinions expressed in this work are those of the author(s) alone and shall not be attributed to the Foundation. Under the grant conditions of the Foundation, a Creative Commons Attribution 4.0 License has already been assigned to the Author Accepted Manuscript version that might arise from this submission. Author information Authors and Affiliations King Faisal Hospital Rwanda, Kigali, Rwanda Kara L. Neil Centre for Impact, Innovation and Capacity Building for Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda Jeanine Condo, Nathalie Umutoni, Ritah U. Mupende, Marie Angele Ikuzwe, Moise Ruhinda, Fantacy Twagira & Absolomon Gashaija National Institute for Medical Research (NIMR), Dodoma, Tanzania Obadia Kyetuza Bishoge Moi University/Moi Teaching and Referral Hospital Institutional Research and Ethics Committee, Eldoret, Kenya Peter Saula Medical Research Council of Zimbabwe (MRCZ), Harare, Zimbabwe Tendayi Kureya & Sithembile Ruzario Multi-Regional Clinical Trials Center of Brigham and Women’s Hospital and Harvard (MRCT Center), Boston, MA, USA Barbara E. Bierer, Willyanne DeCormier Plosky & Sarah A. White Barbara E. Bierer Kenya Medical Research Institute - Scientific and Ethics Review Unit (KEMRI-SERU), Nairobi, Kenya Enock Kebenei National Agency for Food and Drug Administration and Control (NAFDAC), Abuja, Nigeria Medicines Control Authority of Zimbabwe (MCAZ), Harare, Zimbabwe Priscilla P. M. Nyambayo Immunology Unit, Department of Laboratory, Diagnostic and Investigative Sciences, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe Rutendo B. L. Gutsire Rwanda Food and Drugs Authority (Rwanda FDA), Kigali, Rwanda Alphonse Ndayambaje Stella Ekallam, Elly Lefoll Kourany & David Mukanga Rwanda National Research Ethics Committee (RNEC), Kigali, Rwanda Vedaste Ndahindwa National Commission for Science, Technology and Innovation (NACOSTI), Nairobi, Kenya Teresia Nyawira Tanzania Medicines and Medical Devices Authority (TMDA), Dodoma, Tanzania Damas Matiko Consortia on behalf of The TRACE Author Group Kara L. Neil , Jeanine Condo , Obadia Kyetuza Bishoge , Peter Saula , Tendayi Kureya , Barbara E. Bierer , Willyanne DeCormier Plosky , Sarah A. White , Enock Kebenei , Beno Nyam Yakubu , Priscilla P. M. Nyambayo , Rutendo B. L. Gutsire , Sithembile Ruzario , Alphonse Ndayambaje , Nathalie Umutoni , Stella Ekallam , Ritah U. Mupende , Marie Angele Ikuzwe , Moise Ruhinda , Fantacy Twagira , Absolomon Gashaija , Vedaste Ndahindwa , Teresia Nyawira , Damas Matiko , Collins Mitambo , Elly Lefoll Kourany & David Mukanga Corresponding authors Correspondence to Kara L. Neil or Jeanine Condo. Ethics declarations Competing interests The authors have no competing interests to declare. Rights and permissions Reprints and permissions About this article Neil, K.L., Condo, J. & on behalf of The TRACE Author Group. Strengthening clinical trial ethics and regulatory oversight in Africa: lessons from the TRACE initiative. Nat Med (2026). https://doi.org/10.1038/s41591-026-04645-7

Japan has introduced a legally binding ban on heritable human genome editing. In a new Nature Medicine Correspondence, Tsutomu Sawai examines what the legislation achieves, and where its limits remain. Read more:

dlvr.itA binding ban, and its limits: Japan legislates on heritable human genome editing - Nature MedicineOn 17 July 2026, Japan enacted the Act on Regulation of Handling of Human Genome-Edited Embryos, etc., promulgated a week later as Act No. 70 of 2026 (ref. 1). The 2018 announcement of gene-edited births in China2 brought the issue to global attention. Some 70 countries prohibit heritable (germline) human genome editing outright, although scope and enforceability vary widely3. The prohibition itself is not novel; what matters is that Japan has replaced unenforceable guidance with binding, penalized law, closing a specific regulatory gap. At the same time, the new law exposes a broader limitation: a criminal ban that stops at national borders can be evaded simply by seeking the procedure elsewhere. Until now, the reproductive use of genome-edited human embryos in Japan was governed only by non-binding guidelines. Guidance issued in 2019 permitted basic research using genome editing on human embryos for reproductive-medicine purposes under defined conditions while disallowing their transfer to a uterus, but it carried no penalty4. The Act on Regulation of Human Cloning Techniques (2000) criminalized implanting human cloned embryos and certain other specified embryos, yet it did not extend to genome-edited embryos5. Nothing legally binding prevented someone in Japan from implanting one. This is a preview of subscription content, access via your institution Access options

A new class of medicines is coming of age. The approval of the first PROTAC for breast cancer demonstrated that drugs can be designed to bring proteins together, opening new opportunities to target disease. Read more:

dlvr.itInduced proximity comes of ageThe first approved PROTAC for breast cancer validated the idea that medicines can work by bringing proteins together rather than by simply blocking them. Now, a new generation of proximity-based therapies is pushing that principle further.