Idea votes and adoptions
1,107 ideas, each with a hypothesis and a test that could confirm or kill it. Two signals sit on top: interest (thumbs-up on the idea's discussion thread) and uptake (a trial, programme, funder or paper that picked it up, with a source). Neither is an endorsement; both tell funders and researchers where attention is.
Most wanted
No vote snapshot has been published yet. Votes are read weekly from GitHub Discussions by scripts/fetch-votes.ts into public/votes.json; until the first run, this table is empty. You can still vote: see how voting works.
Adopted
Ideas that someone outside OnCo has picked up, each with the source that shows it: a trial registration, a programme page, a funding announcement, a publication or a policy document. Recorded in src/data/adoptions.ts; nothing is inferred.
Waiting for a vote
The forty most connected ideas with no thread yet. Start one to open the vote; the first thumbs-up is yours.
- A permanently funded international network for randomised cancer surgery trialsEarly clinical · 22 connectionsDiscussstart a thread
- Core-funded radiotherapy trials infrastructure with central quality assuranceBeing tested at scale · 21 connectionsDiscussstart a thread
- Regional translational institutes with academic GMP suites and IND teamsEarly clinical · 21 connectionsDiscussstart a thread
- A dietitian in every gastrointestinal and head and neck tumour boardEarly clinical · 20 connectionsDiscussstart a thread
- GLP-1 receptor agonists as adjuvant weight-loss therapy in HR-positive breast cancerSpeculative · 20 connectionsDiscussstart a thread
- Payload-class switching as the rule for ADC sequencingPreclinical evidence · 20 connectionsDiscussstart a thread
- Link bariatric and GLP-1 registries to cancer registries in every country that has bothEarly clinical · 19 connectionsDiscussstart a thread
- Patient-level multimodal foundation models for treatment selectionPreclinical evidence · 19 connectionsDiscussstart a thread
- Capture diet, fibre and antibiotic exposure in every immunotherapy pivotal trialSpeculative · 18 connectionsDiscussstart a thread
- Confirm or refute the harm of antioxidant supplements during chemotherapyEarly clinical · 18 connectionsDiscussstart a thread
- Structured exercise prescribed like a drug in all curative-intent cancer careBeing tested at scale · 18 connectionsDiscussstart a thread
- A neutral platform trial for radiotherapy plus immunotherapy combinationsEarly clinical · 17 connectionsDiscussstart a thread
- Burden-matched funding for trials led in low- and middle-income countriesSpeculative · 17 connectionsDiscussstart a thread
- Develop drugs in children first when the target is a children's targetSpeculative · 17 connectionsDiscussstart a thread
- Group trials by broken mechanism, not by organ or single mutationEarly clinical · 17 connectionsDiscussstart a thread
- Mandatory staged registries for new surgical techniques before wide adoptionEarly clinical · 17 connectionsDiscussstart a thread
- Use pre-surgery immunotherapy windows as the field's biomarker engineBeing tested at scale · 17 connectionsDiscussstart a thread
- A non-profit pharmaceutical company for the cancers markets ignoreSpeculative · 16 connectionsDiscussstart a thread
- A ring-fenced metastasis programme with metastasis-specific endpointsSpeculative · 16 connectionsDiscussstart a thread
- A university cyclotron network with shared regulatory files for new tracersEarly clinical · 16 connectionsDiscussstart a thread
- An open-science consortium on the undruggable drivers, open until a candidateEarly clinical · 16 connectionsDiscussstart a thread
- Coverage-with-evidence registries for MR-guided and adaptive radiotherapyBeing tested at scale · 16 connectionsDiscussstart a thread
- Evaluate alcohol minimum unit pricing against cancer incidenceBeing tested at scale · 16 connectionsDiscussstart a thread
- Hospital-based CAR-T manufacturing at cost through a public networkEarly clinical · 16 connectionsDiscussstart a thread
- TROP2 PET to choose and sequence TROP2 ADCsEarly clinical · 16 connectionsDiscussstart a thread
- A dose-finding trial for exercise after cancerEarly clinical · 15 connectionsDiscussstart a thread
- A funded programme of organ-preservation trials to avoid radical surgeryBeing tested at scale · 15 connectionsDiscussstart a thread
- A single oncology trial data trust with mandatory deposit within eighteen monthsEarly clinical · 15 connectionsDiscussstart a thread
- AI quantification of HER2-low and HER2-ultralowEarly clinical · 15 connectionsDiscussstart a thread
- Burden-weighted portfolio targets for every major cancer funderSpeculative · 15 connectionsDiscussstart a thread
- Check whether a tumour can still show itself to the immune systemPreclinical evidence · 15 connectionsDiscussstart a thread
- Every tumour genomic report machine-readable and deposited nationallyEarly clinical · 15 connectionsDiscussstart a thread
- Living guidelines published as versioned, computable rulesEarly clinical · 15 connectionsDiscussstart a thread
- Molecular-progression switching beyond ESR1Early clinical · 15 connectionsDiscussstart a thread
- Oncolytic viruses that make interleukin-12 only inside the tumourEarly clinical · 15 connectionsDiscussstart a thread
- One definitive ketogenic diet trial in glioblastoma, then stopEarly clinical · 15 connectionsDiscussstart a thread
- Payers fund trials of cheaper, shorter or lower-dose versions of expensive treatmentsEarly clinical · 15 connectionsDiscussstart a thread
- Pooled coverage-with-evidence for proton therapy across all centresBeing tested at scale · 15 connectionsDiscussstart a thread
- Pre-surgery platform trials that test combinations on pathological response in monthsBeing tested at scale · 15 connectionsDiscussstart a thread
- Sequential multiple-assignment randomised trials to find the best order of ADCsSpeculative · 15 connectionsDiscussstart a thread
All ideas, filterable by maturity, actor and cost: /ideas/.
How voting works
- Every idea has a Discuss link on its page. It searches the Objects category for a thread on that id; if there is none, start a thread opens the discussion form with the id filled in.
- Vote with a thumbs-up on the thread's first post. Comments count separately, as a signal of debate rather than support. A free GitHub account is all it takes.
- Once a week
scripts/fetch-votes.tsreads reactions and comment counts for every thread in the category, matches the id in the title, and writespublic/votes.json. This page is rebuilt from that file. - Votes do not change a record. Changes to an idea (its hypothesis, test, maturity) still go through Suggest an edit with a source.
Example: threads on idea-payload-switching, or start one.