Novel Therapies for Glioblastoma

被引:58
作者
Liu, Elisa K. [1 ]
Sulman, Erik P. [2 ,3 ]
Wen, Patrick Y. [4 ]
Kurz, Sylvia C. [3 ,5 ]
机构
[1] NYU, Grossman Sch Med, New York, NY USA
[2] NYU, Dept Radiat Oncol, Grossman Sch Med, New York, NY USA
[3] NYU Langone Hlth, Laura & Isaac Perlmutter Canc Ctr, Brain & Spine Tumor Ctr, 240 E 38th St,19th Floor, New York, NY 10019 USA
[4] Dana Farber Canc Inst, Ctr Neurooncol, Boston, MA 02115 USA
[5] NYU, Dept Neurol, Grossman Sch Med, New York, NY 10016 USA
关键词
Glioblastoma; Checkpoint inhibitors; CAR T cells; PARP inhibitors; Radiosensitizers; Radiation; AND/OR TEMOZOLOMIDE TMZ; LONG-TERM SURVIVAL; PHASE-II TRIAL; DOUBLE-BLIND; RADIATION-THERAPY; BEAM THERAPY; T-CELLS; RADIOTHERAPY; INHIBITION; PROTON;
D O I
10.1007/s11910-020-01042-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of Review Glioblastoma (GBM) is the most common malignant primary brain tumor, and the available treatment options are limited. This article reviews the recent preclinical and clinical investigations that seek to expand the repertoire of effective medical and radiotherapy options for GBM. Recent Findings Recent phase III trials evaluating checkpoint inhibition did not result in significant survival benefit. Select vaccine strategies have yielded promising results in early phase clinical studies and warrant further validation. Various targeted therapies are being explored but have yet to see breakthrough results. In addition, novel radiotherapy approaches are in development to maximize safe dose delivery. A multitude of preclinical and clinical studies in GBM explore promising immunotherapies, targeted agents, and novel radiation modalities. Recent phase III trial failures have once more highlighted the profound tumor heterogeneity and diverse resistance mechanisms of glioblastoma. This calls for the development of biomarker-driven and personalized treatment approaches.
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页数:12
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