Therapeutic analysis of in vitro and in vivo brain tumor models

J M Schuster1, H S Friedman, D D Bigner

  • 1Department of Pathology, Duke University Medical Center, Durham, North Carolina.

Neurologic Clinics
|May 1, 1991
PubMed

Insights

Brain tumor models show nitrosourea activity in patients with high-grade gliomas. Further research using human cell lines and xenografts identified new agents for clinical trials, aiming to improve disease-free survival.

Area of Science:

  • Neuro-oncology
  • Cancer Therapeutics
  • Preclinical Research

Background:

  • Nitrosoureas demonstrate consistent activity across various brain tumor models and in adult patients with high-grade gliomas.
  • Limitations in animal models for identifying novel therapeutic agents prompted research using human central nervous system (CNS) tumor-derived cell lines and xenografts.

Purpose of the Study:

  • To identify novel therapeutic agents for brain tumors beyond nitrosoureas.
  • To validate findings from human CNS tumor models in clinical trials.
  • To explore mechanisms of drug resistance in brain tumors.

Main Methods:

  • Utilizing human CNS tumor-derived cell lines and xenografts for drug screening.
  • Conducting preclinical therapeutic studies.
  • Initiating clinical phase II and phase III trials for promising agents.

Main Results:

  • Human CNS tumor models identified agents with demonstrated activity in phase II clinical trials for high-grade glioma and medulloblastoma.
  • Ongoing clinical phase III trials are evaluating the efficacy of these agents in improving disease-free survival.

Conclusions:

  • Human CNS tumor models are valuable for identifying clinically active agents against brain tumors.
  • Future research should focus on understanding and overcoming drug resistance mechanisms to improve patient outcomes.