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Updated: May 27, 2026

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
End points for Phase II trials in recurrent glioblastoma: the cornerstone for a new era
Enrico Franceschi1, Raffaele Agati, Alba A Brandes
1Department of Medical Oncology, Bellaria-Maggiore Hospital, Bologna, Italy.
Abstract:
In recent years, novel approaches have been developed in medical oncology, and antiangiogenic treatments have had a role in the treatment of colorectal, renal and breast cancers. The role of these agents in brain tumors is, however, controversial, since these drugs may induce modifications in neuroradiological patterns without even affecting the real tumor burden. Moreover, despite the intriguing results in terms of progression-free survival and response rate obtained with these agents, data about survival are superimposable with historical controls. Thus, there is a need for solid end points to evaluate the role of these agents in Phase II trials in the field of neuro-oncology.
Insights
Antiangiogenic treatments show promise in some cancers but their effectiveness in brain tumors remains controversial due to unclear survival benefits and misleading imaging results. Further research is needed for neuro-oncology trials.
Area of Science:
- Medical oncology
- Neuro-oncology
- Cancer research
Background:
- Antiangiogenic treatments have advanced cancer care in colorectal, renal, and breast cancers.
- Their application in brain tumors is debated due to ambiguous neuroradiological changes and lack of survival improvement.
Purpose of the Study:
- To address the controversy surrounding antiangiogenic agents in neuro-oncology.
- To highlight the need for robust endpoints in evaluating these treatments for brain tumors.
Main Methods:
- Review of current literature on antiangiogenic treatments in brain tumors.
- Analysis of progression-free survival and response rate data.
- Comparison with historical survival data.
Main Results:
- Antiangiogenic drugs can alter brain tumor imaging without impacting actual tumor burden.
- While progression-free survival and response rates may improve, overall survival data are comparable to historical controls.
Conclusions:
- The role of antiangiogenic therapies in brain tumors requires further investigation.
- Development of reliable endpoints is crucial for future Phase II neuro-oncology trials evaluating these agents.
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