Pharmacotherapy of Glioblastoma: Established Treatments and Emerging Concepts

Enrico Franceschi1, Santino Minichillo1, Alba A Brandes2

  • 1Department of Medical Oncology, Bellaria-Maggiore Hospitals, Azienda USL-IRCCS Institute of Neurological Sciences, Via Altura 3, 40139, Bologna, Italy.

CNS Drugs
|July 7, 2017
PubMed

Insights

Glioblastoma, a common brain tumor, has poor survival rates. Novel targeted therapies and immunotherapies offer new hope for both newly diagnosed and recurrent cases, improving patient management.

Area of Science:

  • Neuro-oncology
  • Cancer Biology
  • Immunotherapy

Background:

  • Glioblastoma is the most common malignant brain tumor, presenting with aggressive characteristics and high recurrence rates.
  • Current standard treatments (surgery, radiation, temozolomide) offer limited long-term survival, with only 15-20% of patients surviving 5 years.
  • Advances in understanding glioblastoma's molecular pathology have paved the way for innovative therapeutic strategies.

Purpose of the Study:

  • To review recent advances in targeted therapies for glioblastoma.
  • To discuss the emerging role of immunotherapy in glioblastoma management.
  • To highlight improvements in clinical management strategies for glioblastoma patients.

Main Methods:

  • Literature review of recent studies on glioblastoma treatments.
  • Analysis of clinical trial data for novel targeted therapies and immunotherapies.
  • Synthesis of information on improved patient management protocols.

Main Results:

  • Novel targeted therapies are being developed for newly diagnosed and recurrent glioblastomas.
  • Immunotherapy shows promise with acceptable safety and tolerability in recurrent glioblastoma.
  • Clinical management, including supportive care and centralization, has seen significant improvements.

Conclusions:

  • Targeted therapies and immunotherapy represent promising avenues for glioblastoma treatment.
  • Further research and clinical trials are crucial to establish durable survival benefits.
  • Integrated approaches combining novel therapies with improved clinical management are essential for better patient outcomes.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.3K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.8K
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
49