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The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma
Published on: April 16, 2019
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.
Abstract:
Glioblastoma is the most frequent malignant brain tumor and is characterized by poor prognosis, increased invasiveness, and high recurrence rates. Standard treatment for glioblastoma includes maximal safe surgical resection, radiation, and chemotherapy with temozolomide. Despite treatment advances, only 15-20% of glioblastoma patients survive to 5 years, and no therapies have demonstrated a durable survival benefit in recurrent disease. In the last 10 years, significant advances in knowledge of the biology and molecular pathology of the malignancy have opened the way to new treatment options. Clinical management of patients (pseudo-progressions, side effects of therapies, best supportive care, centralization in expertise care centers) has improved. In brain tumors, such as in other solid tumors, we have entered an era of immune-oncology. Immunotherapy seems to have an acceptable safety and tolerability profile in the recurrent setting and is under investigation in clinical trials in newly diagnosed glioblastoma patients. This review focuses on novel targeted therapies recently developed for the management of newly diagnosed and recurrent glioblastomas.
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.
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