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Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
Glioblastoma Treatments: An Account of Recent Industrial Developments
1Institut de Minéralogie, de Physique des Matériaux et de Cosmochimie, UMR 7590 CNRS, Sorbonne Universités, UPMC, University Paris 06, Paris, France.
Abstract:
The different drugs and medical devices, which are commercialized or under industrial development for glioblastoma treatment, are reviewed. Their different modes of action are analyzed with a distinction being made between the effects of radiation, the targeting of specific parts of glioma cells, and immunotherapy. Most of them are still at a too early stage of development to firmly conclude about their efficacy. Optune, which triggers antitumor activity by blocking the mitosis of glioma cells under the application of an alternating electric field, seems to be the only recently developed therapy with some efficacy reported on a large number of GBM patients. The need for early GBM diagnosis is emphasized since it could enable the treatment of GBM tumors of small sizes, possibly easier to eradicate than larger tumors. Ways to improve clinical protocols by strengthening preclinical studies using of a broader range of different animal and tumor models are also underlined. Issues related with efficient drug delivery and crossing of blood brain barrier are discussed. Finally societal and economic aspects are described with a presentation of the orphan drug status that can accelerate the development of GBM therapies, patents protecting various GBM treatments, the different actors tackling GBM disease, the cost of GBM treatments, GBM market figures, and a financial analysis of the different companies involved in the development of GBM therapies.
Insights
Glioblastoma treatment research is ongoing, with Optune showing promise. Early diagnosis and improved preclinical studies are crucial for developing effective glioblastoma therapies.
Area of Science:
- Neuro-oncology
- Medical Devices
- Pharmacology
Background:
- Glioblastoma remains a challenging brain cancer with limited treatment options.
- Current therapeutic strategies include radiation, targeted therapy, and immunotherapy, with varying success rates.
Purpose of the Study:
- To review current and developing glioblastoma treatments.
- To analyze treatment mechanisms, efficacy, and challenges.
- To discuss societal and economic factors influencing glioblastoma therapy development.
Main Methods:
- Literature review of commercialized and investigational glioblastoma drugs and devices.
- Analysis of treatment modalities: radiation, cellular targeting, immunotherapy, and electrical fields.
- Examination of preclinical study improvements, drug delivery, and blood-brain barrier penetration.
- Review of economic and societal aspects, including orphan drug status and market analysis.
Main Results:
- Most investigational glioblastoma therapies are in early development stages.
- Optune, utilizing alternating electric fields to inhibit mitosis, shows reported efficacy in a significant patient cohort.
- Early glioblastoma diagnosis is critical for potentially improving treatment outcomes.
- Enhanced preclinical models and improved drug delivery are needed.
Conclusions:
- Further research and development are essential for effective glioblastoma treatment.
- Optune represents a notable recent advancement in glioblastoma therapy.
- Addressing drug delivery and blood-brain barrier challenges is paramount.
- Societal and economic factors significantly impact the development and accessibility of glioblastoma treatments.
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