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Intratumoral temozolomide in spontaneous canine gliomas: feasibility of a novel therapy using implanted
Jill Hicks1, Simon Platt1, Georgina Stewart1
1Veterinary Teaching Hospital, University of Georgia, Athens, Georgia, USA.
Abstract:
Entotherapy an image-guided drug-eluting microcylinder platform, has the potential to bypass the limitations of systemic chemotherapy use in the treatment of canine brain tumours. Gliomas, which are common in dogs and also represent the majority of fatal brain tumours in humans, can be amenable to chemotherapy with temozolomide. Biopolymer microcylinders conjugated with temozolomide and gadolinium were implanted into partially resected tumours of four client-owned dogs with gliomas. All four dogs presented with generalized seizures and had mild to no neurologic deficits at the time of craniotomy. All dogs underwent craniotomy for implantation of the microcylinders into partially resected gliomas (glioblastoma multiforme {n = 1} or oligodendroglioma {n = 3}). All dogs recovered well from the craniotomy and implantation procedure. This novel procedure appears to be feasible and tolerated in tumour-bearing dogs. A future controlled clinical study can now aim to evaluate the microcylinder implantation for long-term efficacy.
Insights
Entotherapy, a novel image-guided drug delivery system, shows promise for treating canine brain tumors. This microcylinder platform using temozolomide appears feasible and well-tolerated in dogs with gliomas.
Area of Science:
- Veterinary Medicine
- Oncology
- Biomaterials Science
Background:
- Canine brain tumors, particularly gliomas, are a significant clinical challenge with limited treatment options.
- Systemic chemotherapy for brain tumors faces limitations due to drug delivery and toxicity.
- Temozolomide is a chemotherapy agent with potential efficacy against gliomas in both dogs and humans.
Purpose of the Study:
- To evaluate the feasibility and tolerability of entotherapy, an image-guided drug-eluting microcylinder platform, for treating canine gliomas.
- To assess the safety and preliminary outcomes of implanting temozolomide-conjugated microcylinders into partially resected canine gliomas.
Main Methods:
- Four client-owned dogs with gliomas underwent craniotomy for the implantation of biopolymer microcylinders.
- Microcylinders were conjugated with temozolomide and gadolinium for image guidance and drug delivery.
- Dogs had gliomas including glioblastoma multiforme (n=1) and oligodendroglioma (n=3).
Main Results:
- All dogs recovered well from the craniotomy and microcylinder implantation procedure.
- The novel entotherapy procedure was found to be feasible and well-tolerated in tumor-bearing dogs.
- No significant neurological deficits were noted post-procedure.
Conclusions:
- Entotherapy represents a potentially viable new approach for localized chemotherapy delivery in canine brain tumors.
- The feasibility and tolerability demonstrated warrant further investigation in controlled clinical studies.
- This image-guided drug-eluting microcylinder platform may offer an alternative to systemic chemotherapy for canine gliomas.
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