Personalizing Oncolytic Virotherapy for Glioblastoma: In Search of Biomarkers for Response

Eftychia Stavrakaki1, Clemens M F Dirven1, Martine L M Lamfers1

  • 1Department of Neurosurgery, Brain Tumor Center, Erasmus University Medical Center, 3015 CN Rotterdam, The Netherlands.

Cancers
|February 9, 2021
PubMed

Insights

Personalized oncolytic virus (OV) therapy shows promise for glioblastoma (GBM) treatment. Identifying biomarkers and using ex vivo assays may improve patient selection for OV trials and enhance clinical responses.

Area of Science:

  • Neuro-oncology
  • Virology
  • Immunology

Background:

  • Oncolytic viruses (OVs) represent a potential novel therapeutic strategy for glioblastoma (GBM), an aggressive brain tumor.
  • Clinical trials have demonstrated promising long-term responses in some GBM patients treated with OVs.
  • However, low response rates are a significant challenge, attributed to tumor heterogeneity and the immunosuppressive tumor microenvironment.

Purpose of the Study:

  • To review potential biomarkers for predicting response to OV therapy in GBM.
  • To discuss emerging ex vivo assays for selecting optimal OVs for individual patients.
  • To explore the design of stratified clinical trials for OV treatment in GBM.

Main Methods:

  • Literature review of current research on OV therapy for glioblastoma.
  • Analysis of potential predictive biomarkers for OV response.
  • Evaluation of ex vivo assays for personalized OV selection.

Main Results:

  • Tumor and patient-specific characteristics may serve as biomarkers for OV response.
  • Ex vivo assays show potential for guiding OV selection and treatment strategies.
  • Stratified clinical trials are crucial for optimizing OV therapy in GBM.

Conclusions:

  • Personalized approaches, including biomarker identification and ex vivo assays, are essential for improving OV efficacy in GBM.
  • Tailoring OV selection based on individual patient and tumor profiles can enhance treatment outcomes.
  • Future research should focus on developing and validating these personalized strategies for clinical application in GBM treatment.

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