What next for newly diagnosed glioblastoma?
- PMID: 26558493
- PMCID: PMC4976851
- DOI: 10.2217/fon.15.258
What next for newly diagnosed glioblastoma?
Abstract
Glioblastoma is the most common primary brain tumor in adults. Despite current multimodality treatment including surgical resection and temozolomide-based chemoradiotherapy, median survival is only 14-16 months. Characterization of molecular alterations in glioblastoma has identified prognostic subgroups and therapeutic opportunities for clinical trials across glioblastoma subsets. Following a number of negative Phase III trials testing temozolomide dose intensification and angiogenesis inhibition, recent interim analysis data indicate survival prolongation with use of a device (Optune™) delivering alternating electrical field therapy in newly diagnosed glioblastoma patients. In this review, we present an overview of the data supporting the current standard of care and discuss novel experimental therapies in early and late phase clinical testing including devices, small molecule drugs, angiogenesis inhibitors, oncolytic virotherapy and immunotherapy.
Keywords: bevacizumab; glioblastoma; newly diagnosed; novo-TTF; radiation therapy; temozolomide.
Conflict of interest statement
Financial & competing interests disclosure This work was supported by NIH grants R01CA 154348 and P50CA 108961. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
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