Clinical Effects of Immuno-Oncology Therapy on Glioblastoma Patients: A Systematic Review

Author:

Najafi Masoumeh1,Jahanbakhshi Amin2ORCID,Finocchi Ghersi Sebastiano3,Giaccherini Lucia4,Botti Andrea5ORCID,Cavallieri Francesco6,Rossi Jessica67,Iori Federico4ORCID,Iotti Cinzia4,Ciammella Patrizia4,Nabiuni Mohsen8,Gomar Marzieh9,Rezaie Omid10,Cozzi Salvatore411

Affiliation:

1. Skull Base Research Center, Iran University of Medical Sciences, Tehran 1997667665, Iran

2. Stem Cell and Regenerative Medicine Research Center, Iran University of Medical Sciences, Tehran 1997667665, Iran

3. Radiation Oncolgy Unit, AOU Sant’Andrea, Facoltà di Medicina e Psicologia, Università La Sapienza, 00185 Rome, Italy

4. Radiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy

5. Medical Physics Unit, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy

6. Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy

7. Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41125 Modena, Italy

8. Department of Neurosurgery, Iran Univesity of Medical Sciences, Tehran 1997667665, Iran

9. Radiation Oncology Research Center, Iran Cancer Institute, Tehran University of Medical Sciences, Tehran 1416753955, Iran

10. Hematology-Oncology Department, Jam Hospital, Tehran 1997667665, Iran

11. Radiation Oncology Deptartement, Centre Léon Bérard, 69373 Lyon, France

Abstract

The most prevalent and deadly primary malignant glioma in adults is glioblastoma (GBM), which has a median survival time of about 15 months. Despite the standard of care for glioblastoma, which includes gross total resection, high-dose radiation, and temozolomide chemotherapy, this tumor is still one of the most aggressive and difficult to treat. So, it is critical to find more potent therapies that can help glioblastoma patients have better clinical outcomes. Additionally, the prognosis for recurring malignant gliomas is poor, necessitating the need for innovative therapeutics. Immunotherapy is a rather new treatment for glioblastoma and its effects are not well studied when it is combined with standard chemoradiation therapy. We conducted this study to evaluate different glioblastoma immunotherapy approaches in terms of feasibility, efficacy, and safety. We conducted a computer-assisted literature search of electronic databases for essays that are unique, involve either prospective or retrospective research, and are entirely written and published in English. We examined both observational data and randomized clinical trials. Eighteen studies met the criteria for inclusion. In conclusion, combining immunotherapy with radiochemotherapy and tumor removal is generally possible and safe, and rather effective in the prolongation of survival measures.

Funder

the Italian Ministry of Health—Ricerca Corrente, Annual Program 2023

Publisher

MDPI AG

Subject

General Neuroscience

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