Key Clinical Principles in the Management of Glioblastoma

Author:

Kotecha Rupesh12ORCID,Odia Yazmin23ORCID,Khosla Atulya A.4ORCID,Ahluwalia Manmeet S.24ORCID

Affiliation:

1. Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL

2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL

3. Division of Neuro-Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL

4. Department of Medical Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL

Abstract

Glioblastoma is the most common and aggressive primary brain tumor in the adult population and leads to considerable morbidity and mortality. It has a dismal prognosis with average survival of 15-18 months, and the current standard-of-care treatment paradigm includes maximal surgical resection and postoperative concurrent chemoradiotherapy and maintenance chemotherapy, with consideration of Tumor Treating Fields. There is a major emphasis to enroll patients onto ongoing clinical trials to further improve treatment outcomes, given the aggressive nature of the disease course and poor patient survival. Recent research efforts have focused on radiotherapy dose intensification, regulation of the tumor microenvironment, and exploration of immunotherapeutic approaches to overcome the barriers to treatment. This review article outlines the current evidence-based management principles as well as reviews recent clinical trial data and ongoing clinical studies evaluating novel therapeutic options.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Oncology (nursing),Health Policy,Oncology

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