Neurology Clinic, University of Heidelberg, Heidelberg, Germany.
Clinical Cooperation Unit (CCU) Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Clin Cancer Res. 2018 Jan 15;24(2):256-258. doi: 10.1158/1078-0432.CCR-17-2989. Epub 2017 Nov 13.
Glioblastoma has a gigantic unmet medical need. Molecular knowledge has evolved substantially, including data on clonal selection with progression. Past trials for all-comers may have produced false negative results. Molecular precision at progression needs workup of new tissue, and revisiting drugs with a focus on brain tumor penetration may yield surprises. .
胶质母细胞瘤存在巨大的未满足的医疗需求。分子知识已经有了很大的发展,包括关于克隆选择与进展的数据。过去针对所有患者的试验可能产生了假阴性结果。进展时的分子精准治疗需要对新组织进行检测,重新关注具有脑肿瘤穿透性的药物可能会带来惊喜。