Pająk Beata
Independent Laboratory of Genetics and Molecular Biology, Kaczkowski Military Institute of Hygiene and Epidemiology, Kozielska 4, 01-163 Warsaw, Poland.
Biomedicines. 2022 Apr 26;10(5):1001. doi: 10.3390/biomedicines10051001.
Glioblastoma multiforme (GBM) is the deadliest and the most heterogeneous brain cancer. The median survival time of GBM patients is approximately 8 to 15 months after initial diagnosis. GBM development is determined by numerous signaling pathways and is considered one of the most challenging and complicated-to-treat cancer types. Standard GBM therapy consist of surgery followed by radiotherapy or chemotherapy, and combined treatment. Current standard of care (SOC) does not offer a significant chance for GBM patients to combat cancer, and the selection of available drugs is limited. For almost 20 years, there has been only one drug, Temozolomide (TMZ), approved as a first-line GBM treatment. Due to the limited efficacy of TMZ and the high rate of resistant patients, the implementation of new chemotherapeutics is highly desired. However, due to the unique properties of GBM, many challenges still need to be overcome before reaching a 'breakthrough'. This review article describes the most recent compounds introduced into clinical trials as drug candidates for GBM chemotherapy.
多形性胶质母细胞瘤(GBM)是最致命且异质性最高的脑癌。GBM患者在初次诊断后的中位生存时间约为8至15个月。GBM的发展由众多信号通路决定,被认为是最具挑战性且最难治疗的癌症类型之一。标准的GBM治疗包括手术,随后进行放疗或化疗以及联合治疗。当前的标准治疗方案(SOC)并未给GBM患者提供对抗癌症的显著机会,且可用药物的选择有限。近20年来,仅有一种药物替莫唑胺(TMZ)被批准作为GBM的一线治疗药物。由于TMZ疗效有限且耐药患者比例高,因此迫切需要实施新的化疗药物。然而,由于GBM的独特性质,在实现“突破”之前仍有许多挑战需要克服。这篇综述文章描述了作为GBM化疗候选药物引入临床试验的最新化合物。