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Tumor treating fields for the treatment of glioblastoma: Current understanding and future perspectives.
Colamaria, Antonio; Leone, Augusto; Fochi, Nicola Pio; Di Napoli, Veronica; Giordano, Guido; Landriscina, Matteo; Patel, Kashyap; Carbone, Francesco.
Afiliação
  • Colamaria A; Department of Neurosurgery, "Riuniti" Hospital, Foggia, Italy.
  • Leone A; Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
  • Fochi NP; Department of Neurosurgery, University of Foggia, Foggia, Italy.
  • Di Napoli V; Department of Neurosurgery, University of Foggia, Foggia, Italy.
  • Giordano G; Unit of Medical Oncology and Biomolecular Therapy, University of Foggia, Foggia, Italy.
  • Landriscina M; Unit of Medical Oncology and Biomolecular Therapy, University of Foggia, Foggia, Italy.
  • Patel K; Department of Neurosurgery, Baroda Medical College, Vadodara, Gujarat, India.
  • Carbone F; Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Surg Neurol Int ; 14: 394, 2023.
Article em En | MEDLINE | ID: mdl-38053701
ABSTRACT

Background:

This review focuses on the recently published evidence on tumor treating fields (TTFields) administered alone or in combination with locoregional and systemic options for treating glioblastoma (GBM) in the past ten years. The aim is to critically summarize the novelty and results obtained with this innovative tool, which is becoming part of the armamentarium of neurosurgeons and neuro-oncologists.

Methods:

A comprehensive search and analysis were conducted on pivotal studies published in the past ten years. Furthermore, all completed clinical trials, whose results were published on clinicaltrials.gov, were examined and included in the present review, encompassing both recurrent (r) and newly diagnosed (n) GBM. Finally, an additional examination of the ongoing clinical trials was also conducted.

Results:

Recent trials have shown promising results both in patients with nGBM and rGBM/progressive (rGBM), leading to Food and Drug Administration approval in selected patients and the Congress of Neurological Surgeons to include TTFields into current guidelines on the management of GBM (P100034/S001-029). Recently, different randomized trials have demonstrated promising results of TTFields in combination with standard treatment of n- and rGBM, especially when considering progression-free and overall survival, maintaining a low rate of mild to moderate adverse events.

Conclusion:

Optimal outcomes were obtained in nGBM and progressive disease. A possible future refinement of TTFields could significantly impact the treatment of rGBM and the actual standard of care for GBM, given the better safety profile and survival effects.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália