Publication details

DEVELOPMENT SAFETY UPDATE REPORT 2023 GLIOMET

Authors

DEMLOVÁ Regina NERUŠILOVÁ Kateřina

Year of publication 2023
Web GLIOMET
Description Compared to other oncological diagnoses, primary brain tumors are less common tumors with an incidence of 8/100,000 population. Unfortunately, the most aggressive ones, glioblastomas (GB), account for about half of all primary malignant brain tumors. Due to their biological behavior, these tumors are ranked among the most difficult-to-treat diseases and, therefore, represent a severe health problem despite the relatively low incidence. The current standard of care for GB is based on a multimodal approach combining the maximum possible and safe surgery, postoperative radiotherapy (RT), and chemotherapy (CHT) with the alkylating cytostatic temozolomide (TMZ). Clinical studies evaluating the role of modern targeted therapy and immunotherapy have not yet demonstrated a higher effectiveness of this treatment strategy, and the results of GB treatment have thus not fundamentally changed. The only small advance in the last 15 years is treatment using alternating electric fields emitted from electrodes taped to the scalp (Optune). The greater availability of this method is, however, limited by the enormously high price, patient motivation, and some debatable issues in the clinical studies performed.

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