Designing next-generation local drug delivery vehicles for glioblastoma adjuvant chemotherapy: lessons from the clinic

Research output: Contribution to journalReview articlepeer-review

Authors

  • Anthony Tabet
  • Melanie P. Jensen
  • Christopher C. Parkins
  • Parag G. Patil
  • Oren A. Scherman

Colleges, School and Institutes

Abstract

To date, the clinical outcomes and survival rates for patients with glioblastoma (GB) remain poor. A promising approach to disease-modification involves local delivery of adjuvant chemotherapy into the resection cavity, thus circumventing the restrictions imposed by the blood-brain barrier. The clinical performance of the only FDA-approved local therapy for GB [carmustine (BCNU)-loaded polyanhydride wafers], however, has been disappointing. There is an unmet medical need in the local treatment of GB for drug delivery vehicles that provide sustained local release of small molecules and combination drugs over several months. Herein, key quantitative lessons from the use of local and systemic adjuvant chemotherapy for GB in the clinic are outlined, and it is discussed how these can inform the development of next-generation therapies. Several recent approaches are highlighted, and it is proposed that long-lasting soft materials can capture the value of stiff BCNU-loaded wafers while addressing a number of unmet medical needs. Finally, it is suggested that improved communication between materials scientists, biomedical scientists, and clinicians may facilitate translation of these materials into the clinic and ultimately lead to improved clinical outcomes.

Details

Original languageEnglish
Article numbere1801391
Number of pages6
JournalAdvanced Healthcare Materials
Volume8
Issue number3
Early online date11 Jan 2019
Publication statusPublished - 7 Feb 2019

Keywords

  • adjuvant chemotherapy, glioblastoma, local drug delivery, soft biomaterials