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Designing Next-Generation Local Drug Delivery Vehicles for Glioblastoma Adjuvant Chemotherapy: Lessons from the Clinic.

Accepted version
Peer-reviewed

Type

Article

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Authors

Tabet, Anthony 
Jensen, Melanie P 
Parkins, Christopher C 
Patil, Parag G 
Watts, Colin 

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.

Description

Keywords

adjuvant chemotherapy, glioblastoma, local drug delivery, soft biomaterials, Blood-Brain Barrier, Brain Neoplasms, Carmustine, Chemotherapy, Adjuvant, Drug Delivery Systems, Glioblastoma, Humans

Journal Title

Adv Healthc Mater

Conference Name

Journal ISSN

2192-2640
2192-2659

Volume Title

8

Publisher

Wiley
Sponsorship
EPSRC (1652502)
The Winston Churchill Foundation of the United States