A brave new framework for glioma drug development

Kelly M. Hotchkiss, Philipp Karschnia, Karisa C. Schreck, Marjolein Geurts, Timothy F. Cloughesy, Jason Huse, Elizabeth S. Duke, Justin Lathia, David M. Ashley, Edjah K. Nduom, Georgina Long, Kirit Singh, Anthony Chalmers, Manmeet S. Ahluwalia, Amy Heimberger, Stephen Bagley, Tomoki Todo, Roel Verhaak, Patrick D. Kelly, Shawn Hervey-JumperJohn de Groot, Anoop Patel, Peter Fecci, Ian Parney, Victoria Wykes, Colin Watts, Terry C. Burns, Nader Sanai, Matthias Preusser, Joerg Christian Tonn, Katharine J. Drummond, Michael Platten, Sunit Das, Kirk Tanner, Michael A. Vogelbaum, Michael Weller, James R. Whittle, Mitchel S. Berger, Mustafa Khasraw*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

3 Citations (Scopus)

Abstract

Patients with brain tumours are motivated to participate in clinical trials involving repeat tissue sampling. Normalising the use of neoadjuvant and staged surgical trials necessitates collaboration among patients, regulatory agencies, and researchers. Initial and repetitive tissue sampling plays a crucial role in enhancing our understanding of resistance mechanisms and vulnerabilities in brain tumour therapy. Standardising biopsy techniques and ensuring technical uniformity across institutions are vital for effective interinstitutional collaboration. Although liquid biopsy technologies hold promise, they are not yet ready to replace tissue analysis. Clear communication about the risks and benefits of biopsies is essential, particularly regarding potential postoperative deficits. Changes in mindset and neurosurgical culture are imperative to achieve much needed breakthroughs in the development of new, effective therapies for brain tumours.

Original languageEnglish
Pages (from-to)e512-e519
JournalThe Lancet Oncology
Volume25
Issue number10
DOIs
Publication statusPublished - Oct 2024

Bibliographical note

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© 2024 Elsevier Ltd

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