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Bastiancich, Chiara; Malfanti, Alessio; Préat, Véronique; Rahman, Ruman
Rationally designed drug delivery systems for the local treatment of resected glioblastoma Journal Article
In: Adv. Drug Deliv. Rev., vol. 177, no. 113951, pp. 113951, 2021.
Abstract | Tags: Brain cancer, Controlled drug delivery, Glioblastoma, Hydrogels, Local drug delivery, Nanomedicine
@article{Bastiancich2021-ob,
title = {Rationally designed drug delivery systems for the local
treatment of resected glioblastoma},
author = {Chiara Bastiancich and Alessio Malfanti and V\'{e}ronique Pr\'{e}at and Ruman Rahman},
year = {2021},
date = {2021-10-01},
journal = {Adv. Drug Deliv. Rev.},
volume = {177},
number = {113951},
pages = {113951},
publisher = {Elsevier BV},
abstract = {Glioblastoma (GBM) is a particularly aggressive brain cancer
associated with high recurrence and poor prognosis. The standard
of care, surgical resection followed by concomitant radio- and
chemotherapy, leads to low survival rates. The local delivery of
active agents within the tumor resection cavity has emerged as
an attractive means to initiate oncological treatment
immediately post-surgery. This complementary approach bypasses
the blood-brain barrier, increases the local concentration at
the tumor site while reducing or avoiding systemic side effects.
This review will provide a global overview on the local
treatment for GBM with an emphasis on the lessons learned from
past clinical trials. The main parameters to be considered to
rationally design fit-of-purpose biomaterials and develop drug
delivery systems for local administration in the GBM resection
cavity to prevent the tumor recurrence will be described. The
intracavitary local treatment of GBM should i) use materials
that facilitate translation to the clinic; ii) be characterized
by easy GMP effective scaling up and easy-handling application
by the neurosurgeons; iii) be adaptable to fill the
tumor-resected niche, mold to the resection cavity or adhere to
the exposed brain parenchyma; iv) be biocompatible and possess
mechanical properties compatible with the brain; v) deliver a
therapeutic dose of rationally-designed or repurposed drug
compound(s) into the GBM infiltrative margin. Proof of concept
with high translational potential will be provided. Finally,
future perspectives to facilitate the clinical translation of
the local perisurgical treatment of GBM will be discussed.},
keywords = {Brain cancer, Controlled drug delivery, Glioblastoma, Hydrogels, Local drug delivery, Nanomedicine},
pubstate = {published},
tppubtype = {article}
}
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