CAR T-cell therapies in glioblastoma: a first look

D Migliorini, PY Dietrich, R Stupp, GP Linette… - Clinical Cancer …, 2018 - AACR
D Migliorini, PY Dietrich, R Stupp, GP Linette, AD Posey Jr, CH June
Clinical Cancer Research, 2018AACR
Glioblastoma is an aggressive malignancy with a poor prognosis. The current standard of
care for newly diagnosed glioblastoma patients includes surgery to the extent,
temozolomide combined with radiotherapy, and alternating electric fields therapy. After
recurrence, there is no standard therapy and survival is less than 9 months. Recurrent
glioblastoma offers a unique opportunity to investigate new treatment approaches in a
malignancy known for remarkable genetic heterogeneity, an immunosuppressive …
Abstract
Glioblastoma is an aggressive malignancy with a poor prognosis. The current standard of care for newly diagnosed glioblastoma patients includes surgery to the extent, temozolomide combined with radiotherapy, and alternating electric fields therapy. After recurrence, there is no standard therapy and survival is less than 9 months. Recurrent glioblastoma offers a unique opportunity to investigate new treatment approaches in a malignancy known for remarkable genetic heterogeneity, an immunosuppressive microenvironment, and a partially permissive anatomic blood–brain barrier. Results from three first-in-man chimeric antigen receptor (CAR) T-cell trials targeting IL13Rα2, Her2/CMV, and EGFRvIII have recently been reported. Each one of these trials addresses important questions, such as T-cell trafficking to CNS, engraftment and persistence, tumor microenvironment remodeling, and monitoring of glioma response to CAR T cells. Objective radiologic responses have been reported. Here, we discuss and summarize the results of these trials and suggest opportunities for the field. Clin Cancer Res; 24(3); 535–40. ©2017 AACR.
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