机构:[1]Univ Texas MD Anderson Canc Ctr, Dept Neurosurg, Houston, TX 77030 USA;[2]Univ Texas MD Anderson Canc Ctr, Div Pediat, Houston, TX 77030 USA;[3]Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA USA;[4]Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA;[5]Univ Calif Los Angeles, Dept Neurooncol, Los Angeles, CA USA;[6]Arizona State Univ, Scottsdale, AZ USA;[7]Univ Sydney, Sydney, NSW 2006, Australia;[8]Natl Fdn Canc Res, Bethesda, MD USA;[9]Asian Fund Canc Res, Hong Kong, Hong Kong, Peoples R China;[10]Capital Med Univ, Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China;重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[11]Henry Ford Hlth Syst, Dept Neurosurg, Detroit, MI USA;[12]Univ Texas MD Anderson Canc Ctr, Dept Neurooncol, Houston, TX 77030 USA;[13]Weill Cornell Med Coll, Div Neurooncol, New York, NY USA;[14]Harvard Med Sch, Dept Syst Biol, Boston, MA USA;[15]Mem Sloan Kettering Canc Ctr, Dept Neurol, 1275 York Ave, New York, NY 10021 USA;[16]Mem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, 1275 York Ave, New York, NY 10021 USA;[17]Univ Florida, Dept Neurosurg, Gainesville, FL USA
Background: Emerging immunotherapeutic strategies for the treatment of glioblastoma (GBM) such as dendritic cell (DC) vaccines, heat shock proteins, peptide vaccines, and adoptive T-cell therapeutics, to name a few, have transitioned from the bench to clinical trials. With upcoming strategies and developing therapeutics, it is challenging to critically evaluate the practical, clinical potential of individual approaches and to advise patients on the most promising clinical trials. Methods: The authors propose a system to prioritize such therapies in an organized and data-driven fashion. This schema is based on four categories of factors: antigenic target robustness, immune-activation and -effector responses, preclinical vetting, and early evidence of clinical response. Each of these categories is subdivided to focus on the most salient elements for developing a successful immunotherapeutic approach for GBM, and a numerical score is generated. Results: The Score Card reveals therapeutics that have the most robust data to support their use, provides a reference prioritization score, and can be applied in a reiterative fashion with emerging data. Conclusions: The authors hope that this schema will give physicians an evidence-based and rational framework to make the best referral decisions to better guide and serve this patient population.
基金:
Dr Marnie Rose Foundation; Ben and Catherine Ivy Foundation; University of Texas at MD Anderson Cancer Center GBM Moonshot Program; National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [CA1208113, P50 CA127001, P30 CA016672]