1. Glioblastoma and the search for non-hypothesis driven combination therapeutics in academia
- Author
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Johanssen, T, McVeigh, L, Erridge, S, Higgins, G, Straehla, J, Frame, M, Aittokallio, T, Carragher, NO, Ebner, D, Helsinki Institute for Information Technology, Tero Aittokallio / Principal Investigator, Bioinformatics, Institute for Molecular Medicine Finland, University of Helsinki, Research Programs Unit, and Helsinki Institute of Life Science HiLIFE
- Subjects
Cancer Research ,Temozolamide ,glioblastoma stem cell ,Radiotherapy ,drug targer combination ,hypoxia ,high throughput screening (HTS) ,3122 Cancers ,glioblastoma ,radiothereapy ,Oncology ,temozolamide ,Glioblastoma stem cell ,Glioblastoma ,Hypoxia ,Drug target combination - Abstract
Glioblastoma (GBM) remains a cancer of high unmet clinical need. Currentstandard of care for GBM, consisting of maximal surgical resection, followed byionisation radiation (IR) plus concomitant and adjuvant temozolomide (TMZ),provides less than 15-month survival benefit. Efforts by conventional drugdiscovery to improve overall survival have failed to overcome challengespresented by inherent tumor heterogeneity, therapeutic resistance attributed toGBM stem cells, and tumor niches supporting self-renewal. In this review wedescribe the steps academic researchers are taking to address these limitations in high throughput screening programs to identify novel GBM combinatorial targets.We detail how they are implementing more physiologically relevant phenotypicassays which better recapitulate key areas of disease biology coupled with morefocussed libraries of small compounds, such as drug repurposing, target discovery, pharmacologically active and novel, more comprehensive anti-cancer targetannotated compound libraries. Herein, we discuss the rationale for current GBM combination trials and the need for more systematic and transparent strategies for identification, validation and prioritisation of combinations that lead to clinical trials. Finally, we make specific recommendations to the preclinical, small compound screening paradigm that could increase the likelihood of identifying tractable, combinatorial, small molecule inhibitors and better drug targets specific to GBM.
- Published
- 2023
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