Radiation therapy combined with intracerebral convection-enhanced delivery of cisplatin or carboplatin for treatment of the F98 rat glioma

2020 ◽  
Vol 149 (2) ◽  
pp. 193-208
Author(s):  
Hélène Elleaume ◽  
Rolf F. Barth ◽  
Julia Rousseau ◽  
Laure Bobyk ◽  
Jacques Balosso ◽  
...  
2017 ◽  
Vol Volume 12 ◽  
pp. 1385-1399 ◽  
Author(s):  
WG Singleton ◽  
AM Collins ◽  
AS Bienemann ◽  
CL Killick-Cole ◽  
HR Haynes ◽  
...  

Gene Therapy ◽  
2000 ◽  
Vol 7 (12) ◽  
pp. 993-999 ◽  
Author(s):  
DB Paul ◽  
RF Barth ◽  
W Yang ◽  
G-H Shen ◽  
J Kim ◽  
...  
Keyword(s):  

2021 ◽  
Author(s):  
Hideki Kashiwagi ◽  
Shinji Kawabata ◽  
Kohei Yoshimura ◽  
Yusuke Fukuo ◽  
Takuya Kanemitsu ◽  
...  

Abstract Boron neutron capture therapy (BNCT) is a biologically targeted, cell-selective particle irradiation therapy that utilizes the nuclear capture reaction of boron and neutron. Recently, accelerator neutron generators have been used in clinical settings, and expectations for developing new boron compounds are growing. In this study, we focused on serum albumin, a well-known drug delivery system, and developed maleimide-functionalized closo-dodecaborate albumin conjugate (MID-AC) as a boron carrying system for BNCT. Our biodistribution experiment involved F98 glioma-bearing rat brain tumor models systemically administered with MID-AC and demonstrated accumulation and long retention of boron. Our BNCT study with MID-AC observed statistically significant prolongation of the survival rate compared to the control groups, with results comparable to BNCT study with boronophenylalanine (BPA) which is the standard use of in clinical settings. Each median survival time was as follows: untreated control group; 24.5 days, neutron-irradiated control group; 24.5 days, neutron irradiation following 2.5 hours after termination of intravenous administration (i.v.) of BPA; 31.5 days, and neutron irradiation following 2.5 or 24 hours after termination of i.v. of MID-AC; 33.5 or 33.0 days, respectively. The biological effectiveness factor of MID-AC for F98 rat glioma was estimated based on these survival times and found to be higher to 12. This tendency was confirmed in BNCT 24 hours after MID-AC administration. MID-AC induces an efficient boron neutron capture reaction because the albumin contained in MID-AC is retained in the tumor and has a considerable potential to become an effective delivery system for BNCT in treating high-grade gliomas.


2016 ◽  
Vol 18 (suppl 3) ◽  
pp. iii142.4-iii143
Author(s):  
William G.B. Singleton ◽  
Alison S. Bienemann ◽  
Clare L. Killick-Cole ◽  
Andrew M. Collins ◽  
Harry R. Haynes ◽  
...  

2013 ◽  
Vol 11 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Richard C. E. Anderson ◽  
Benjamin Kennedy ◽  
Candix L. Yanes ◽  
James Garvin ◽  
Michael Needle ◽  
...  

Convection-enhanced delivery (CED) for the treatment of malignant gliomas is a technique that can deliver chemotherapeutic agents directly into the tumor and the surrounding interstitium through sustained, low-grade positive-pressure infusion. This allows for high local concentrations of drug within the tumor while minimizing systemic levels that often lead to dose-limiting toxicity. Diffuse intrinsic pontine gliomas (DIPGs) are universally fatal childhood tumors for which there is currently no effective treatment. In this report the authors describe CED of the topoisomerase inhibitor topotecan for the treatment of DIPG in 2 children. As part of a pilot feasibility study, the authors treated 2 pediatric patients with DIPG. Stereotactic biopsy with frozen section confirmation of glial tumor was followed by placement of bilateral catheters for CED of topotecan during the same procedure. The first patient underwent CED 210 days after initial diagnosis, after radiation therapy and at the time of tumor recurrence, with a total dose of 0.403 mg in 6.04 ml over 100 hours. Her Karnofsky Performance Status (KPS) score was 60 before CED and 50 posttreatment. Serial MRI initially demonstrated a modest reduction in tumor size and edema, but the tumor progressed and the patient died 49 days after treatment. The second patient was treated 24 days after the initial diagnosis prior to radiation with a total dose of 0.284 mg in 5.30 ml over 100 hours. Her KPS score was 70 before CED and 50 posttreatment. Serial MRI similarly demonstrated an initial modest reduction in tumor size. The patient subsequently underwent fractionated radiation therapy, but the tumor progressed and she died 120 days after treatment. Topotecan delivered by prolonged CED into the brainstem in children with DIPG is technically feasible. In both patients, high infusion rates (> 0.12 ml/hr) and high infusion volumes (> 2.8 ml) resulted in new neurological deficits and reduction in the KPS score, but lower infusion rates (< 0.04 ml/hr) were well tolerated. While serial MRI showed moderate treatment effect, CED did not prolong survival in these 2 patients. More studies are needed to improve patient selection and determine the optimal flow rates for CED of chemotherapeutic agents into DIPG to maximize safety and efficacy. Clinical trial registration no.: NCT00324844.


2015 ◽  
Vol 87 ◽  
pp. 157-168 ◽  
Author(s):  
Patricia Coutinho de Souza ◽  
Nataliya Smith ◽  
Oluwatomisin Atolagbe ◽  
Jadith Ziegler ◽  
Charity Njoku ◽  
...  

1996 ◽  
pp. 769-775 ◽  
Author(s):  
Rolf F. Barth ◽  
Joan H. Rotaru ◽  
Alfred E. Staubus ◽  
Albert H. Soloway ◽  
Melvin L. Moeschberger

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