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Cited by 417

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Chemotherapy Delivery Issues in Central Nervous System Malignancy: A Reality Check

Muldoon, Leslie L., Soussain, Carole, Jahnke, Kristoph, Johanson, Conrad, Siegal, Tali, Smith, Quentin R., Hall, Walter A., Hynynen, Kullervo, Senter, Peter D., Peereboom, David M., Neuwelt, Edward A.·2007·Journal of Clinical Oncology

Abstract

Purpose: This review assesses the current state of knowledge regarding preclinical and clinical pharmacology for brain tumor chemotherapy and evaluates relevant brain tumor pharmacology studies before October 2006. Results: Chemotherapeutic regimens in brain tumor therapy have often emerged from empirical clinical studies with retrospective pharmacologic explanations, rather than prospective trials of rational chemotherapeutic approaches. Brain tumors are largely composed of CNS metastases of systemic cancers. Primary brain tumors, such as glioblastoma multiforme or primary CNS lymphomas, are less common. Few of these tumors have well-defined optimal treatment. Brain tumors are protected from systemic chemotherapy by the blood-brain barrier (BBB) and by intrinsic properties of the tumors. Pharmacologic studies of delivery of conventional chemotherapeutics and novel therapeutics showing actual tumor concentrations and biologic effect are lacking. Conclusion: In this article, we review drug delivery across the BBB, as well as blood-tumor and –cerebrospinal fluid (CSF) barriers, and mechanisms to increase drug delivery to CNS and CSF tumors. Because of the difficulty in treating CNS tumors, innovative treatments and alternative delivery techniques involving brain/cord capillaries, choroid plexus, and CSF are needed.

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Crossref · 10.1200/jco.2006.09.9861

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Metadata

Authors
Muldoon, L. L., Soussain, C., Jahnke, K., Johanson, C., Siegal, T., Smith, Q. R., Hall, W. A., Hynynen, K., Senter, P. D., Peereboom, D. M., & Neuwelt, E. A.
Venue
Journal of Clinical Oncology
Published
2007-06-01
Volume
25
Issue
16
Pages
2295-2305
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2018992636
Cited by
417
References
1
FWCI
14.21
Type
journal article
Language
en
Open access
closed

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