Document Type
Article
Publication Date
5-2-2023
Abstract
Therapy-resistant cancer stem cells (CSCs) contribute to the poor clinical outcomes of patients with recurrent glioblastoma (rGBM) who fail standard of care (SOC) therapy. ChemoID is a clinically validated assay for identifying CSC-targeted cytotoxic therapies in solid tumors.
In a randomized clinical trial (NCT03632135), the ChemoID assay, a personalized approach for selecting the most effective treatment from FDA-approved chemotherapies, improves the survival of patients with rGBM (2016 WHO classification) over physician-chosen chemotherapy. In the ChemoID assay-guided group, median survival is 12.5 months (95% confidence interval [CI], 10.2-14.7) compared with 9 months (95% CI, 4.2-13.8) in the physician-choice group (p = 0.010) as per interim efficacy analysis. The ChemoID assay-guided group has a significantly lower risk of death (hazard ratio [HR] = 0.44; 95% CI, 0.24-0.81; p = 0.008). Results of this study offer a promising way to provide more affordable treatment for patients with rGBM in lower socioeconomic groups in the US and around the world.
Recommended Citation
Ranjan, Tulika; Sengupta, Soma; Glantz, Michael J.; Green, Richard M.; Yu, Alexander; Aregawi, Dawit; Chaudhary, Rekha; Chen, Ricky; Zuccarello, Mario; Lu-Emerson, Christine; Moulding, Hugh D.; Belman, Neil; Glass, Jon; Mammoser, Aaron; Anderson, Mark; Valluri, Jagan; Marko, Nicholas; Schroeder, Jason; Jubelirer, Steven; Chow, Frances; Claudio, Pier Paolo; Alberico, Anthony M.; Lirette, Seth T.; Denning, Krista L.; and Howard, Candace M., "Cancer Stem Cell Assay-Guided Chemotherapy Improves Survival of Patients With Recurrent Glioblastoma in a Randomized Trial" (2023). Department of Neurosurgery Faculty Papers. Paper 204.
https://jdc.jefferson.edu/neurosurgeryfp/204
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
37137304
Language
English
Comments
This article is the author's final published version in Cell Reports Medicine, Volume 4, Issue 5, 16 May 2023, Article number 101025.
The published version is available at https://doi.org/10.1016/j.xcrm.2023.101025. Copyright © 2023 The Authors.