Cancer stem cell assay-guided chemotherapy improves survival of patients with recurrent glioblastoma in a randomized trial.
Publication/Presentation Date
5-16-2023
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.
Volume
4
Issue
5
First Page
101025
Last Page
101025
ISSN
2666-3791
Published In/Presented At
Ranjan, T., Sengupta, S., Glantz, M. J., Green, R. M., Yu, A., Aregawi, D., Chaudhary, R., Chen, R., Zuccarello, M., Lu-Emerson, C., Moulding, H. D., Belman, N., Glass, J., Mammoser, A., Anderson, M., Valluri, J., Marko, N., Schroeder, J., Jubelirer, S., Chow, F., … Howard, C. M. (2023). Cancer stem cell assay-guided chemotherapy improves survival of patients with recurrent glioblastoma in a randomized trial. Cell reports. Medicine, 4(5), 101025. https://doi.org/10.1016/j.xcrm.2023.101025
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
37137304
Department(s)
Administration and Leadership
Document Type
Article