Medicine | Oncology
CNS
Tumors | Gliomas
Diffuse midline gliomas
Treatment


Home > Disciplines > Medicine > Oncology > CNS Tumors > Gliomas > DMG > Treatment


CONTENTS



TREATMENT OPTIONS
OVERVIEW
ELECTRIC FIELDS
NIMOTUZUMAB
PERSONALIZED TREATMENT
PROTEIN KINASE INHIBITORS
RADIATION THERAPY



Laboratory investigations


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El-Khouly FE, van Vuurden DG, Stroink T, Hulleman E, Kaspers GJL, Hendrikse NH, Veldhuijzen van Zanten SEM.
Effective Drug Delivery in Diffuse Intrinsic Pontine Glioma: A Theoretical Model to Identify Potential Candidates.
Front Oncol. 2017 Oct 30;7:254. doi: 10.3389/fonc.2017.00254. eCollection 2017.
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Hashizume R.
Epigenetic Targeted Therapy for Diffuse Intrinsic Pontine Glioma.
Neurol Med Chir (Tokyo). 2017 Jun 7. doi: 10.2176/nmc.ra.2017-0018. [Epub ahead of print]
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PALBOCICLIB


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Sun Y, Sun Y, Yan K, Li Z, Xu C, Geng Y, Pan C, Chen X, Zhang L, Xi Q.
Potent anti-tumor efficacy of palbociclib in treatment-naïve H3.3K27M-mutant diffuse intrinsic pontine glioma.
EBioMedicine. 2019 May;43:171-179. doi: 10.1016/j.ebiom.2019.04.043. Epub 2019 May 3.
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Clinical investigations




MULTIMODAL TREATMENT


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Massimino M, Biassoni V, Miceli R, Schiavello E, Warmuth-Metz M, Modena P, Casanova M, Pecori E, Giangaspero F, Antonelli M, Buttarelli FR, Potepan P, Pollo B, Nunziata R, Spreafico F, Podda M, Anichini A, Clerici CA, Sardi I, De Cecco L, Bode U, Bach F, Gandola L.
Correction to: Results of nimotuzumab and vinorelbine, radiation and re-irradiation for diffuse pontine glioma in childhood.
J Neurooncol. 2018 May 16. doi: 10.1007/s11060-018-2893-6. [Epub ahead of print]
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Massimino M, Biassoni V, Miceli R, Schiavello E, Warmuth-Metz M, Modena P, Casanova M, Pecori E, Giangaspero F, Antonelli M, Buttarelli FR, Potepan P, Pollo B, Nunziata R, Spreafico F, Podda M, Anichini A, Clerici CA, Sardi I, De Cecco L, Bode U, Bach F, Gandola L.
Results of nimotuzumab and vinorelbine, radiation and re-irradiation for diffuse pontine glioma in childhood.
J Neurooncol. 2014 Jun;118(2):305-312. doi: 10.1007/s11060-014-1428-z. Epub 2014 Apr 3. Erratum in: J Neurooncol. 2018 May 16;
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BEVACIZUMAB



Moriya S, Ohba S, Adachi K, Nishiyama Y, Hayashi T, Nagahisa S, Kaito T, Nakae S, Hirose Y.
A retrospective study of bevacizumab for treatment of brainstem glioma with malignant features.
J Clin Neurosci. 2017 Oct 16. pii: S0967-5868(17)31445-5. doi: 10.1016/j.jocn.2017.10.002. [Epub ahead of print]
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CHEMOTHERAPY



Kilburn LB, Kocak M, Baxter P, Poussaint TY, Paulino AC, McIntyre C, Lemenuel-Diot A, Lopez-Diaz C, Kun L, Chintagumpala M, Su JM, Broniscer A, Baker JN, Hwang EI, Fouladi M, Boyett JM, Blaney SM.
A pediatric brain tumor consortium phase II trial of capecitabine rapidly disintegrating tablets with concomitant radiation therapy in children with newly diagnosed diffuse intrinsic pontine gliomas.
Pediatr Blood Cancer. 2017 Nov 1. doi: 10.1002/pbc.26832. [Epub ahead of print]
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Sewing AC, Lagerweij T, van Vuurden DG, Meel MH, Veringa SJ, Carcaboso AM, Gaillard PJ, Peter Vandertop W, Wesseling P, Noske D, Kaspers GJ, Hulleman E.
Preclinical evaluation of convection-enhanced delivery of liposomal doxorubicin to treat pediatric diffuse intrinsic pontine glioma and thalamic high-grade glioma.
J Neurosurg Pediatr. 2017 Feb 17:1-13. doi: 10.3171/2016.9.PEDS16152. [Epub ahead of print]
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van Zanten SEMV, El-Khouly FE, Jansen MHA, Bakker DP, Aliaga ES, Haasbeek CJA, Wolf NI, Zwaan CM, Vandertop WP, van Vuurden DG, Kaspers GJL.
Correction to: A phase I/II study of gemcitabine during radiotherapy in children with newly diagnosed diffuse intrinsic pontine glioma.
J Neurooncol. 2017 Oct 23. doi: 10.1007/s11060-017-2636-0. [Epub ahead of print]
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Veldhuijzen van Zanten SEM, El-Khouly FE, Jansen MHA, Bakker DP, Sanchez Aliaga E, Haasbeek CJA, Wolf NI, Zwaan CM, Vandertop WP, van Vuurden DG, Kaspers GJL.
A phase I/II study of gemcitabine during radiotherapy in children with newly diagnosed diffuse intrinsic pontine glioma.
J Neurooncol. 2017 Jul 26. doi: 10.1007/s11060-017-2575-9. [Epub ahead of print]
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CONVECTION-ENHANCED DELIVERY


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Himes BT, Zhang L, Daniels DJ.
Treatment Strategies in Diffuse Midline Gliomas With the H3K27M Mutation: The Role of Convection-Enhanced Delivery in Overcoming Anatomic Challenges.
Front Oncol. 2019 Feb 8;9:31. doi: 10.3389/fonc.2019.00031. eCollection 2019.
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Souweidane MM, Kramer K, Pandit-Taskar N, Zhou Z, Haque S, Zanzonico P, Carrasquillo JA, Lyashchenko SK, Thakur SB, Donzelli M, Turner RS, Lewis JS, Cheung NV, Larson SM, Dunkel IJ.
Convection-enhanced delivery for diffuse intrinsic pontine glioma: a single-centre, dose-escalation, phase 1 trial.
Lancet Oncol. 2018 Jun 15. pii: S1470-2045(18)30322-X. doi: 10.1016/S1470-2045(18)30322-X. [Epub ahead of print]
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van Vuurden DG.
Convection-enhanced delivery: chemosurgery in diffuse intrinsic pontine glioma.
Lancet Oncol. 2018 Jun 15. pii: S1470-2045(18)30408-X. doi: 10.1016/S1470-2045(18)30408-X. [Epub ahead of print]
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IMMUNOTHERAPY



Tejada S, Alonso M, Patiño A, Fueyo J, Gomez-Manzano C, Diez-Valle R.
Phase I Trial of DNX-2401 for Diffuse Intrinsic Pontine Glioma Newly Diagnosed in Pediatric Patients.
Neurosurgery. 2017 Oct 27. doi: 10.1093/neuros/nyx507. [Epub ahead of print]
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INHIBITORS




PDGFRA INHIBITOR+ C-MET INHIBITOR


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Broniscer A, Jia S, Mandrell B, Hamideh D, Huang J, Onar-Thomas A, Gajjar A, Raimondi SC, Tatevossian RG, Stewart CF.
Phase 1 trial, pharmacokinetics, and pharmacodynamics of dasatinib combined with crizotinib in children with recurrent or progressive high-grade and diffuse intrinsic pontine glioma.
Pediatr Blood Cancer. 2018 Mar 7. doi: 10.1002/pbc.27035. [Epub ahead of print]
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RADIOTHERAPY



Freese C, Takiar V, Fouladi M, DeWire M, Breneman J, Pater L.
Radiation and subsequent reirradiation outcomes in the treatment of diffuse intrinsic pontine glioma and a systematic review of the reirradiation literature.
Pract Radiat Oncol. 2017 Mar - Apr;7(2):86-92. doi: 10.1016/j.prro.2016.11.005. Epub 2016 Nov 23.
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Janssens GO, Gandola L, Bolle S, Mandeville H, Ramos-Albiac M, van Beek K, Benghiat H, Hoeben B, Morales La Madrid A, Kortmann RD, Hargrave D, Menten J, Pecori E, Biassoni V, von Bueren AO, van Vuurden DG, Massimino M, Sturm D, Peters M, Kramm CM.
Survival benefit for patients with diffuse intrinsic pontine glioma (DIPG) undergoing re-irradiation at first progression: A matched-cohort analysis on behalf of the SIOP-E-HGG/DIPG working group.
Eur J Cancer. 2017 Mar;73:38-47. doi: 10.1016/j.ejca.2016.12.007. Epub 2017 Feb 3.
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Lassaletta A, Strother D, Laperriere N, Hukin J, Vanan MI, Goddard K, Lafay-Cousin L, Johnston DL, Zelcer S, Zapotocky M, Rajagopal R, Ramaswamy V, Hawkins C, Tabori U, Huang A, Bartels U, Bouffet E.
Reirradiation in patients with diffuse intrinsic pontine gliomas: The Canadian experience.
Pediatr Blood Cancer. 2018 Jan 25. doi: 10.1002/pbc.26988. [Epub ahead of print]
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Morales La Madrid A, Santa-María V, Cruz Martinez O, Mora J, Puerta Roldan P, Guillen Quesada A, Suñol Capella M, de Torres Gomez-Pallete C, Lassaletta A, Laperriere N, Villà S, Bouffet E.
Second re-irradiation for DIPG progression, re-considering "old strategies" with new approaches.
Childs Nerv Syst. 2017 Mar 1. doi: 10.1007/s00381-017-3352-y. [Epub ahead of print]

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Tinkle CL, Orr BA, Lucas JT Jr, Klimo P, Patay Z, Baker SJ, Broniscer A, Qaddoumi I.
Rapid and fulminant leptomeningeal spread following radiotherapy in diffuse intrinsic pontine glioma.
Pediatr Blood Cancer. 2017 Jan 13. doi: 10.1002/pbc.26416. [Epub ahead of print]
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Wang ZJ, Ge Y, Altinok D, Poulik J, Sood S, Taub JW, Edwards H, Kieran MW, Steven M.
Concomitant Use of Panobinostat and Reirradiation in Progressive DIPG: Report of 2 Cases.
J Pediatr Hematol Oncol. 2017 Feb 23. doi: 10.1097/MPH.0000000000000806. [Epub ahead of print]
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REIRRADIATION


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Amsbaugh MJ, Mahajan A, Thall PF, McAleer MF, Paulino AC, Grosshans D, Khatua S, Ketonen L, Fontanilla H, McGovern SL.
A Phase 1/2 Trial of Reirradiation for Diffuse Intrinsic Pontine Glioma.
Int J Radiat Oncol Biol Phys. 2019 Jan 2. pii: S0360-3016(18)34225-1. doi: 10.1016/j.ijrobp.2018.12.043. [Epub ahead of print]
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RADIOCHEMOTHERAPY



Seidel C, von Bueren AO, Bojko S, Hoffmann M, Pietsch T, Gielen GH, Warmuth-Metz M, Bison B, Kortmann RD, Kramm CM.
Concurrent radiotherapy with temozolomide vs. concurrent radiotherapy with a cisplatinum-based polychemotherapy regimen : Acute toxicity in pediatric high-grade glioma patients.
Strahlenther Onkol. 2017 Oct 11. doi: 10.1007/s00066-017-1218-6. [Epub ahead of print]
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SURGERY


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Fernandes Cabral DT, Zenonos GA, Nuñez M, Celtikci P, Snyderman C, Wang E, Gardner PA, Fernandez-Miranda JC.
Endoscopic Endonasal Transclival Approach for Resection of a Pontine Glioma: Surgical Planning, Surgical Anatomy, and Technique.
Oper Neurosurg (Hagerstown). 2018 Mar 12. doi: 10.1093/ons/opy005. [Epub ahead of print]
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Guida L, Roux FE, Massimino M, Marras CE, Sganzerla E, Giussani C.
Safety and efficacy of Endoscopic Third Ventriculostomy in Diffuse Intrinsic Pontine Glioma related hydrocephalus: a Systematic Review.
World Neurosurg. 2018 Dec 30. pii: S1878-8750(18)32919-X. doi: 10.1016/j.wneu.2018.12.096. [Epub ahead of print]
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