Intratumoral chemotherapy

Kevin A. Walter, Rafael J. Tamargo, Alessandro Olivi, Peter C. Burger, Henry Brem

Research output: Contribution to journalReview articlepeer-review

Abstract

IN AN EFFORT to improve survival from malignant gliomas, investigators have used intratumoral chemotherapy protocols to deliver high doses of tumoricidal agents directly to the brain. Theoretically, these infusions bypass the blood-brain barrier, minimize systemic drug levels and the side effects of chemotherapy, and achieve prolonged elevations of intracerebral chemotherapeutic agents relative to those obtainable by systemic administration. Almost all major classes of chemotherapeutic agents have been examined as possible intratumoral therapies via delivery approaches ranging from simple intratumoral injections to implantable computer-driven constant infusion pumps and biodegradable polymer matrices. In this review, we summarize the major clinical trials and experimental investigations underlying the development of intratumoral chemotherapy as a treatment for gliomas.

Original languageEnglish (US)
Pages (from-to)1129-1145
Number of pages17
JournalNeurosurgery
Volume37
Issue number6
DOIs
StatePublished - Dec 1995

Keywords

  • Brain neoplasms
  • Chemotherapy
  • Controlled release
  • Drug delivery devices
  • Intratumoral injections
  • Polymers

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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