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Convection-enhanced delivery for glioblastoma: targeted delivery of antitumor therapeutics

    Timothy H Ung

    *Author for correspondence:

    E-mail Address: TU2142@columbia.edu

    Department of Neurological Surgery, Columbia University Medical Center, New York, NY 10032, USA

    ,
    Hani Malone

    Department of Neurological Surgery, Columbia University Medical Center, New York, NY 10032, USA

    ,
    Peter Canoll

    Department of Pathology & Cellular Biology, Columbia University Medical Center, New York, NY 10032, USA

    &
    Jeffrey N Bruce

    Department of Neurological Surgery, Columbia University Medical Center, New York, NY 10032, USA

    Published Online:https://doi.org/10.2217/cns.15.12

    SUMMARY 

    Glioblastoma is the most common primary brain tumor in adults and carries a dismal prognosis despite advancements in treatment. Diffuse tumor infiltration precludes curative surgical resection and necessitates advancements in drug delivery mechanisms. Convection-enhanced delivery (CED) enables continuous local drug delivery for a diverse population of antitumor agents. Importantly, CED circumvents therapeutic challenges posed by the blood–brain barrier by facilitating concentrated local therapeutic drug delivery with limited systemic effects. Here, we present a concise review of properties essential for safe and efficient convection-enhanced drug delivery, as well as a focused review of clinical studies evaluating CED in the treatment of glioblastoma.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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