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  1. Article ; Online: Updated Response Assessment in Neuro-Oncology (RANO) for Gliomas.

    Youssef, Gilbert / Wen, Patrick Y

    Current neurology and neuroscience reports

    2024  Volume 24, Issue 2, Page(s) 17–25

    Abstract: Purpose of review: The response assessment in Neuro-Oncology (RANO) criteria and its versions were developed by expert opinion consensus to standardize response evaluation in glioma clinical trials. New patient-based data informed the development of ... ...

    Abstract Purpose of review: The response assessment in Neuro-Oncology (RANO) criteria and its versions were developed by expert opinion consensus to standardize response evaluation in glioma clinical trials. New patient-based data informed the development of updated response assessment criteria, RANO 2.0.
    Recent findings: In a recent study of patients with glioblastoma, the post-radiation brain MRI was a superior baseline MRI compared to the pretreatment MRI, and confirmation scans were only beneficial within the first 12 weeks of completion of radiation in newly diagnosed disease. Nonenhancing disease evaluation did not improve the correlation between progression-free survival and overall survival in newly diagnosed and recurrent settings. RANO 2.0 recommends a single common response criteria for high- and low-grade gliomas, regardless of the treatment modality being evaluated. It also provides guidance on the evaluation of nonenhancing tumors and tumors with both enhancing and nonenhancing components.
    MeSH term(s) Humans ; Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/therapy ; Glioma/diagnosis ; Glioma/therapy ; Magnetic Resonance Imaging ; Glioblastoma ; Neuroimaging
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057363-7
    ISSN 1534-6293 ; 1528-4042
    ISSN (online) 1534-6293
    ISSN 1528-4042
    DOI 10.1007/s11910-023-01329-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book: Brain tumors in adults

    Wen, Patrick Y.

    (Neurologic clinics ; 25,4)

    2007  

    Author's details guest ed. Patrick Y. Wen
    Series title Neurologic clinics ; 25,4
    Collection
    Language English
    Size XV S., S. 867 - 1258 : Ill., graph. Darst.
    Publisher Saunders
    Publishing place Philadelphia u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT015384676
    ISBN 1-4160-5195-3 ; 978-1-4160-5195-4
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Positron emission tomography imaging of drug concentrations in the brain.

    Wen, Patrick Y

    Neuro-oncology

    2021  Volume 23, Issue 4, Page(s) 537–538

    MeSH term(s) Ataxia Telangiectasia Mutated Proteins ; Brain/diagnostic imaging ; Humans ; Pharmaceutical Preparations ; Positron-Emission Tomography
    Chemical Substances Pharmaceutical Preparations ; ATM protein, human (EC 2.7.11.1) ; Ataxia Telangiectasia Mutated Proteins (EC 2.7.11.1)
    Language English
    Publishing date 2021-03-10
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2028601-6
    ISSN 1523-5866 ; 1522-8517
    ISSN (online) 1523-5866
    ISSN 1522-8517
    DOI 10.1093/neuonc/noab025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Neuro-oncology

    Rees, Jeremy H. / Wen, Patrick Y.

    (Blue books of neurology ; 36)

    2010  

    Author's details Jeremy H. Rees ; Patrick Y. Wen
    Series title Blue books of neurology ; 36
    Collection
    Keywords Brain Neoplasms
    Language English
    Size XIX, 461 S. : Ill., graph. Darst.
    Publisher Saunders Elsevier
    Publishing place Philadelphia, Pa
    Publishing country United States
    Document type Book
    HBZ-ID HT016425662
    ISBN 978-0-7506-7516-1 ; 0-7506-7516-0
    Database Catalogue ZB MED Medicine, Health

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  5. Book: Neurologic complications of cancer

    Wen, Patrick Y.

    (Neurologic clinics ; 21,1)

    2003  

    Author's details Patrick Y. Wen ..., guest ed
    Series title Neurologic clinics ; 21,1
    Collection
    Language English
    Size XIII, 361 S. : Ill., graph. Darst.
    Publisher Saunders
    Publishing place Philadelphia u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT013593837
    Database Catalogue ZB MED Medicine, Health

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  6. Article ; Online: Novel trial designs in neuro-oncology.

    Song, Kun-Wei / Wen, Patrick Y

    Current opinion in neurology

    2023  Volume 36, Issue 6, Page(s) 571–578

    Abstract: Purpose of review: An important factor contributing to the low rate of success in identifying effective therapies for brain tumor patients is the slow, inefficient, and expensive process of drug development, as well as small patient numbers, low patient ...

    Abstract Purpose of review: An important factor contributing to the low rate of success in identifying effective therapies for brain tumor patients is the slow, inefficient, and expensive process of drug development, as well as small patient numbers, low patient participation in clinical trials, and reluctance of patients to enroll in ineffective control arms. In recent years, a number of novel trial designs have been developed to try to address some of these issues.
    Recent findings: Surgical 'window-of-opportunity' trials that evaluate tumor drug concentrations and pharmacodynamic effects provide invaluable early data early guiding the development of novel therapies. Basket and bucket trials facilitate the development of therapies that target specific biomarkers subsets. Platform trials utilizing Bayesian adaptive randomization and shared control arms such as the INSIGhT and GBM-AGILE trials increase the efficiency and cost-effectiveness of developing novel therapies. There is also growing interest in leveraging external control arms with patient level data to evaluate efficacy in single arm trials, and facilitate interim analysis and potentially reduce the number of control patients in randomized trials.
    Summary: These novel designs will hopefully reduce the inefficiencies of developing novel therapies in neuro-oncology and facilitate the identification of more effective therapies for brain tumor patients.
    MeSH term(s) Humans ; Bayes Theorem ; Biomarkers ; Brain Neoplasms/therapy ; Clinical Trials as Topic
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-09-28
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 1182686-1
    ISSN 1473-6551 ; 1350-7540
    ISSN (online) 1473-6551
    ISSN 1350-7540
    DOI 10.1097/WCO.0000000000001210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Advanced molecular diagnostic tools: A step closer to precision medicine in neuro-oncology.

    Aquilanti, Elisa / Wen, Patrick Y

    Neuro-oncology

    2023  Volume 25, Issue 10, Page(s) 1750–1751

    MeSH term(s) Humans ; Precision Medicine ; Pathology, Molecular ; Neoplasms/diagnosis ; Neoplasms/genetics ; Medical Oncology ; Glioma
    Language English
    Publishing date 2023-07-11
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 2028601-6
    ISSN 1523-5866 ; 1522-8517
    ISSN (online) 1523-5866
    ISSN 1522-8517
    DOI 10.1093/neuonc/noad132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Molecular Profiling and Targeted Therapies in Gliomas.

    Felistia, Yuli / Wen, Patrick Y

    Current neurology and neuroscience reports

    2023  Volume 23, Issue 10, Page(s) 627–636

    Abstract: Purpose of review: Molecular profiling enables the evaluation of genetic alterations for the diagnosis and classification of gliomas and the selection of appropriate therapies. This review summarizes the current role of molecular profiling and targeted ... ...

    Abstract Purpose of review: Molecular profiling enables the evaluation of genetic alterations for the diagnosis and classification of gliomas and the selection of appropriate therapies. This review summarizes the current role of molecular profiling and targeted therapies for gliomas.
    Recent findings: Molecular profiling is an integral part of the 2021 WHO classification of gliomas. Progress in the development of targeted therapies remains limited due to many factors including the presence of the blood-brain barrier and issues of tumor heterogeneity. Nonetheless, advances have been made with the IDH1/2 inhibitor vorasidenib for IDH-mutant grade 2 gliomas, the combination of dabrafenib and trametinib for BRAFV600E mutated gliomas, and the therapies for subsets of patients with fusions and H3K27M-altered diffuse midline gliomas. While there has been progress in the use of molecular profiling for the classification and treatment of gliomas, much work remains for targeted therapies to realize their potential.
    MeSH term(s) Humans ; Brain Neoplasms/drug therapy ; Brain Neoplasms/genetics ; Brain Neoplasms/diagnosis ; Glioma/drug therapy ; Glioma/genetics ; Mutation/genetics ; Isocitrate Dehydrogenase/genetics
    Chemical Substances Isocitrate Dehydrogenase (EC 1.1.1.41)
    Language English
    Publishing date 2023-10-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057363-7
    ISSN 1534-6293 ; 1528-4042
    ISSN (online) 1534-6293
    ISSN 1528-4042
    DOI 10.1007/s11910-023-01299-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Current therapeutic options for glioblastoma and future perspectives.

    Aquilanti, Elisa / Wen, Patrick Y

    Expert opinion on pharmacotherapy

    2022  Volume 23, Issue 14, Page(s) 1629–1640

    Abstract: Introduction: Glioblastoma is a malignant primary brain tumor that affects approximately 250,000 new patients per year worldwide. It is among the most difficult cancers to treat, and 5-year survival rates remain low. Standard therapies for glioblastoma ... ...

    Abstract Introduction: Glioblastoma is a malignant primary brain tumor that affects approximately 250,000 new patients per year worldwide. It is among the most difficult cancers to treat, and 5-year survival rates remain low. Standard therapies for glioblastoma include surgical resection, radiation therapy and systemic chemotherapy.
    Areas covered: We conducted a search of the literature on therapeutic options for glioblastoma on Pubmed. We also searched abstracts from the American Society of Clinical Oncology, Society for Neuro-Oncology, European Association of Neuro-Oncology and American Association for Cancer Research. We also searched the U.S. National Library of Medicine clinical trials database. We discuss therapeutic options for newly diagnosed glioblastoma, mainly temozolomide, lomustine and tumor treating fields (TTF). Lastly, we discuss therapeutics for recurrent glioblastomas and agents under investigation in clinical trials.
    Expert opinion: Enrollment in clinical trials is encouraged for both newly diagnosed and recurrent glioblastoma patients. The standard post-operative treatment for newly diagnosed glioblastoma patients is a combination of radiotherapy and temozolomide. TTF devices can be used in conjunction with temozolomide. Available standard therapies for recurrent glioblastoma include nitrosureas, bevacizumab and temozolomide rechallenge, as well as TTF devices. Agents that are being evaluated in clinical trials include novel targeted therapies, novel chemotherapies, and immunotherapies.
    MeSH term(s) Humans ; Glioblastoma/drug therapy ; Temozolomide/therapeutic use ; Bevacizumab/therapeutic use ; Neoplasm Recurrence, Local/drug therapy ; Brain Neoplasms/drug therapy ; Lomustine/therapeutic use ; Combined Modality Therapy ; Antineoplastic Agents, Alkylating/therapeutic use
    Chemical Substances Temozolomide (YF1K15M17Y) ; Bevacizumab (2S9ZZM9Q9V) ; Lomustine (7BRF0Z81KG) ; Antineoplastic Agents, Alkylating
    Language English
    Publishing date 2022-09-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2001535-5
    ISSN 1744-7666 ; 1465-6566
    ISSN (online) 1744-7666
    ISSN 1465-6566
    DOI 10.1080/14656566.2022.2125302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Molecular Profiling in Neuro-Oncology: Where We Are, Where We're Heading, and How We Ensure Everyone Can Come Along.

    Porter, Alyx B / Wen, Patrick Y / Polley, Mei-Yin C

    American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

    2023  Volume 43, Page(s) e389322

    Abstract: Advances in molecular profiling have led to improved understanding of glioma heterogeneity. Results have been used to inform diagnostic classification and targeted treatment strategies. Validation of these tests is necessary in the development of ... ...

    Abstract Advances in molecular profiling have led to improved understanding of glioma heterogeneity. Results have been used to inform diagnostic classification and targeted treatment strategies. Validation of these tests is necessary in the development of biomarkers that can aid in treatment decision, allowing for personalized medicine in neuro-oncologic diseases. Although not all populations have benefitted equally from awareness of and access to testing, opportunities arise regarding incorporating this testing into the standard of care for patients with glioma.
    MeSH term(s) Humans ; Glioma/diagnosis ; Glioma/genetics ; Glioma/therapy ; Precision Medicine/methods ; Internal Medicine
    Language English
    Publishing date 2023-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2431126-1
    ISSN 1548-8756 ; 1548-8748
    ISSN (online) 1548-8756
    ISSN 1548-8748
    DOI 10.1200/EDBK_389322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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