Cerebrospinal fluid-administered therapies for leptomeningeal metastases from solid tumors.

ABSTRACT: Aims/purpose: Leptomeningeal metastases (LM) are associated with substantial morbidity and mortality. Several approaches are used to treat LM, including intrathecally administered therapies. We consolidated current studies exploring intrathecal therapies for LM treatment. Patients & methods: A review of clinical trials using intrathecal agents was conducted with outcomes tabulated and trends described. 48 trials met the inclusion criteria. Initial investigations began with cytotoxic agents; following this were formulations with longer cerebrospinal fluid half-lives, targeted antibodies and radionucleotides. Results & conclusion: Outcomes were not reported consistently. Survival, when reported, remained poor. Intrathecal therapies for LM remain a viable option. Their us

SUBMITTER: Baskaran AB 

PROVIDER: S-EPMC11835020 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature