Table 2.
Emerging targeted therapies for glioma subtypes
Subtype | Markers | Median age (years) | Emerging targeted therapies |
---|---|---|---|
Mesenchymal Glioblastoma |
NF1 deletion NF-kappaB activation |
58 | Trametinib |
Classical glioblastoma | EGFR amplification | 56 |
Erlotinib EGFR vaccines Anti-EGFR antibody–drug conjugates |
Proneural/IDH mutant Glioblastoma |
IDH mutation G-CIMP phenotype |
52 |
IDH vaccine IDH inhibitors Glutaminase inhibitors Checkpoint inhibitors |
Midline gliomas | H3F3A K27M mutation | 5–11 | H3F3A K27M vaccine |
Proneural/RTK glioblastomas | PDGFRA amplification | Sunitinib | |
Epithelioid glioblastoma |
BRAF V600E ODZ3 deletion |
8 |
Dabrafenib Vemurafenib |
Pilocytic astrocytoma | BRAF fusion | 5-14 | Sorafenib |
Giant cell glioblastoma |
TP53 mutation POLE mutation |
44 | Immune checkpoint inhibitors |
Diffuse astrocytoma |
IDH mutation ATRX mutation TP53 mutation |
36 |
IDH vaccine IDH inhibitors |
Diffuse oligodendroglioma |
IDH mutation 1p19q deletion CIC or FUBP1 mutation |
35–44 |
IDH vaccine IDH inhibitors |
Preglioblastoma |
IDH wild type TERT promoter mutation |
Imetelstat | |
Pleomorphic xanthoastrocytoma | BRAF V600E mutation | 22 |
Dabrafenib Vemurafenib |
Gangliogliomas | BRAF V600E mutation | 9–25 |
Dabrafenib Vemurafenib |
EGFR = endothelial growth factor receptor; IDH = isocitrate dehydrogenase