The article notes Median OS for 232 patients with nGBM on DCVax = 19.3M from randomization (22.4M from surgery) vs 16.5M from controls; Survival at 48 M = 15.7% vs 9.9%; mOS at 60M, 13.0M vs 5.7%. Survival for 64 patients with rGBM =13.2M vs. 7.8 M, controls. At 24M, 20.7 vs 9.6%
At 30M, survival was 11.1 vs 5.1% (controls). The study is deemed important because: i) addition of DCVax to SOC resulted in clinically meaningful and statistically significant extension of survival compared to matched, contemporaneous, external controls receiving SOC alone.
ii) noteworthy tails of long-term survivors; iii) novel elements including: a) trial design with external matched controls; b) therapy based on the concept of provoking a broader, anti-tumor immune response than is available from conventional therapies of checkpoint blockade
Analysis reported independently by Amy A. Pruitt, MD, FAAN, William N. Kelley Professor of Neurology, University of Pennsylvania, an esteemed colleague, master clinician, an extraordinary educator, and a true pioneer in neuro-oncology. Kudos! #Neurology#Pennneurology
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An urgent unmet need in neuro-oncology is a quantitative, non-invasive biomarker that can track and quantitate the heterogeneous, infiltrative, peritumoral microenvironment. Excited by the elegant, AI-based report of DiCIPHR Lab & CBICA, now in @SciReports pubmed.ncbi.nlm.nih.gov/36653382/
Kudos to the authors, an interdisciplinary "Dream Team" from @PennRadiology, @PennNSG, engineering, informatics, working to advance the Penn Brain Tumor Center.
Different steps in the processing pipeline are illustrated in 3 key steps: i) Creation of a free water map and masks of tumor and edema, ii) the PMI map, and iii) extraction of locoregional hubs and AI-based biomarkers.