Journal Article (Review Article)

DKFZ-2025-00008

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png The role of vorasidenib in the treatment of isocitrate dehydrogenase-mutant glioma.

de la Fuente, M. I. ; Touat, M. ; van den Bent, M. J. ; Preusser, M. ; Peters, K. B. ; Young, R. J. ; Huang, R. Y. ; Ellingson, B. M. ; Capper, D.DKFZ* ; Phillips, J. J. ; Halasz, L. M. ; Shih, H. A. ; Rudà, R. ; Lim-Fat, M. J. ; Blumenthal, D. T. ; Weller, M. ; Arakawa, Y. ; Whittle, J. R. ; Ducray, F. ; Reardon, D. A. ; Bi, W. L. ; Minniti, G. ; Rahman, R. ; Hervey-Jumper, S. ; Chang, S. M. ; Wen, P. Y.

2025
Oxford Univ. Press Oxford

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Please use a persistent id in citations: doi:10.1093/neuonc/noae259

Abstract: Isocitrate dehydrogenase (IDH)-mutant gliomas are the most common malignant primary brain tumors in young adults. This condition imposes a substantial burden on patients and their caregivers, marked by neurocognitive deficits and high mortality rates due to tumor progression, coupled with significant morbidity from current treatment modalities. Although surgery, radiation therapy, and chemotherapy improve survival, these treatments can adversely affect cognitive function, quality of life, finances, employment status, and overall independence. Consequently, there is an urgent need for innovative strategies that delay progression and the use of radiation therapy and chemotherapy. The recent Federal Drug Administration (FDA) approval of vorasidenib, a brain-penetrant small molecule targeting mutant IDH1/2 proteins, heralds a shift in the therapeutic landscape for IDH-mutant gliomas. In this review, we address the role of vorasidenib in the treatment of IDH-mutant gliomas, providing a roadmap for its incorporation into daily practice. We discuss ongoing clinical trials with vorasidenib and other IDH inhibitors, as single-agent or in combination with other therapies, as well as current challenges and future directions.

Keyword(s): 1p-19q co-deleted oligodendroglioma | glioma | IDH-mutant astrocytoma | IDH-mutant | isocitrate dehydrogenase (IDH) | vorasidenib

Note: Volume 27, Issue 5, May 2025, Pages 1135–1148

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Contributing Institute(s):

1. DKTK Koordinierungsstelle Berlin (BE01)

Research Program(s):

1. 899 - ohne Topic (POF4-899) (POF4-899)

Appears in the scientific report 2024

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Database coverage:
; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Essential Science Indicators ; IF >= 15 ; JCR ; Nationallizenz ; PubMed Central ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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