What is the translational efficacy of chemotherapeutic drug research in neuro-oncology? a systematic review and meta-analysis of the efficacy of bcnu and ccnu in animal models of glioma
admin Abstract
Introduction The travel continuance of empiric therapeutic neuroscience investigate to clinical training is highly variable. This has
been specially substantially demonstrated in the earth of neuroprotective agents mass either nous trauma or stroke. In this
think we appraise the effectualness of systemic BCNU and CCNU in empiric glioma models and how the empiric accumulation has translated
into clinical practice. Methods A systematised analyse of the effectualness of BCNU and CCNU, against empiric placental and murine in vivo glioma models was conducted.
Selected articles were hierarchal on a 15 saucer bit for technological methodology. A foliate meta-analysis supported on median-survival
accumulation and gist sizes was performed to create global-efficacy estimates for BCNU and CCNU, and to display ‘weighted-mean
effect-sizes’ for individualist sub-categories of designated study-characteristics. Results Fourteen writing mitigated see criteria and encompassed 231 communication comparisons in 2256 animals. The norm methodology
reason was 9 (range 7–12/15). Global-efficacy estimates were BCNU 0.194 (95% CI −0.538 to 0.927) and CCNU 0.432 (95% CI −0.392
to 1.256), with CCNU existence significantly more trenchant than BCNU. Because of these panoramic certainty intervals a beneficial
or harmful gist of either businessperson could not be confirmed. Most designated study-design characteristics (e.g. glioma cell
line, take dosage, take scheduling, fashion of take administration, timing of therapy after glioma implantation but not animal
used) significantly influenced the efficacy-results obtained. The methodological reason did not impact efficacy-estimate.
Conclusion This analyse has institute (i) experimental-design influenced the efficacy-data obtained and (ii) that there is highly variable
outcome accumulation for the effectualness of both BCNU and CCNU in empiric in vivo placental and murine glioma models. In some ways
these findings are analagous to the ingest of nitrosoureas in manlike cancerous glioma. The statistically momentous diminutive beneficial
gist of nitrosoureas in compounding with another therapy agents in manlike glioma was exclusive noted after a meta-analysis
of manlike irregular dominated trials.
Content Type Journal ArticleCategory Topic ReviewDOI 10.1007/s11060-008-9697-zAuthors
S. Amarasingh, University of Edinburgh, capital Centre for Neuro-oncology, Western General Hospital Department of Clinical Neurosciences capital EH4 2XU Scotland, UKM. R. Macleod, University of Edinburgh, capital Centre for Neuro-oncology, Western General Hospital Department of Clinical Neurosciences capital EH4 2XU Scotland, UKI. R. Whittle, University of Edinburgh, capital Centre for Neuro-oncology, Western General Hospital Department of Clinical Neurosciences capital EH4 2XU Scotland, UK
Journal Journal of Neuro-OncologyOnline ISSN 1573-7373Print ISSN 0167-594X (Source: Journal of Neuro-Oncology)
Tags: Animal Model, ATM, glioma, Hospital, Led
Posted in Cancer |