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Would you consider adding gabapentin off label for use in the treatment of glioblastoma at this time?

Based on recent retrospective research showing potential survival benefit in gliomas Bernstock et al., PMID 40374596
5 Answers
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Radiation Oncology · Florida International University
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As an author on the paper, let me emphasize the findings and speculate on the implications. Recently, a number of laboratories have unraveled stunning preclinical and mechanistic findings demonstrating the ability of a subset of malignant glioma cells to usurp neuronal circuitry to promote tumor gro...

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Radiation Oncology · Icahn School of Medicine at Mount Sinai
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While this study brings up an interesting point, I’m not convinced that gabapentin should be added to glioblastoma treatment regimens based on these findings. After decades of research and innumerable glioblastoma trials, including those beyond TMZ, we haven’t seen significant progress with systemic...

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Radiation Oncology · University of Arizona
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In this recent publication from the Brigham and Women's Hospital and UCSF, it was reported that patients who received gabapentin in the post-operative period benefitted with an increase in overall median survival by approximately 4 months: "Median overall survival in patients receiving postoperative...

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Neurology · MD Anderson Cancer Center
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There are a lot of very exciting papers coming out about cancer neuroscience, and the anti-tumor potential of modulating neurotransmission at brain-glioma synapses and other points of interaction or connection in the nervous system components of the tumor microenvironment. In addition to Dr. Jumper'...

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Neurology · MD Anderson Cancer Center
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The other answers here are the gold standard. I would add that I personally will only use it if there is otherwise a reasonable indication (neuropathic pain, for example).

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