Drug Repurposing in Medulloblastoma: Challenges and Recommendations

Curr Treat Options Oncol. 2020 Nov 27;22(1):6. doi: 10.1007/s11864-020-00805-0.

Abstract

Medulloblastoma is the most frequently diagnosed primary malignant brain tumor among children. Currently available therapeutic strategies are based on surgical resection, chemotherapy, and/or radiotherapy. However, majority of patients quickly develop therapeutic resistance and are often left with long-term therapy-related side effects and sequelae. Therefore, there remains a dire need to develop more effective therapeutics to overcome the acquired resistance to currently available therapies. Unfortunately, the process of developing novel anti-neoplastic drugs from bench to bedside is highly time-consuming and very expensive. A wide range of drugs that are already in clinical use for treating non-cancerous diseases might commonly target tumor-associated signaling pathways as well and hence be of interest in treating different cancers. This is referred to as drug repurposing or repositioning. In medulloblastoma, drug repurposing has recently gained a remarkable interest as an alternative therapy to overcome therapy resistance, wherein existing non-tumor drugs are being tested for their potential anti-neoplastic effects outside the scope of their original use.

Keywords: Drug repurposing; Medulloblastoma; Signaling pathway; Therapeutic targets.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Cerebellar Neoplasms / diagnosis
  • Cerebellar Neoplasms / drug therapy*
  • Cerebellar Neoplasms / etiology
  • Clinical Decision-Making
  • Clinical Studies as Topic
  • Combined Modality Therapy
  • Disease Management
  • Drug Evaluation, Preclinical
  • Drug Repositioning*
  • Humans
  • Medulloblastoma / diagnosis
  • Medulloblastoma / drug therapy*
  • Medulloblastoma / etiology
  • Prognosis
  • Treatment Outcome

Substances

  • Antineoplastic Agents