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Drug delivery strategies for paediatric diffuse midline gliomas

Duca, Stefana; Parvar, Sara Jamshidi; Kumeta, Luke; Bradshaw, Tracey D; Chan, Weng C; de Cogan, Felicity; Dziemidowicz, Karolina; ... Lewis, Andrew L; + view all (2025) Drug delivery strategies for paediatric diffuse midline gliomas. Advanced Drug Delivery Reviews , Article 115695. 10.1016/j.addr.2025.115695. (In press).

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Abstract

Diffuse midline gliomas (DMGs) are a highly aggressive and inoperable type of paediatric brain tumours, with a median survival of less than one year. Therapeutic progress has been hindered by the tumour's anatomical location, its extensive molecular heterogeneity, and the restrictive nature of the blood brain barrier (BBB) in drug delivery. This article explores the current therapeutic landscape of DMG and evaluates emerging drug delivery strategies, including oral, intravenous and intrathecal administration, convection-enhanced delivery (CED), and intranasal approaches, designed to improve drug access to the brain. Advancements in these methods, combined with targeted therapies tailored to the tumour's unique molecular features, represent a critical pathway towards improving clinical outcomes for DMG patients.

Type: Article
Title: Drug delivery strategies for paediatric diffuse midline gliomas
Location: Netherlands
DOI: 10.1016/j.addr.2025.115695
Publisher version: https://doi.org/10.1016/j.addr.2025.115695
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: CED, DMG, DIPG, Drug delivery, Intranasal, Intrathecal, Paediatric gliomas
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmaceutics
URI: https://discovery.ucl.ac.uk/id/eprint/10214757
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