Genomic Biomarker Assessment in Gliomas: Impacts of Molecular Testing on Clinical Practice and Trial Design

Surg Pathol Clin. 2020 Jun;13(2):209-215. doi: 10.1016/j.path.2020.02.003. Epub 2020 Apr 7.

Abstract

Recent discoveries elucidating the genetic underpinnings of glial neoplasms have revealed myriad recurrent alterations that have clinical value by improving accuracy of diagnosis and prognosis. Furthermore, this wealth of genomic information provides the basis for targeted therapies and the subsequent design of biomarker-based clinical trials. This review summarizes the current landscape of clinically relevant molecular alterations in gliomas and describes the role of routine molecular testing in context of treatment planning for standards of care and clinical trials.

Keywords: Biomarker; Clinical trial; Genomic; Glioma.

Publication types

  • Review

MeSH terms

  • Central Nervous System Neoplasms / diagnosis
  • Central Nervous System Neoplasms / drug therapy
  • Central Nervous System Neoplasms / economics
  • Central Nervous System Neoplasms / genetics*
  • Cost-Benefit Analysis
  • Genetic Markers
  • Genetic Testing / economics
  • Glioma / diagnosis
  • Glioma / drug therapy
  • Glioma / economics
  • Glioma / genetics*
  • Humans
  • Molecular Targeted Therapy
  • Prognosis

Substances

  • Genetic Markers