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Relapsed GBM after RT-TMZ
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No widely accepted standard
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Re-resection +/- carmustine wafers?
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PCV?
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VEGF inhibition +/- CCNU:
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various regimes containing bevacizumab
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cediranib negative
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EGFR TK inhibitors
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erlotinib associated with
reduced
PFS (van den Bent JCO 2009)
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TMZ rechallenge +/- altered temozolomide scheduling?
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Immune checkpoint inhibition
Opportunity to test novel agents