# Translational Application of Magnetic Hyperthermia Therapy with Adjuvant Therapies for Glioblastoma

> **NIH NIH R01** · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2024 · $624,616

## Abstract

Project Summary/Abstract
Glioblastoma (GBM) remains a fatal brain cancer for which there is no cure. Maximal safe tumor resection
combined with adjuvant therapies such as fractionated external beam radiation therapy (RT) and temozolomide
(TMZ) chemotherapy, known as chemoradiation (CRT), has provided the greatest benefit to GBM patients.
However, local recurrence occurs in most patients due to invasive therapy-resistant infiltrating cancer cells at
the tumor margin. Magnetic hyperthermia therapy (MHT) is a powerful nanotechnology-based treatment that
may enhance the effects of CRT. MHT consists of local heat generation in the tumor region through direct
delivery of magnetic iron-oxide nanoparticles (MIONPs) that are activated by exposure to an external alternating
magnetic field (AMF) that is safe to normal cells. The AMF interacts with the magnetic dipoles of the MIONPs to
generate local heat and hyperthermia. Human clinical trials have demonstrated overall survival benefits of MHT
with fractionated RT in recurrent GBM resulting in European approval. Current MHT strategies, however,
require high concentrations of nontargeted MIONPs (>100 mg/ml; 50-100mg Fe/g of tumor) delivered by
injection with leakback and without image-guided control of energy deposition. As a result, normal tissue
injury limits MHT effectiveness and treatment of the infiltrative tumor margins is poorly defined, which
compromises MHT efficacy. Our proposal is designed to address these challenges and optimize the translational
potential for enhanced MHT of GBM in combination with CRT using both small and large animal models, with
clinical proof-of-concept demonstration in spontaneous canine gliomas. We have recently completed a pilot study
in spontaneous canine gliomas demonstrating feasibility and safety of image-guided MIONP delivery alone. We
hypothesize that image-guided MHT will enhance CRT of GBM. Key innovations of our proposal are to: 1)
evaluate the enhancement of CRT by MHT in mouse GBM models with an innovative proprietary MIONP
formulation that requires 20-fold lower Fe concentration in tumors for more effective treatment than current
approved MIONPs; 2) optimize image-guided MIONP delivery and MHT treatment planning with computational
modelling in a rabbit brain tumor model; 3) enhance thermal treatment at the infiltrative tumor margins by
controlling power deposition with innovative AMF power application that will also limit off target heating; and, 4)
complete a clinically relevant proof-of-concept study of our MHT approach in a spontaneous canine glioma
model. We have Preliminary Data that demonstrate intracranial hyperthermia with a 3-fold increase in TMZ
concentration within GBM tumors, leading to a robust antitumor effect with increased survival after MHT + CRT
in a therapy-resistant rodent glioma model. Overall, this interdisciplinary work will provide a solid foundation for
meaningful clinical translation of MHT with CRT for treatment of GBM. Imaging metho...

## Key facts

- **NIH application ID:** 10782010
- **Project number:** 5R01CA247290-05
- **Recipient organization:** UNIVERSITY OF PITTSBURGH AT PITTSBURGH
- **Principal Investigator:** Constantinos George Hadjipanayis
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $624,616
- **Award type:** 5
- **Project period:** 2019-12-01 → 2025-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10782010

## Citation

> US National Institutes of Health, RePORTER application 10782010, Translational Application of Magnetic Hyperthermia Therapy with Adjuvant Therapies for Glioblastoma (5R01CA247290-05). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10782010. Licensed CC0.

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