Educational content on VJOncology is intended for healthcare professionals only. By visiting this website and accessing this information you confirm that you are a healthcare professional.

Share this video  

ESMO 2026 | Challenges of intrathecal therapy in the hostile CSF microenvironment

Peter Forsyth, MD, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, comments on the challenges of intrathecal therapies in the cerebrospinal fluid (CSF) and tumor microenvironment, highlighting the toxic metabolism in the CSF that can harm T cells and neurons. Additional research will be essential to select the right patients who will benefit from the treatment. This interview took place at the European Society for Medical Oncology (ESMO) 2026 Congress in Madrid, Spain.

These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

Transcript

Yeah, that’s a great question. We don’t know the answer to that question, so we have several things that we’re doing. One is that probably the CSF and microenvironment itself is kind of toxic to immunotherapies. So we’ve also done work in the lab with Una Smalley, where we did a metabolomic screen of the CSF. And the CSF has this weird metabolism...

Yeah, that’s a great question. We don’t know the answer to that question, so we have several things that we’re doing. One is that probably the CSF and microenvironment itself is kind of toxic to immunotherapies. So we’ve also done work in the lab with Una Smalley, where we did a metabolomic screen of the CSF. And the CSF has this weird metabolism. It makes a lot of branched-chain ketoacids, but these appear to be toxic to T cells and toxic to neurons. So part of the problems that patients are having are because of the toxic metabolism. So we have a way of inhibiting that. And then we’re going to find a way to optimize the dendritic cells. And we’re not quite sure how to do that yet because we’re just looking now at the data of what they’re like in terms of the molecular details of what we’re actually administering. So we’re kind of learning every week about how to do this better. But we completely are working on everything to make it better and to select the right patients who are going to benefit.

This transcript is AI-generated. While we strive for accuracy, please verify this copy with the video.

Read more...

Choose your cookie settings

VJOncology uses necessary cookies to make the site work. With your permission we'd also like to use analytics, preference and marketing cookies to understand how the site is used and improve it.

Choose an option to continue. You can change it at any time on our Cookie Policy page, linked at the bottom of every page.