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Serial Biopsies Expose Immunotherapy Signals in Recurrent Glioblastoma Missed by MRI

Peer‑reviewed analyses in two patients reveal immune activation with microenvironment shifts that MRI can misread as tumor growth.

Overview

  • The Mass General Brigham–led, multi‑institutional team reported the findings in Science Translational Medicine using a longitudinal sampling platform.
  • Researchers collected 96 tumor samples over four months from two recurrent GBM patients treated with the oncolytic virus CAN‑3110.
  • Integrated multi‑omic profiling and AI‑enabled digital pathology detected therapy‑driven immune responses and remodeling of the tumor microenvironment.
  • MRI scans suggested progression consistent with pseudoprogression, yet tissue analyses showed a pathologic response in one patient and stable disease in the other.
  • Investigators are continuing enrollment toward 12 patients and plan to apply the serial‑sampling approach to additional vaccine immunotherapies to validate and extend the results.