OnCo
technologiesTechnologyPhase 2

Focused-ultrasound blood-brain barrier opening

Sound waves plus microbubbles briefly open the brain's protective barrier so chemotherapy or antibodies can get to the tumour.

MR-guided (Insightec Exablate) or implantable (Carthera SonoCloud-9) ultrasound with intravenous microbubbles transiently and reversibly opens the BBB. Phase 1/2 trials show 4-6x higher brain concentrations of carboplatin, temozolomide, and albumin-bound paclitaxel, and enable liquid biopsy of glioma DNA released into blood. Efficacy trials (SonoCloud-9 with carboplatin, phase 3 SONOBIRD) are underway.

Schematic · not to scale
Helmet transducer array · Microbubbles open BBB

How it works

Acoustic cavitation of circulating microbubbles mechanically loosens endothelial tight junctions for several hours.

Strengths
  • Non-invasive or single implant
  • Drug-agnostic delivery enhancement
  • Enables brain liquid biopsy
Limitations
  • Volume treated per session
  • Efficacy unproven
  • Repeated sessions needed

Latest papers

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Literature trend2 papers in the last 12 monthsHow this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this technology: (TITLE:"Focused-ultrasound blood-brain barrier opening" OR ABSTRACT:"Focused-ultrasound blood-brain barrier opening") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Focused-ultrasound blood-brain barrier opening, not a curated reading list.

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