Research outlook

Where glioblastoma treatment is heading

Glioblastoma · Updated Nov 13, 2026

Glioblastoma is the most common aggressive brain cancer in adults, about 12,000 US cases a year. Standard care is surgery, radiation and temozolomide, sometimes with tumor-treating fields. Many drugs have failed; the most promising work now uses CAR T cells, devices that get drugs past the blood-brain barrier, and immunotherapy combinations.

  1. Now

    Nov 2026

    CAR T cells show durable responsesHappened 12.0 mo median survival

    Two-target CAR T cells: median survival 12.0 months after relapse, with one response lasting 33 months.

    12.0 mo: median survival in recurrent glioblastoma.

    Many add-on drugs have failedHappened

    A 749-person phase 3 of marizomib added no survival.

  2. 6 months

    by May 2027

    Niraparib against temozolomidePossible

    A 450-person phase 3 compares niraparib with temozolomide for tumors unlikely to respond to temozolomide; due December 2027.

  3. 12 months

    by Nov 2027

    Re-irradiation at first relapsePossible

    EORTC LEGATO (411 people) tests adding a second course of radiation to lomustine; due September 2027.

  4. 3 years

    by late 2029

    Ultrasound to open the brain barrierPossible 90% barrier opened

    SONOBIRD (560 people) tests SonoCloud-9 with carboplatin at relapse; due January 2028.

    90%: of emitters opened the blood-brain barrier.

    Tumor-treating fields plus immunotherapyPossible 12.0 mo before growth

    EF-41 (741 people) follows a phase 2 where time before growth was 12.0 vs 5.8 months; due April 2029.

    12.0 mo: median time before growth, vs 5.8 in matched controls.

  5. 5 years

    by late 2031

    CAR T cells in larger trialsLong shot 12.0 mo median survival

    If early results hold, multi-target CAR T cells could become an option at relapse.

    12.0 mo: median survival in recurrent glioblastoma.

    Radiation implanted at surgeryLong shot

    BRIDGES (766 people) tests GammaTile radiation seeds placed during surgery; due 2031.

Happened Likely Possible Long shot

The research paths

Rising

Cell and immune therapy

12.0 mo median survival
Details and 1 trialsHide

CAR T cells and immunotherapy combined with devices that prime the immune system.

WatchEF-41; larger CAR T trials.

Active

Getting drugs into the brain

90% barrier opened
Details and 2 trialsHide
Maturing

Radiation and surgery

Details and 2 trialsHide
Active

Platform trials

Details and 1 trialsHide

GBM AGILE tests several drugs at once against a shared control group.

WatchEach arm's graduation.

Borrowed from other cancers

From Ovarian cancer

Niraparib

Phase 3

A PARP inhibitor that crosses into the brain well.

From Leukemia and lymphoma

CAR T cells

Phase 1

Engineered immune cells, redesigned to hit two brain tumor targets.

From Melanoma and lung cancer

Pembrolizumab

Phase 3

Immunotherapy paired with tumor-treating fields.

Open to join now

See every recruiting Glioblastoma trial →

When the trials finish

Completion dates the trials registered. Results usually follow 3 to 12 months later.

2026202720282029203020312032Today
Sep 2027
Niraparib vs temozolomideGetting drugs into the brain
Dec 2027
SonoCloud-9 with carboplatin (SONOBIRD)Getting drugs into the brain
Jan 2028
Jun 2028
Apr 2029
Dec 2031

What just happened

CAR T update: 12.0-month median survival

ASCO 2026, 18 people.

Temozolomide timing changes did not help

MAGMA and JCOG1703 at ASCO 2026.

Standard treatment today

How to read this page, and sourcesHow to read this page, and sources

See Glioblastoma trials recruiting now →

Last reviewed 2026-11-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.