
Common pain drug may prolong survival for brain cancer patients, Mass General Brigham study finds
'This study is an exciting step forward,' Dr. Joshua Bernstock, the study's lead author and a clinical fellow in neurosurgery at Brigham and Women's Hospital, said in a press release. 'The discovery that an already approved medication with a favorable safety profile can extend overall survival represents a meaningful and potentially practice-changing advance.'
Researchers turned to gabapentin after studies in cancer neuroscience suggested that brain tumors may hijack neural signaling to fuel their growth. A 2023 Nature Communications paper pointed to thrombospondin-1, a protein that helps neurons communicate, as a key contributor to tumor growth. In animal models, gabapentin appeared to block that activity.
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Bernstock's team combed through the medical records of 693 glioblastoma patients treated at Mass General Brigham. Many had been prescribed gabapentin to treat chronic nerve pain. Those patients had a median survival of 16 months — four months longer than those not on the drug.
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To test whether the trend held up elsewhere, the team partnered with UC San Francisco researchers who reviewed data from 379 additional patients. Their results showed an even greater gap: patients taking gabapentin lived 20.8 months on average, compared to 14.7 months for those who didn't.
'There have been very few advances in survival for GBM patients since the early 2000s,' Bernstock said. 'We need to think more creatively about the emerging biology in these tumors and how to target them.'
Because the study wasn't a clinical trial, the researchers emphasized that randomized studies are needed to confirm gabapentin's effect and better understand its relationship to thrombospondin-1.
This story will be updated as more information becomes available.
Nathan Metcalf can be reached at

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