Glioblastoma, the most lethal primary brain cancer, is extremely proliferative and invasive. Tumor cells at tumor/brain-interface often exist behind a functionally intact blood-brain barrier (BBB), and so are shielded from exposure to therapeutic drug concentrations. An ideal glioblastoma treatment needs to engage targets that drive proliferation as well as invasion, with brain penetrant therapies. One such target is the mitotic kinesin KIF11, which can be inhibited with ispinesib, a potent molecularly-targeted drug. Although, achieving durable brain exposures of ispinesib is critical for adequate tumor cell engagement during mitosis, when tumor cells are vulnerable, for efficacy. Our results demonstrate that the delivery of ispinesib is restricted by P-gp and Bcrp efflux at BBB. Thereby, ispinesib distribution is heterogeneous with concentrations substantially lower in invasive tumor rim (intact BBB) compared to glioblastoma core (disrupted BBB). We further find that elacridar-a P-gp and Bcrp inhibitor-improves brain accumulation of ispinesib, resulting in remarkably reduced tumor growth and extended survival in a rodent model of glioblastoma. Such observations show the benefits and feasibility of pairing a potentially ideal treatment with a compound that improves its brain accumulation, and supports use of this strategy in clinical exploration of cell cycle-targeting therapies in brain cancers. Glioblastoma (GBM), the most common and lethal of primary brain tumors, has two defining phenotypes: uncontrollable proliferation and diffuse infiltration within the brain 1-6. These features together allow tumor cells to invade regions of brain with an intact blood-brain barrier (BBB), enabling them to proliferate in an environment protected from potentially effective therapeutics. Thus, an ideal therapeutic needs to not only target both proliferation and invasion, but also penetrate the BBB and be retained within tumor-infiltrated brain long enough to kill tumor cells when they are vulnerable to the drug. The microtubule (MT)-based cytoskeleton is essential for both mitotic spindle function, which drives GBM proliferation, and cell motility, which drives GBM infiltration 7. Several MT-targeting agents inhibit spindle function, including the taxanes and vinca alkaloids, and these drugs have been successfully used for treating a variety of malignancies 8. However, MTs are essential for peripheral and central nervous system (PNS, CNS) function, and dose-limiting neurotoxicity has been observed with these MT-targeting drugs 8,9. This has served as an impetus for developing drugs that target other components of mitotic spindle. One such group are MT-associated molecular motors, referred to as mitotic kinesins, which play multiple roles in mitotic spindle function and cell motility 10,11. A member of the mitotic kinesins is KIF11 (kinesin family member 11) 12,13. Over the last twenty years, more than 50 highly specific and potent small-molecule inhibitors of KIF11 have been developed 10. While these drugs are not neurotoxic ...