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Developing new agents for the treatment of childhood cancer
Raushan Kurmasheva1, Christopher Morton, Peter J Houghton
1St Jude Children's Research Hospital, Molecular Pharmacology, 332 North Lauderdale Street, Memphis, TN 38105-2794, USA.
Abstract:
The development of new drugs for the treatment of childhood cancer presents novel challenges, and pediatric clinical trials of a new agent are often initiated many years after testing in adults. It is estimated that there are over 400 new entities being developed as cancer treatments, although few of these have been developed specifically for the treatment of childhood malignancies. This raises the question of how agents can be prioritized for pediatric clinical testing. In this review, the molecular characteristics of childhood cancers that may be valuable in steering choices for rational or molecularly targeted treatments are described, and the Pediatric Preclinical Testing Program, a National Cancer Institute initiative to identify agents that should be prioritized for clinical evaluation against childhood cancer, is presented.
Insights
Prioritizing new cancer drugs for children is challenging. This review discusses molecular features of pediatric cancers and the National Cancer Institute's program to identify promising agents for clinical trials.
Area of Science:
- Oncology
- Pediatric Oncology
- Drug Development
Background:
- Developing new cancer drugs for children faces unique hurdles, often leading to delayed pediatric clinical trials compared to adult studies.
- While numerous cancer treatment entities are in development, few specifically target childhood malignancies, necessitating a strategic approach to pediatric drug prioritization.
- The disparity in drug development for adult versus pediatric cancers highlights a critical need for specialized evaluation pathways.
Purpose of the Study:
- To outline the molecular characteristics of pediatric cancers that can guide the selection of rational or molecularly targeted treatments.
- To present the National Cancer Institute's Pediatric Preclinical Testing Program (PPTP) as a framework for prioritizing agents for pediatric cancer clinical evaluation.
Main Methods:
- Review of existing literature on the molecular landscape of childhood cancers.
- Description of the National Cancer Institute's Pediatric Preclinical Testing Program (PPTP) methodology and objectives.
Main Results:
- Identification of key molecular features in pediatric malignancies that can inform targeted therapy selection.
- The PPTP framework provides a systematic approach to identifying promising drug candidates for pediatric cancer.
Conclusions:
- Understanding the molecular basis of childhood cancers is crucial for rational drug development and targeted treatment strategies.
- The Pediatric Preclinical Testing Program (PPTP) offers a vital initiative to accelerate the evaluation and prioritization of novel cancer agents for pediatric patients.
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