Related Experiment Video
Updated: May 9, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Targeted drug discovery for pediatric leukemia
Andrew D Napper1, Venita G Watson
1High-Throughput Screening and Drug Discovery Laboratory, Nemours Center for Childhood Cancer Research, A.I. duPont Hospital for Children , Wilmington, DE , USA.
Insights
New targeted therapies and drug combinations offer improved outcomes for high-risk pediatric leukemia. Understanding genetic signatures and target interconnections is key to developing effective, less toxic treatments for childhood leukemia.
Area of Science:
- Pediatric Oncology
- Cancer Genetics
- Pharmacology
Background:
- Pediatric leukemia treatment has advanced, yet poor response persists in some patients.
- High-risk childhood leukemia often presents with genetic alterations, including chromosomal rearrangements.
- Understanding leukemia's genetic and epigenetic landscape enables targeted therapy development.
Purpose of the Study:
- To review promising new drugs and drug combinations for high-risk pediatric leukemia.
- To present biological evidence supporting molecular target selection.
- To critically survey progress in novel molecular therapeutics for pediatric leukemia.
Main Methods:
- Literature review of recent advancements in pediatric leukemia therapeutics.
- Analysis of biological evidence for molecular target identification.
- Survey of pre-clinical and clinical studies of novel molecular therapeutics.
Main Results:
- Genetic signatures identify subsets of pediatric leukemia with poor prognosis.
- Targeted therapies show potential for greater efficacy and reduced toxicity.
- Synergistic effects observed between targeted therapies and conventional chemotherapy.
Conclusions:
- Novel targeted drugs and drug combinations are crucial for improving outcomes in high-risk pediatric leukemia.
- Understanding cancer's ability to circumvent single-target blockade is essential.
- Continued research into molecular therapeutics promises less toxic and more effective treatments.
Abstract:
Despite dramatic advances in the treatment of pediatric leukemia over the past 50 years, there remain subsets of patients who respond poorly to treatment. Many of the high-risk cases of childhood leukemia with the poorest prognosis have been found to harbor specific genetic signatures, often resulting from chromosomal rearrangements. With increased understanding of the genetic and epigenetic makeup of high-risk pediatric leukemia has come the opportunity to develop targeted therapies that promise to be both more effective and less toxic than current chemotherapy. Of particular importance is an understanding of the interconnections between different targets within the same cancer, and observations of synergy between two different targeted therapies or between a targeted drug and conventional chemotherapy. It has become clear that many cancers are able to circumvent a single specific blockade, and pediatric leukemias are no exception in this regard. This review highlights the most promising approaches to new drugs and drug combinations for high-risk pediatric leukemia. Key biological evidence supporting selection of molecular targets is presented, together with a critical survey of recent progress toward the discovery, pre-clinical development, and clinical study of novel molecular therapeutics.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Drug Discovery: Overview

