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Published on: July 25, 2020
Improving the outcome for children with cancer: Development of targeted new agents
1Chair, Children's Oncology Group, The Children's Hospital of Philadelphia, Philadelphia, PA.
Abstract:
The outcome for children with cancer has improved significantly over the past 60 years, with greater than 80% of patients today becoming 5-year survivors. Despite this progress, cancer remains the leading cause of death from disease in children in the United States, and significant short-term and long-term treatment toxicities continue to impact the majority of children with cancer. The development of targeted new agents offers the prospect of potentially more effective and less toxic treatment for children. More than a decade since imatinib mesylate was introduced into the treatment of children with Philadelphia chromosome-positive acute lymphoblastic leukemia, transforming its outcome, a range of targeted agents has undergone study in pediatric cancer patients. Early lessons learned from these studies include a better understanding of the adverse event profile of these drugs in children, the challenge of developing pediatric-specific formulations, and the continued reliance on successful development for adult cancer indications on pediatric drug development. The collaborative research infrastructure for children with cancer in the United States is well positioned to advance novel treatments into clinical investigations for a spectrum of rare and ultra-rare childhood cancers. A greater investment of resources in target discovery and validation can help drive much needed development of new, more effective treatments for children with cancer.
Insights
Targeted therapies offer improved outcomes for pediatric cancer patients, reducing toxicity. Further investment in target discovery is crucial for developing novel, effective treatments for childhood cancers.
Area of Science:
- Pediatric Oncology
- Cancer Therapeutics
- Drug Development
Background:
- Childhood cancer survival rates have exceeded 80% over 60 years, yet it remains a leading cause of pediatric disease-related death.
- Significant short- and long-term toxicities persist for the majority of children undergoing cancer treatment.
- Targeted therapies present a promising avenue for more effective and less toxic pediatric cancer treatment.
Purpose of the Study:
- To review the progress and challenges in developing targeted agents for pediatric cancer.
- To highlight lessons learned from early studies of targeted therapies in children.
- To emphasize the need for continued investment in pediatric cancer drug discovery and development.
Main Methods:
- Review of existing literature on targeted therapies in pediatric oncology.
- Analysis of outcomes and adverse event profiles from clinical studies.
- Discussion of challenges in pediatric drug formulation and development.
Main Results:
- Targeted agents, like imatinib mesylate, have transformed outcomes in specific pediatric leukemias.
- Studies have improved understanding of drug toxicity profiles in children.
- Pediatric-specific formulations and reliance on adult cancer indications pose development challenges.
Conclusions:
- Pediatric cancer research infrastructure is poised to advance novel treatments for rare childhood cancers.
- Increased investment in target discovery and validation is essential for developing new, effective pediatric cancer therapies.
- Collaborative efforts are key to overcoming challenges in pediatric drug development.
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