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Sorafenib treatment in children with relapsed and refractory neuroblastoma: an experience of four cases
Keiko Okada1, Yoshiko Nakano1, Kai Yamasaki1
1Department of Pediatric Hematology/Oncology, Osaka City General Hospital, Osaka, Japan.
Abstract:
Metastatic neuroblastoma is an aggressive malignancy with a poor prognosis. Recent findings have shown that sorafenib decreases cell viability and increases apoptosis in human neuroblastoma cell lines. We report an experience of compassionate use of sorafenib in children with treatment-refractory neuroblastoma. Sorafenib showed transient anti-tumor activity in all four patients without adverse effects. However, progression was observed after a short stabilization phase. While sorafenib showed minimal anti-tumor activity in our patients, it might still be effective in patients with neuroblastoma in an earlier stage.
Insights
Sorafenib showed temporary anti-tumor effects in children with advanced neuroblastoma but did not prevent disease progression. Further research may explore sorafenib for earlier-stage neuroblastoma treatment.
Area of Science:
- Pediatric Oncology
- Pharmacology
Background:
- Metastatic neuroblastoma is an aggressive childhood cancer with a poor prognosis.
- Sorafenib has demonstrated preclinical efficacy in neuroblastoma cell lines by reducing viability and inducing apoptosis.
Observation:
- This study reports the compassionate use of sorafenib in four children with treatment-refractory metastatic neuroblastoma.
- The treatment was administered without observed adverse effects.
Findings:
- Sorafenib exhibited transient anti-tumor activity in all treated patients.
- Despite initial stabilization, all patients experienced disease progression after a short period.
Implications:
- Sorafenib demonstrated minimal efficacy in this cohort of advanced neuroblastoma patients.
- The drug may hold potential for neuroblastoma treatment in earlier disease stages.
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