First pediatric experience of SL-401, a CD123-targeted therapy, in patients with blastic plasmacytoid dendritic cell

Weili Sun1, Huaying Liu2,3, Young Kim4

  • 1Department of Pediatrics, City of Hope National Medical Center, 1500 E. Duarte Road, Duarte, CA, 91010, USA. weilisun@coh.org.

Insights

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare cancer. SL-401 shows promise as a well-tolerated targeted therapy for children with BPDCN, demonstrating transient responses in some cases.

Area of Science:

  • Hematology
  • Oncology
  • Pediatric Oncology

Background:

  • Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is an aggressive hematologic malignancy with poor prognosis.
  • Current treatment options for pediatric BPDCN are limited and lack standardization.
  • SL-401 targets CD123, a protein highly expressed on BPDCN cells, showing efficacy in adult trials.

Observation:

  • This study presents the first pediatric experience with SL-401 in three children diagnosed with BPDCN.
  • All patients tolerated SL-401 treatment without significant adverse events.
  • One patient with refractory disease did not respond to SL-401.

Findings:

  • Two out of three pediatric patients experienced rapid clinical improvement after SL-401 treatment.
  • Observed responses were transient, with tumor regrowth noted between treatment cycles in patients with high tumor burden.
  • SL-401 was generally well-tolerated in the pediatric cohort.

Implications:

  • SL-401 demonstrates potential as a targeted therapy for pediatric BPDCN.
  • Further investigation of SL-401 in pediatric BPDCN is warranted.
  • Understanding response duration and managing tumor burden are key for future pediatric trials.
Abstract

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
274
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
330
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
245
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
307
Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K