Ushering in the next generation of precision trials for pediatric cancer

Steven G DuBois1,2,3, Laura B Corson1,2, Kimberly Stegmaier1,2,3

  • 1Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA.

Science (New York, N.Y.)
|March 16, 2019
PubMed

Insights

Precision oncology is improving outcomes for children with cancer. This review covers factors, regulations, and challenges in developing targeted pediatric cancer drugs, including those targeting difficult proteins.

Area of Science:

  • Oncology
  • Genomics
  • Pediatric Medicine

Background:

  • Precision oncology, guided by tumor genomic profiles, is transforming cancer treatment.
  • Evidence supports precision oncology's effectiveness in pediatric cancer patients.
  • Pediatric drug development faces unique challenges in the era of targeted therapies.

Purpose of the Study:

  • To review key factors influencing pediatric drug development for precision oncology.
  • To discuss the evolving regulatory landscape for pediatric cancer clinical trials.
  • To explore novel approaches for targeting difficult-to-treat pediatric cancers.

Main Methods:

  • Review of current literature on precision oncology in pediatric cancer.
  • Analysis of regulatory frameworks impacting pediatric drug trials.
  • Discussion of challenges and innovations in pediatric cancer drug development.

Main Results:

  • Precision oncology demonstrates efficacy in specific pediatric cancer cases.
  • An emerging regulatory framework is expediting pediatric clinical trials.
  • Specific design challenges exist for pediatric cancer clinical trials.
  • New strategies are needed for targeting challenging proteins like transcription factors.

Conclusions:

  • Precision oncology offers significant promise for treating childhood cancers.
  • Regulatory adaptations are crucial for advancing pediatric targeted therapies.
  • Addressing unique pediatric trial designs and therapeutic targets is essential for future progress.

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