Tumour-agnostic drugs in paediatric cancers

Julia C Chisholm1, Fernando Carceller2, Lynley V Marshall2

  • 1Paediatric and Adolescent Oncology Drug Development Team, Children and Young People's Unit, Royal Marsden Hospital and Institute of Cancer Research, Sutton, UK. julia.chisholm@rmh.nhs.uk.

Insights

Tumour-agnostic cancer drugs offer new hope for children. Larotrectinib, a targeted therapy, demonstrates the potential of this approach for paediatric cancers, addressing access challenges.

Area of Science:

  • Oncology
  • Paediatric Oncology
  • Pharmacology

Background:

  • Novel targeted cancer therapies are increasingly developed for adult indications.
  • Access to these targeted therapies can be challenging for paediatric cancer patients.
  • Tumour-agnostic drug development, based on mechanism-of-action, offers a promising alternative.

Purpose of the Study:

  • To highlight the importance of tumour-agnostic drug development for paediatric cancers.
  • To examine larotrectinib as a case study for a tumour-agnostic therapy in children.

Main Methods:

  • Review of the development and approval of larotrectinib.
  • Analysis of the implications of tumour-agnostic therapy for paediatric oncology.

Main Results:

  • Larotrectinib represents a successful example of a tumour-agnostic drug.
  • This approach can overcome limitations in accessing novel therapies for paediatric cancers.

Conclusions:

  • Tumour-agnostic drug development is crucial for advancing paediatric cancer treatment.
  • Larotrectinib's approval signifies a step forward in providing targeted therapies for children with specific genetic alterations.

Related Concept Videos

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...
8.6K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
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...
5.8K
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
1.7K
Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
2.5K
Cancer02:18

Cancer

Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
53.3K
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...
182