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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Progress Update in Pediatric Renal Tumors
Juhi Jain1,2,3, Kathryn S Sutton1,2,4, Andrew L Hong5,6,7,8
1Aflac Cancer and Blood Disorders Center, Children Healthcare of Atlanta, Atlanta, GA, USA.
Purpose Of Review:
Pediatric renal tumors account for 7% of new cancer diagnoses in children. Here, we will review results from recently completed clinical trials informing the current standard of care and discuss targeted and immune therapies being explored for the treatment of high risk or relapsed/refractory pediatric renal malignancies.
Recent Findings:
Cooperative group trials have continued to make improvements in the care of children with pediatric tumors. In particular, trials that standardize treatment of rare cancers (e.g., bilateral Wilms tumor) have improved outcomes significantly. We have seen improvements in event free and overall survival in recently completed clinical trials for many pediatric renal tumors. Still, there are subsets of rarer cancers where outcomes remain poor and new therapeutic strategies are needed. Future trials aim to balance treatment toxicity with treatment efficacy for those with excellent outcomes while identifying novel therapeutics for those with poor outcomes.
Insights
Recent clinical trials have improved outcomes for pediatric renal tumors, but rarer cancers still need new treatments. Future research will balance efficacy and toxicity for better pediatric cancer care.
Area of Science:
- Pediatric oncology
- Renal tumor research
- Cancer clinical trials
Background:
- Pediatric renal tumors represent 7% of childhood cancer diagnoses.
- Significant advancements have been made in treating pediatric tumors through cooperative group trials.
- Standardized treatments for rare pediatric renal cancers, like bilateral Wilms tumor, have improved patient outcomes.
Purpose of the Study:
- To review outcomes from recent clinical trials for pediatric renal tumors.
- To discuss the current standard of care for these malignancies.
- To explore targeted and immune therapies for high-risk or refractory pediatric renal cancers.
Main Methods:
- Review of results from recently completed clinical trials.
- Analysis of treatment strategies for pediatric renal malignancies.
- Exploration of novel therapeutic approaches including targeted and immune therapies.
Main Results:
- Improvements in event-free and overall survival observed in recent clinical trials for many pediatric renal tumors.
- Enhanced outcomes noted for rare pediatric cancers treated with standardized protocols.
- Persistent poor outcomes in specific subsets of rarer pediatric renal cancers highlight the need for new strategies.
Conclusions:
- Cooperative group trials have significantly improved the care and survival rates for children with various pediatric renal tumors.
- While progress has been made, novel therapeutic strategies are essential for subsets of rarer pediatric renal cancers with poor prognoses.
- Future clinical trials will focus on optimizing treatment efficacy and minimizing toxicity for improved pediatric cancer management.
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