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Recent progress and novel approaches to treating atypical teratoid rhabdoid tumor
Elizabeth Alva1, Jeffrey Rubens2, Susan Chi3
1Division of Pediatric Hematology-Oncology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Abstract:
Atypical teratoid rhabdoid tumors (AT/RT) are malignant central nervous system (CNS) tumors that occur mostly in young children and have historically carried a very poor prognosis. While recent clinical trial results show that this tumor is curable, outcomes are still poor compared to other central nervous system embryonal tumors. We here review prior AT/RT clinical trials and highlight promising pre-clinical results that may inform novel clinical approaches to this aggressive cancer.
Insights
Atypical teratoid rhabdoid tumors (AT/RT) are aggressive pediatric brain cancers. While recent trials show some cures, outcomes remain poor, necessitating novel therapeutic strategies.
Area of Science:
- Pediatric Oncology
- Neuro-oncology
- Cancer Genomics
Background:
- Atypical teratoid rhabdoid tumors (AT/RT) are rare, highly malignant embryonal tumors of the central nervous system (CNS).
- These tumors predominantly affect infants and young children, historically associated with a very poor prognosis.
- Despite advances, outcomes for AT/RT patients lag behind other CNS embryonal tumors.
Purpose of the Study:
- To review historical and recent clinical trials for AT/RT.
- To highlight promising pre-clinical findings relevant to AT/RT treatment.
- To inform the development of novel clinical strategies for this aggressive pediatric cancer.
Main Methods:
- Comprehensive literature review of AT/RT clinical trials.
- Analysis of pre-clinical research data and experimental models.
- Synthesis of clinical and pre-clinical evidence to identify therapeutic opportunities.
Main Results:
- Review of past AT/RT clinical trials reveals limited success but evolving treatment paradigms.
- Pre-clinical studies demonstrate potential efficacy of novel therapeutic targets and agents.
- Identification of specific molecular pathways and vulnerabilities in AT/RT.
Conclusions:
- AT/RT remains a challenging pediatric CNS malignancy with a need for improved therapies.
- Integrating pre-clinical insights into clinical trial design is crucial for advancing AT/RT treatment.
- Future strategies should focus on targeted therapies and innovative treatment combinations.
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