Targeted therapy in pediatric central nervous system tumors: a review from the National Pediatric Cancer Foundation

Benjamin I Siegel1,2, Prabhumallikarjun Patil3,4, Akul Prakash5

  • 1Brain Tumor Institute and Gilbert Family Neurofibromatosis Institute, Children's National Hospital, Washington, DC, United States.

Frontiers in Oncology
|March 17, 2025
PubMed

Insights

Pediatric central nervous system (CNS) tumors are a leading cause of childhood cancer death. Targeted therapies offer new hope by focusing on specific molecular pathways driving tumor growth, improving treatment efficacy.

Area of Science:

  • Pediatric oncology
  • Neuro-oncology
  • Molecular medicine

Background:

  • Central nervous system (CNS) tumors are the primary cause of cancer-related mortality in children.
  • Current treatments like surgery, radiation, and chemotherapy have limited efficacy and significant side effects for pediatric CNS tumors.
  • Advances in identifying molecular drivers of tumorigenesis necessitate novel therapeutic strategies.

Purpose of the Study:

  • To review recent advancements in targeted therapies for pediatric CNS tumors.
  • To outline key cellular pathways implicated in pediatric CNS tumor development.
  • To discuss the clinical trial landscape and future directions for targeted treatments.

Main Methods:

  • Narrative review of current literature on targeted therapies for pediatric CNS tumors.
  • Identification of key molecular pathways driving tumorigenesis.
  • Analysis of the clinical trial landscape for targeted agents.
  • Discussion of challenges and future directions, including combinatorial therapies and personalized medicine.

Main Results:

  • Several molecular pathways are implicated in pediatric CNS tumor development.
  • A growing number of targeted molecular therapies are under investigation.
  • The clinical trial landscape for these therapies is expanding.
  • Combinatorial approaches and personalized treatment planning show promise.

Conclusions:

  • Targeted therapies represent a promising frontier for treating pediatric CNS tumors.
  • Further research and clinical trials are crucial to optimize efficacy and minimize toxicity.
  • Personalized treatment strategies hold potential for improving outcomes in pediatric neuro-oncology.

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