MORENO, L., G. BARONE, S. G. DUBOIS, J. MOLENAAR, M. FISCHER, J. SCHULTE, A. EGGERT, G. SCHLEIERMACHER, F. SPELEMAN, L. CHESLER, B. GEOERGER, M. D. HOGARTY, M. S. IRWIN, N. BIRD, G. B. BLANCHARD, S. BUCKLAND, H. CARON, S. DAVIS, B. DE WILDE, H. E. DEUBZER, E. DOLMAN, M. EILERS, R. E. GEORGE, S. GEORGE, Jaroslav ŠTĚRBA, J. M. MARIS, L. MARSHALL, M. MERCHANT, P. MORTIMER, C. OWENS, A. PHILPOTT, E. POON, J. W. SHAY, R. TONELLI, D. VALTEAU-COUANET, G. VASSAL, J. R. PARK and A. D. J. PEARSON. Accelerating drug development for neuroblastoma: Summary of the Second Neuroblastoma Drug Development Strategy forum from Innovative Therapies for Children with Cancer and International Society of Paediatric Oncology Europe Neuroblastoma. European Journal of Cancer. Oxford: Elsevier Science Inc., 2020, vol. 136, SEP 2020, p. 52-68. ISSN 0959-8049. Available from: https://dx.doi.org/10.1016/j.ejca.2020.05.010.
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Basic information
Original name Accelerating drug development for neuroblastoma: Summary of the Second Neuroblastoma Drug Development Strategy forum from Innovative Therapies for Children with Cancer and International Society of Paediatric Oncology Europe Neuroblastoma
Authors MORENO, L. (724 Spain, guarantor), G. BARONE (826 United Kingdom of Great Britain and Northern Ireland), S. G. DUBOIS (840 United States of America), J. MOLENAAR (528 Netherlands), M. FISCHER (528 Netherlands), J. SCHULTE (276 Germany), A. EGGERT (276 Germany), G. SCHLEIERMACHER (276 Germany), F. SPELEMAN (250 France), L. CHESLER (56 Belgium), B. GEOERGER (826 United Kingdom of Great Britain and Northern Ireland), M. D. HOGARTY (250 France), M. S. IRWIN (840 United States of America), N. BIRD (826 United Kingdom of Great Britain and Northern Ireland), G. B. BLANCHARD (826 United Kingdom of Great Britain and Northern Ireland), S. BUCKLAND (826 United Kingdom of Great Britain and Northern Ireland), H. CARON (756 Switzerland), S. DAVIS (826 United Kingdom of Great Britain and Northern Ireland), B. DE WILDE (528 Netherlands), H. E. DEUBZER (528 Netherlands), E. DOLMAN (528 Netherlands), M. EILERS (276 Germany), R. E. GEORGE (840 United States of America), S. GEORGE (840 United States of America), Jaroslav ŠTĚRBA (203 Czech Republic, belonging to the institution), J. M. MARIS (840 United States of America), L. MARSHALL (840 United States of America), M. MERCHANT (804 Ukraine), P. MORTIMER (826 United Kingdom of Great Britain and Northern Ireland), C. OWENS (372 Ireland), A. PHILPOTT (826 United Kingdom of Great Britain and Northern Ireland), E. POON (826 United Kingdom of Great Britain and Northern Ireland), J. W. SHAY (840 United States of America), R. TONELLI (380 Italy), D. VALTEAU-COUANET (250 France), G. VASSAL (250 France), J. R. PARK (840 United States of America) and A. D. J. PEARSON (826 United Kingdom of Great Britain and Northern Ireland).
Edition European Journal of Cancer, Oxford, Elsevier Science Inc. 2020, 0959-8049.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 9.162
RIV identification code RIV/00216224:14110/20:00116258
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.ejca.2020.05.010
UT WoS 000557411500009
Keywords in English Neuroblastoma; Drug development; Phase I; Preclinical testing; Clinical trials; MYCN; Epigenetics
Tags 14110321, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 20/8/2020 13:10.
Abstract
Only one class of targeted agents (anti-GD2 antibodies) has been incorporated into front-line therapy for neuroblastoma since the 1980s. The Neuroblastoma New Drug Development Strategy (NDDS) initiative commenced in 2012 to accelerate the development of new drugs for neuroblastoma. Advances have occurred, with eight of nine high-priority targets being evaluated in paediatric trials including anaplastic lymphoma kinase inhibitors being investigated in front-line, but significant challenges remain. This article reports the conclusions of the second NDDS forum, which expanded across the Atlantic to further develop the initiative. Pre-clinical and clinical data for 40 genetic targets and mechanisms of action were prioritised and drugs were identified for early-phase trials. Strategies to develop drugs targeting TERT, telomere maintenance, ATRX, alternative lengthening of telomeres (ALT), BRIP1 and RRM2 as well as direct targeting of MYCN are high priority and should be championed for drug discovery. Promising pre-clinical data suggest that targeting of ALT by ATM or PARP inhibition may be potential strategies. Drugs targeting CDK2/9, CDK7, ATR and telomere maintenance should enter paediatric clinical development rapidly. Optimising the response to anti-GD2 by combinations with chemotherapy, targeted agents and other immunological targets are crucial. Delivering this strategy in the face of small patient cohorts, genomically defined subpopulations and a large number of permutations of combination trials, demands even greater international collaboration. In conclusion, the NDDS provides an internationally agreed, biologically driven selection of prioritised genetic targets and drugs. Improvements in the strategy for conducting trials in neuroblastoma will accelerate bringing these new drugs more rapidly to front-line therapy. (C) 2020 Elsevier Ltd. All rights reserved.
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