Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28980418
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28980418
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cancer+Med
2017 ; 6
(11
): 2606-2624
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Medulloblastoma in children and adolescents: a systematic review of contemporary
phase I and II clinical trials and biology update
#MMPMID28980418
Bautista F
; Fioravantti V
; de Rojas T
; Carceller F
; Madero L
; Lassaletta A
; Moreno L
Cancer Med
2017[Nov]; 6
(11
): 2606-2624
PMID28980418
show ga
Survival rates for patients with medulloblastoma have improved in the last
decades but for those who relapse outcome is dismal and new approaches are
needed. Emerging drugs have been tested in the last two decades within the
context of phase I/II trials. In parallel, advances in genetic profiling have
permitted to identify key molecular alterations for which new strategies are
being developed. We performed a systematic review focused on the design and
outcome of early-phase trials evaluating new agents in patients with relapsed
medulloblastoma. PubMed, clinicaltrials.gov, and references from selected studies
were screened to identify phase I/II studies with reported results between 2000
and 2015 including patients with medulloblastoma aged <18 years. A total of 718
studies were reviewed and 78 satisfied eligibility criteria. Of those, 69% were
phase I; 31% phase II. Half evaluated conventional chemotherapeutics and 35%
targeted agents. Overall, 662 patients with medulloblastoma/primitive
neuroectodermal tumors were included. The study designs and the response
assessments were heterogeneous, limiting the comparisons among trials and the
correct identification of active drugs. Median (range) objective response rate
(ORR) for patients with medulloblastoma in phase I/II studies was 0% (0-100) and
6.5% (0-50), respectively. Temozolomide containing regimens had a median ORR of
16.5% (0-100). Smoothened inhibitors trials had a median ORR of 8% (3-8). Novel
drugs have shown limited activity against relapsed medulloblastoma. Temozolomide
might serve as backbone for new combinations. Novel and more homogenous trial
designs might facilitate the development of new drugs.
|*Molecular Targeted Therapy
[MESH]
|Adolescent
[MESH]
|Angiogenesis Inhibitors/therapeutic use
[MESH]
|Antineoplastic Combined Chemotherapy Protocols/*therapeutic use
[MESH]