Current and Future Treatment Strategies for Rhabdomyosarcoma

Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children, and can be subcategorized histologically and/or based on PAX-FOXO1 fusion gene status. Over the last four decades, there have been no significant improvements in clinical outcomes for advanced and metastatic RMS patients, und...

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Main Authors: Celine Chen, Heathcliff Dorado Garcia, Monika Scheer, Anton G. Henssen
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.01458/full
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author Celine Chen
Heathcliff Dorado Garcia
Monika Scheer
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
author_facet Celine Chen
Heathcliff Dorado Garcia
Monika Scheer
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
author_sort Celine Chen
collection DOAJ
description Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children, and can be subcategorized histologically and/or based on PAX-FOXO1 fusion gene status. Over the last four decades, there have been no significant improvements in clinical outcomes for advanced and metastatic RMS patients, underscoring a need for new treatment options for these groups. Despite significant advancements in our understanding of the genomic landscape and underlying biological mechanisms governing RMS that have informed the identification of novel therapeutic targets, development of these therapies in clinical trials has lagged far behind. In this review, we summarize the current frontline multi-modality therapy for RMS according to pediatric protocols, highlight emerging targeted therapies and immunotherapies identified by preclinical studies, and discuss early clinical trial data and the implications they hold for future clinical development.
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spelling doaj.art-025b8e17eb43450599d80e915a9839b62022-12-22T03:00:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2019-12-01910.3389/fonc.2019.01458502837Current and Future Treatment Strategies for RhabdomyosarcomaCeline Chen0Heathcliff Dorado Garcia1Monika Scheer2Anton G. Henssen3Anton G. Henssen4Anton G. Henssen5Anton G. Henssen6Department of Pediatric Oncology/Hematology, Charité-Universitätsmedizin Berlin, Berlin, GermanyDepartment of Pediatric Oncology/Hematology, Charité-Universitätsmedizin Berlin, Berlin, GermanyPediatrics 5, Klinikum Stuttgart, Olgahospital, Stuttgart, GermanyDepartment of Pediatric Oncology/Hematology, Charité-Universitätsmedizin Berlin, Berlin, GermanyBerlin Institute of Health, Berlin, GermanyGerman Cancer Consortium (DKTK), Partner Site Berlin, German Cancer Research Center (DKFZ), Heidelberg, GermanyExperimental and Clinical Research Center (ECRC) of the MDC and Charité Berlin, Berlin, GermanyRhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children, and can be subcategorized histologically and/or based on PAX-FOXO1 fusion gene status. Over the last four decades, there have been no significant improvements in clinical outcomes for advanced and metastatic RMS patients, underscoring a need for new treatment options for these groups. Despite significant advancements in our understanding of the genomic landscape and underlying biological mechanisms governing RMS that have informed the identification of novel therapeutic targets, development of these therapies in clinical trials has lagged far behind. In this review, we summarize the current frontline multi-modality therapy for RMS according to pediatric protocols, highlight emerging targeted therapies and immunotherapies identified by preclinical studies, and discuss early clinical trial data and the implications they hold for future clinical development.https://www.frontiersin.org/article/10.3389/fonc.2019.01458/fullrhabdomyosacomapediatric oncologysoft tissue sarcomatargeted therapychildhood cancer
spellingShingle Celine Chen
Heathcliff Dorado Garcia
Monika Scheer
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
Anton G. Henssen
Current and Future Treatment Strategies for Rhabdomyosarcoma
Frontiers in Oncology
rhabdomyosacoma
pediatric oncology
soft tissue sarcoma
targeted therapy
childhood cancer
title Current and Future Treatment Strategies for Rhabdomyosarcoma
title_full Current and Future Treatment Strategies for Rhabdomyosarcoma
title_fullStr Current and Future Treatment Strategies for Rhabdomyosarcoma
title_full_unstemmed Current and Future Treatment Strategies for Rhabdomyosarcoma
title_short Current and Future Treatment Strategies for Rhabdomyosarcoma
title_sort current and future treatment strategies for rhabdomyosarcoma
topic rhabdomyosacoma
pediatric oncology
soft tissue sarcoma
targeted therapy
childhood cancer
url https://www.frontiersin.org/article/10.3389/fonc.2019.01458/full
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