Impact of tissue-agnostic approvals on management of primary brain tumors

Copyright © 2023 Elsevier Inc. All rights reserved..

Novel tissue-agnostic therapeutics targeting driver mutations in tumor cells have been recently approved by FDA, driven by basket trials that have demonstrated their efficacy and safety across diverse tumor histology. However, the relative rarity of primary brain tumors (PBTs) has limited their representation in early trials of tissue-agnostic medications. Thus, consensus continues to evolve regarding utility of tissue-agnostic medications in routine practice for PBTs, a diverse group of neoplasms characterized by limited treatment options and unfavorable prognoses. We describe current and potential impact of tissue-agnostic approvals on management of PBTs. We discuss data from clinical trials for PBTs regarding tissue-agnostic targets, including BRAFV600E, neurotrophic tyrosine receptor kinase (NTRK) fusions, microsatellite instability-high (MSI-High), mismatch repair deficiency (dMMR), and high tumor mutational burden (TMB-H), in context of challenges in managing PBTs. Described are additional tissue-agnostic targets that hold promise for benefiting patients with PBTs, including RET fusion, fibroblast growth factor receptor (FGFR), ERBB2/HER2, and KRASG12C, and TP53Y220C.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Trends in cancer - 10(2024), 3 vom: 15. März, Seite 256-274

Sprache:

Englisch

Beteiligte Personen:

Ahluwalia, Manmeet S [VerfasserIn]
Khosla, Atulya A [VerfasserIn]
Ozair, Ahmad [VerfasserIn]
Gouda, Mohamed A [VerfasserIn]
Subbiah, Vivek [VerfasserIn]

Links:

Volltext

Themen:

BRAFV600E
Brain tumors
Genomic medicine
Journal Article
KRAS
Microsatellite instability
Mismatch repair
Neurotrophic tyrosine receptor kinase
Precision medicine
RET fusion
Review

Anmerkungen:

Date Completed 15.03.2024

Date Revised 15.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.trecan.2023.11.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367358689