Case report: complete long-lasting response to multimodal third line treatment with neurosurgical resection, carmustine wafer implantation and dabrafenib plus trametinib in a BRAFV600E mutated high-grade glioma

被引:0
作者
Castelli, Barbara [1 ]
Tellini, Marco [1 ]
Guidi, Melina [1 ]
Di Nicola, Marco [1 ]
Giunti, Laura [1 ]
Buccoliero, Anna Maria [2 ]
Censullo, Maria Luigia [1 ]
Iacono, Alessandro [3 ]
Desideri, Isacco [4 ]
Genitori, Lorenzo [5 ]
Sardi, Iacopo [1 ]
Fonte, Carla [1 ]
机构
[1] Meyer Childrens Hosp IRCCS, Neurooncol Dept, Florence, Italy
[2] Meyer Childrens Hosp IRCCS, Pathol Dept, Florence, Italy
[3] Meyer Childrens Hosp IRCCS, Radiol Dept, Florence, Italy
[4] Careggi Hosp, Radiotherapy Dept, Florence, Italy
[5] Meyer Childrens Hosp IRCCS, Neurosurg Dept, Florence, Italy
来源
FRONTIERS IN ONCOLOGY | 2024年 / 14卷
关键词
high-grade glioma; MEK inhibitors; target therapy; dabrafenib; trametinib; pleomorphic xanthoastrocytoma; BRAFV600E; BRAF inhibitors; PLEOMORPHIC XANTHOASTROCYTOMA; BRAF; INHIBITION; ADULTS;
D O I
10.3389/fonc.2024.1359093
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Dabrafenib plus trametinib is a promising new therapy for patients affected by BRAFV600E-mutant glioma, with high overall response and manageable toxicity. We described a complete and long-lasting response in a case of recurrent anaplastic pleomorphic xanthoastrocytoma CNS WHO-grade 3 BRAFV600E mutated. Due to very poor prognosis, there are a few described cases of high-grade glioma (HGG) patients treated with the combined target therapy as third-line treatment. The emergence of optimized sequencing strategies and targeted agents, including multimodal and systemic therapy with dabrafenib plus trametinib, will continue to broaden personalized therapy in HGG improving patient outcomes.
引用
收藏
页数:6
相关论文
共 35 条
  • [31] Clinical Development of BRAF plus MEK Inhibitor Combinations
    Subbiah, Vivek
    Baik, Christina
    Kirkwood, John M.
    [J]. TRENDS IN CANCER, 2020, 6 (09): : 797 - 810
  • [32] BRAF-mediated brain tumors in adults and children: A review and the Australian and New Zealand experience
    Trinder, Sarah M.
    McKay, Campbell
    Power, Phoebe
    Topp, Monique
    Chan, Bosco
    Valvi, Santosh
    McCowage, Geoffrey
    Govender, Dinisha
    Kirby, Maria
    Ziegler, David S.
    Manoharan, Neevika
    Hassall, Tim
    Kellie, Stewart
    Heath, John
    Alvaro, Frank
    Wood, Paul
    Laughton, Stephen
    Tsui, Karen
    Dodgshun, Andrew
    Eisenstat, David D.
    Endersby, Raelene
    Luen, Stephen J.
    Koh, Eng-Siew
    Sim, Hao-Wen
    Kong, Benjamin
    Gottardo, Nicholas G.
    Whittle, James R.
    Khuong-Quang, Dong-Anh
    Hansford, Jordan R.
    [J]. FRONTIERS IN ONCOLOGY, 2023, 13
  • [33] Dabrafenib plus trametinib in patients with BRAFV600E-mutant low-grade and high-grade glioma (ROAR): a multicentre, open-label, single-arm, phase 2, basket trial
    Wen, Patrick Y.
    Stein, Alexander
    van den Bent, Martin
    De Greve, Jacques
    Wick, Antje
    de Vos, Filip Y. F. L.
    von Bubnoff, Nikolas
    van Linde, Myra E.
    Lai, Albert
    Prager, Gerald W.
    Campone, Mario
    Fasolo, Angelica
    Lopez-Martin, Jose A.
    Kim, Tae Min
    Mason, Warren P.
    Hofheinz, Ralf-Dieter
    Blay, Jean-Yves
    Cho, Daniel C.
    Gazzah, Anas
    Pouessel, Damien
    Yachnin, Jeffrey
    Boran, Aislyn
    Burgess, Paul
    Ilankumaran, Palanichamy
    Gasal, Eduard
    Subbiah, Vivek
    [J]. LANCET ONCOLOGY, 2022, 23 (01) : 53 - 64
  • [34] The MAPK and AMPK signalings: interplay and implication in targeted cancer therapy
    Yuan, Jimin
    Dong, Xiaoduo
    Yap, Jiajun
    Hu, Jiancheng
    [J]. JOURNAL OF HEMATOLOGY & ONCOLOGY, 2020, 13 (01)
  • [35] Editorial: Molecular Advances in Diagnosis and Treatment of CNS Tumors
    Zhang, Zhao-Hui
    Lin, Ming-Tseh
    Chen, Liam
    [J]. FRONTIERS IN ONCOLOGY, 2020, 10