| Literature DB >> 27398937 |
Alvaro Lassaletta1,2, Ana Guerreiro Stucklin1,2,3, Vijay Ramaswamy1,2,3, Michal Zapotocky1,2,3, Tara McKeown1, Cynthia Hawkins2,3,4, Eric Bouffet1,2,3, Uri Tabori5,6,7.
Abstract
Infants with low-grade glioma (LGG) have a poor survival. BRAFV600E mutation has been identified in pediatric LGG; however, the use of BRAF inhibitors in infants has never been reported. A 2-month-old with V600E mutant hypothalamic/chiasmatic glioma progressed on chemotherapy resulting in profound visual loss, massive ascites, and diencephalic syndrome. Initiation of dabrafenib resulted in rapid and sustained disappearance of clinical symptoms and a profound sustained cytoreduction. BRAF inhibition was safely tolerated with dramatic clinicoradiological response, suggesting early targeted therapy is a viable option in infants with LGG. A re-evaluation of current management paradigms in this population is warranted to leverage the potential benefit of upfront-targeted therapies.Entities:
Keywords: dabrafenib; glioma; hypothalamic-chiasmatic; infant; low grade
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Year: 2016 PMID: 27398937 DOI: 10.1002/pbc.26086
Source DB: PubMed Journal: Pediatr Blood Cancer ISSN: 1545-5009 Impact factor: 3.167