Infantile Fibrosarcoma With NTRK3-ETV6 Fusion Successfully Treated With the Tropomyosin-Related Kinase Inhibitor LOXO-101
Infantile fibrosarcoma (IFS) is a rare pediatric cancer typically presenting in the first 2 years of life. Surgical resection is usually curative and chemotherapy is active against gross residual disease. However, when recurrences occur, therapeutic options are limited. We report a case of refractor...
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| Vydáno v: | Pediatric blood & cancer Ročník 63; číslo 8; s. 1468 - 1470 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Blackwell Publishing Ltd
01.08.2016
Wiley Subscription Services, Inc John Wiley and Sons Inc |
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| ISSN: | 1545-5009, 1545-5017, 1545-5017 |
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| Abstract | Infantile fibrosarcoma (IFS) is a rare pediatric cancer typically presenting in the first 2 years of life. Surgical resection is usually curative and chemotherapy is active against gross residual disease. However, when recurrences occur, therapeutic options are limited. We report a case of refractory IFS with constitutive activation of the tropomyosin‐related kinase (TRK) signaling pathway from an ETS variant gene 6–neurotrophin 3 receptor gene (ETV6–NTRK3) gene fusion. The patient enrolled in a pediatric Phase 1 trial of LOXO‐101, an experimental, highly selective inhibitor of TRK. The patient experienced a rapid, radiographic response, demonstrating the potential for LOXO‐101 to provide benefit for IFS harboring NTRK gene fusions. |
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| AbstractList | Infantile fibrosarcoma (IFS) is a rare pediatric cancer typically presenting in the first 2 years of life. Surgical resection is usually curative and chemotherapy is active against gross residual disease. However, when recurrences occur, therapeutic options are limited. We report a case of refractory IFS with constitutive activation of the tropomyosin-related kinase (TRK) signaling pathway from an ETS variant gene 6-neurotrophin 3 receptor gene (ETV6-NTRK3) gene fusion. The patient enrolled in a pediatric Phase 1 trial of LOXO-101, an experimental, highly selective inhibitor of TRK. The patient experienced a rapid, radiographic response, demonstrating the potential for LOXO-101 to provide benefit for IFS harboring NTRK gene fusions.Infantile fibrosarcoma (IFS) is a rare pediatric cancer typically presenting in the first 2 years of life. Surgical resection is usually curative and chemotherapy is active against gross residual disease. However, when recurrences occur, therapeutic options are limited. We report a case of refractory IFS with constitutive activation of the tropomyosin-related kinase (TRK) signaling pathway from an ETS variant gene 6-neurotrophin 3 receptor gene (ETV6-NTRK3) gene fusion. The patient enrolled in a pediatric Phase 1 trial of LOXO-101, an experimental, highly selective inhibitor of TRK. The patient experienced a rapid, radiographic response, demonstrating the potential for LOXO-101 to provide benefit for IFS harboring NTRK gene fusions. Infantile fibrosarcoma (IFS) is a rare pediatric cancer typically presenting in the first 2 years of life. Surgical resection is usually curative and chemotherapy is active against gross residual disease. However, when recurrences occur, therapeutic options are limited. We report a case of refractory IFS with constitutive activation of the tropomyosin‐related kinase (TRK) signaling pathway from an ETS variant gene 6–neurotrophin 3 receptor gene (ETV6–NTRK3) gene fusion. The patient enrolled in a pediatric Phase 1 trial of LOXO‐101, an experimental, highly selective inhibitor of TRK. The patient experienced a rapid, radiographic response, demonstrating the potential for LOXO‐101 to provide benefit for IFS harboring NTRK gene fusions. |
| Author | Cox, Michael C. Wei, Julie Gordon, Paul Rastatter, Jeff C. Nagasubramanian, Ramamoorthy Pappo, Alberto |
| AuthorAffiliation | 1 Nemours Children's Hospital Orlando Florida 4 St. Jude Children's Research Hospital Memphis Tennessee 3 Loxo Oncology Inc South San Francisco California 2 Department of Otolaryngology – Head and Neck Surgery Northwestern University Feinberg School of Medicine Chicago Illinois |
| AuthorAffiliation_xml | – name: 1 Nemours Children's Hospital Orlando Florida – name: 3 Loxo Oncology Inc South San Francisco California – name: 2 Department of Otolaryngology – Head and Neck Surgery Northwestern University Feinberg School of Medicine Chicago Illinois – name: 4 St. Jude Children's Research Hospital Memphis Tennessee |
| Author_xml | – sequence: 1 givenname: Ramamoorthy surname: Nagasubramanian fullname: Nagasubramanian, Ramamoorthy email: Correspondence to: Ramamoorthy Nagasubramanian, Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827., rnagasub@nemours.org organization: Nemours Children's Hospital, Florida, Orlando – sequence: 2 givenname: Julie surname: Wei fullname: Wei, Julie organization: Nemours Children's Hospital, Florida, Orlando – sequence: 3 givenname: Paul surname: Gordon fullname: Gordon, Paul organization: Nemours Children's Hospital, Florida, Orlando – sequence: 4 givenname: Jeff C. surname: Rastatter fullname: Rastatter, Jeff C. organization: Department of Otolaryngology - Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Illinois, Chicago – sequence: 5 givenname: Michael C. surname: Cox fullname: Cox, Michael C. organization: Loxo Oncology Inc, California, South San Francisco – sequence: 6 givenname: Alberto surname: Pappo fullname: Pappo, Alberto organization: St. Jude Children's Research Hospital, Tennessee, Memphis |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27093299$$D View this record in MEDLINE/PubMed |
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| Keywords | LOXO-101 ETV6-NTRK3 infantile fibrosarcoma tropomyosin-related kinase (TRK) gene fusion |
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| SubjectTerms | Brief Report Brief Reports ETS Translocation Variant 6 Protein ETV6-NTRK3 Female Fibrosarcoma - diagnostic imaging Fibrosarcoma - drug therapy Fibrosarcoma - genetics Fibrosarcoma - surgery gene fusion Genes Hematology Humans Infant infantile fibrosarcoma Kinases LOXO-101 Magnetic Resonance Imaging Oncology Pediatrics Proto-Oncogene Proteins c-ets - genetics Pyrazoles - therapeutic use Pyrimidines - therapeutic use Receptor, trkC - antagonists & inhibitors Receptor, trkC - genetics Recombinant Fusion Proteins - genetics Repressor Proteins - genetics tropomyosin-related kinase (TRK) |
| Title | Infantile Fibrosarcoma With NTRK3-ETV6 Fusion Successfully Treated With the Tropomyosin-Related Kinase Inhibitor LOXO-101 |
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