4.5 Article

Targeting the PD-1 pathway in pediatric solid tumors and brain tumors

Journal

ONCOTARGETS AND THERAPY
Volume 10, Issue -, Pages 2097-2106

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/OTT.S124008

Keywords

PD-1; nivolumab; pembrolizumab; pediatric; sarcoma; neuroblastoma; glioma

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While remarkable advances have been made in the treatment of pediatric leukemia over the past decades, new therapies are needed for children with advanced solid tumors and high-grade brain tumors who fail standard chemotherapy regimens. Immunotherapy with immune checkpoint inhibitors acting through the programmed cell death-1 (PD-1) pathway has shown efficacy in some chemotherapy-resistant adult cancers, generating interest that these agents may also be helpful to treat certain refractory pediatric malignancies. In this manuscript we review current strategies for targeting the PD-1 pathway, highlighting putative biomarkers and the rationale for investigation of these drugs to treat common pediatric tumors such as sarcoma, neuroblastoma, and high-grade glioma. We summarize the completed and ongoing clinical trial data available, and suggest potential applications for further study.

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