Résumé
Purpose: Tropomyosin receptor kinase (TRK) fusions are detected in less than 2% of central nervous system tumors. There are limited data on the clinical course of affected patients. Experimental Design: We conducted an international retrospective cohort study of patients with TRK fusion–driven central nervous system tumors. Results: A total of 119 patients were identified. The median age at the time of diagnosis was 4.5 years. The majority were reported to have a histology consistent with a diagnosis of high-grade glioma (HGG; 57.1%) followed by low-grade glioma (LGG; 27.7%). Pediatric patients had a better prognosis, with a median overall survival of 185.5 months compared with 24.8 months in adults (P < 0.0001). Patients with LGG also had a better outcome when compared with HGG (P = 0.0012). The objective response was 68.8% with larotrectinib compared with 38.1% for nontargeted treatment. Conclusions: Children with LGG had a favorable outcome compared with adult glioma and HGG. TRK inhibitors seem to improve tumor control.
langue originale | Anglais |
---|---|
Pages (de - à) | 561-572 |
Nombre de pages | 12 |
journal | Clinical Cancer Research |
Volume | 31 |
Numéro de publication | 3 |
Les DOIs | |
état | Publié - 1 févr. 2025 |
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Dans: Clinical Cancer Research, Vol 31, Numéro 3, 01.02.2025, p. 561-572.
Résultats de recherche: Contribution à un journal › Article › Revue par des pairs
TY - JOUR
T1 - Clinical Characteristics and Outcomes of Central Nervous System Tumors Harboring NTRK Gene Fusions
AU - Lamoureux, Audrey Anne
AU - Fisher, Michael J.
AU - Lemelle, Lauriane
AU - Pfaff, Elke
AU - Amir-Yazdani, Pouneh
AU - Kramm, Christof
AU - De Wilde, Bram
AU - Kazanowska, Bernarda
AU - Hutter, Caroline
AU - Pfister, Stefan M.
AU - Sturm, Dominik
AU - Jones, David T.W.
AU - Orbach, Daniel
AU - Pierron, Gaëlle
AU - Raskin, Scott
AU - Drilon, Alexander
AU - Diamond, Eli L.
AU - Harada, Guilherme
AU - Zapotocky, Michal
AU - Zamecnik, Josef
AU - Krskova, Lenka
AU - Ellezam, Benjamin
AU - Weil, Alexander G.
AU - Venne, Dominic
AU - Barritault, Marc
AU - Leblond, Pierre
AU - Coltin, Hallie
AU - Hammad, Rawan
AU - Tabori, Uri
AU - Hawkins, Cynthia
AU - Hansford, Jordan R.
AU - Meyran, Deborah
AU - Erker, Craig
AU - McFadden, Kathryn
AU - Sato, Mariko
AU - Gottardo, Nicholas G.
AU - Dholaria, Hetal
AU - Nørøxe, Dorte Schou
AU - Goto, Hiroaki
AU - Ziegler, David S.
AU - Lin, Frank Y.
AU - Parsons, Donald Williams
AU - Lindsay, Holly
AU - Wong, Tai Tong
AU - Liu, Yen Lin
AU - Wu, Kuo Sheng
AU - Franson, Andrea T.
AU - Hwang, Eugene
AU - Aguilar-Bonilla, Ana
AU - Cheng, Sylvia
AU - Cacciotti, Chantel
AU - Massimino, Maura
AU - Schiavello, Elisabetta
AU - Wood, Paul
AU - Hoffman, Lindsey M.
AU - Cappellano, Andréa
AU - Lassaletta, Alvaro
AU - Van Damme, An
AU - Llort, Anna
AU - Gerber, Nicolas U.
AU - Ceruso, Mariella Spalato
AU - Bendel, Anne E.
AU - Skrypek, Maggie
AU - Hamideh, Dima
AU - Mushtaq, Naureen
AU - Walter, Andrew
AU - Jabado, Nada
AU - Alsahlawi, Aysha
AU - Farmer, Jean Pierre
AU - Coleman, Christina
AU - Mueller, Sabine
AU - Mazewski, Claire
AU - Aguilera, Dolly
AU - Robison, Nathan J.
AU - O’Halloran, Katrina
AU - Abbou, Samuel
AU - Berlanga, Pablo
AU - Geoerger, Birgit
AU - Øra, Ingrid
AU - Moertel, Christopher L.
AU - Razis, Evangelia D.
AU - Vernadou, Anastasia
AU - Ducray, François
AU - Bronnimann, Charlotte
AU - Seizeur, Romuald
AU - Clarke, Matthew
AU - Resnick, Adam C.
AU - Alves, Mélanie
AU - Jones, Chris
AU - Doz, François
AU - Laetsch, Theodore W.
AU - Perreault, Sébastien
N1 - Publisher Copyright: ©2024 The Authors.
PY - 2025/2/1
Y1 - 2025/2/1
N2 - Purpose: Tropomyosin receptor kinase (TRK) fusions are detected in less than 2% of central nervous system tumors. There are limited data on the clinical course of affected patients. Experimental Design: We conducted an international retrospective cohort study of patients with TRK fusion–driven central nervous system tumors. Results: A total of 119 patients were identified. The median age at the time of diagnosis was 4.5 years. The majority were reported to have a histology consistent with a diagnosis of high-grade glioma (HGG; 57.1%) followed by low-grade glioma (LGG; 27.7%). Pediatric patients had a better prognosis, with a median overall survival of 185.5 months compared with 24.8 months in adults (P < 0.0001). Patients with LGG also had a better outcome when compared with HGG (P = 0.0012). The objective response was 68.8% with larotrectinib compared with 38.1% for nontargeted treatment. Conclusions: Children with LGG had a favorable outcome compared with adult glioma and HGG. TRK inhibitors seem to improve tumor control.
AB - Purpose: Tropomyosin receptor kinase (TRK) fusions are detected in less than 2% of central nervous system tumors. There are limited data on the clinical course of affected patients. Experimental Design: We conducted an international retrospective cohort study of patients with TRK fusion–driven central nervous system tumors. Results: A total of 119 patients were identified. The median age at the time of diagnosis was 4.5 years. The majority were reported to have a histology consistent with a diagnosis of high-grade glioma (HGG; 57.1%) followed by low-grade glioma (LGG; 27.7%). Pediatric patients had a better prognosis, with a median overall survival of 185.5 months compared with 24.8 months in adults (P < 0.0001). Patients with LGG also had a better outcome when compared with HGG (P = 0.0012). The objective response was 68.8% with larotrectinib compared with 38.1% for nontargeted treatment. Conclusions: Children with LGG had a favorable outcome compared with adult glioma and HGG. TRK inhibitors seem to improve tumor control.
UR - http://www.scopus.com/inward/record.url?scp=85217005317&partnerID=8YFLogxK
U2 - 10.1158/1078-0432.CCR-24-0581
DO - 10.1158/1078-0432.CCR-24-0581
M3 - Article
C2 - 39625867
AN - SCOPUS:85217005317
SN - 1078-0432
VL - 31
SP - 561
EP - 572
JO - Clinical Cancer Research
JF - Clinical Cancer Research
IS - 3
ER -