Agents in Development for Childhood Acute Lymphoblastic Leukemia
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Abstract
Acute lymphoblastic leukemia (ALL) is the most common cancer in childhood. Standard chemotherapy has afforded outstanding outcomes for many patients; however, there remain some sub-groups with high-risk features, refractory disease, and patients that relapse who have a poor prognosis with conventional treatments. Over the past decade, there have been significant advances in newer treatment options, including improved monoclonal antibody therapies, T cell engagers, and chimeric antigen T-cell receptor products, all of which have changed the landscape for patients who relapse. These are now being introduced more frequently and at earlier stages of therapy. We present a brief overview of the biology and etiology of childhood ALL, treatment strategies currently in use, and discuss some newer strategies and their possible role in the future of ALL therapy for children.
Notes
Compliance with Ethical Standards
Funding
No funding and no editorial services were paid for or received for the preparation of this manuscript. LG is the recipient of the Clark and Ergen Family Endowed Chairs from the Children’s Hospital Colorado Foundation.
Conflict of interest
Dr Maloney has no relevant conflicts of interest to declare. Dr Gore has the following conflicts of interest to declare: service on Data Safety Monitoring Boards for Novartis for tisagenlecleucel and for Celgene for an oncology product unrelated to the topic of this manuscript; Advisory Board service for Amgen, Celgene, Novartis for possible development of various oncology products for treatment of childhood leukemia; stock in Amgen, Inc. purchased in 1996 without further trade or sale since that time.
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