Feasibility and antitumour activity of the FGFR inhibitor erdafitnib in three paediatric CNS tumour patients

Author:

Stepien Natalia1ORCID,Mayr Lisa1,Schmook Maria T.2,Raimann Adalbert3ORCID,Dorfer Christian4,Peyrl Andreas1ORCID,Azizi Amedeo A.1ORCID,Schramm Kathrin56,Haberler Christine7,Gojo Johannes1ORCID

Affiliation:

1. Department of Pediatrics and Adolescent Medicine Comprehensive Center for Pediatrics and Comprehensive Cancer Center Medical University of Vienna Vienna Austria

2. Division of Neuroradiology and Musculoskeletal Radiology Department of Biomedical Imaging and Image‐Guided Therapy Medical University of Vienna Vienna Austria

3. Clinical Division of Pediatric Pulmonology, Allergology and Endocrinology Department of Pediatrics and Adolescent Medicine Comprehensive Center for Pediatrics Vienna Bone and Growth Center Medical University of Vienna Vienna Austria

4. Department of Neurosurgery Medical University of Vienna Vienna Austria

5. Hopp Children's Cancer Center Heidelberg (KiTZ) Heidelberg Germany

6. Division of Pediatric Glioma Research (B360) German Cancer Research Center (DKFZ) Heidelberg Germany

7. Department of Neurology Division of Neuropathology and Neurochemistry Medical University of Vienna Vienna Austria

Abstract

AbstractAlterations of the fibroblast growth factor (FGF) signalling pathway are increasingly recognized as frequent oncogenic drivers of paediatric brain tumours. We report on three patients treated with the selective FGFR1–4 inhibitor erdafitinib. Two patients were diagnosed with a posterior fossa ependymoma group A (PFA EPN) and one with a low‐grade glioma (LGG), harbouring FGFR3/FGFR1 overexpression and an FGFR1 internal tandem duplication (ITD), respectively. While both EPN patients did not respond to erdafitinib treatment, the FGFR1‐ITD‐harbouring tumour showed a significant decrease in tumour volume and contrast enhancement throughout treatment. The tumour remained stable 6 months after treatment discontinuation.

Publisher

Wiley

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