A pilot study evaluating the use of sirolimus in children and young adults with desmoid‐type fibromatosis

Author:

Weiss Aaron R.1ORCID,Dry Sarah2,Maygar Clara2,Cutler Anya3,Lary Christine W.4,Khoo Carmen3,Fergione Jillian E.1,Hounchell Melanie M.1,Glick Kathleen1,Browning Meghen5,Choo Sun Ha6ORCID,Hawkins Douglas S.7ORCID,Lagmay Joanne8,Manalang Michelle9,Skapek Stephen X.10,Weigel Brenda11,Verwys Stephanie1,Federman Noah12ORCID

Affiliation:

1. Division of Hematology/Oncology Department of Pediatrics Maine Medical Center Portland Maine USA

2. Department of Pathology Bone Soft Tissue and GI Pathology University of California Los Angeles Los Angeles California USA

3. MaineHealth Institute for Research Portland Maine USA

4. Roux Institute and the Bouve College of Health Sciences at Northeastern University Portland Maine USA

5. Division of Hematology/Oncology Department of Pediatrics Children's Hospital of Wisconsin Milwaukee Wisconsin USA

6. Division of Hematology/Oncology Department of Pediatrics Rady Children's Hospital San Diego California USA

7. Division of Hematology/Oncology Department of Pediatrics Seattle Children's Hospital University of Washington School of Medicine Seattle Washington USA

8. Division of Hematology/Oncology Department of Pediatrics University of Florida Health Science Center Gainesville Florida USA

9. Department of Pediatrics Marshfield Marshfield Medical Center Marshfield Wisconsin USA

10. Division of Hematology/Oncology Department of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USA

11. Division of Hematology/Oncology Department of Pediatrics University of Minnesota/Masonic Cancer Center Minneapolis Minnesota USA

12. Departments of Pediatrics and Orthopaedic Surgery David Geffen School of Medicine University of California Los Angeles California USA

Abstract

AbstractDeregulation of the mTOR pathway may play an important role in tumor biology when the APC/β‐catenin pathway is disrupted in desmoid‐type fibromatosis (DT). A pilot study was conducted to determine whether sirolimus can block the mTOR pathway (primary aim) as well as determine whether it can safely be given in the preoperative setting, decrease tumor size/recurrence, and decrease tumor‐associated pain in children and young adults (secondary aims) with DT. Nine subjects ages 5–28 years were enrolled from 2014 to 2017 across four centers. Sirolimus was feasible and was associated with a nonstatistically significant decrease in pS706K activation.

Funder

Desmoid Tumor Research Foundation

Pfizer

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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