Pediatria Polska
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Pediatria Polska - Polish Journal of Paediatrics
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Artykuł oryginalny

Therapy with selumetinib in children with neurofibromatosis type 1 in Poland – clinical experience of the first year of the national program

Jagoda Styczyńska
1
,
Agata Marjańska
1
,
Agnieszka Jatczak-Gaca
1
,
Marek Karwacki
2
,
Justyna Walenciak
3
,
Katarzyna Garus
4
,
Katarzyna Bilska
5
,
Agnieszka Mizia-Malarz
6
,
Wanda Badowska
7
,
Dorota Sławińska
8
,
Jadwiga Węcławek-Tompol
9
,
Radosław Chaber
10
,
Ewa Bień
11
,
Grażyna Karolczyk
12
,
Jolanta Skalska-Sadowska
13
,
Jan Styczyński
1

  1. Department of Pediatric Hematology and Oncology, Collegium Medicum Nicolaus Copernicus University Toruń, Jurasz University Hospital, Bydgoszcz, Poland
  2. Department of Pediatric Hematology and Oncology, Clinical Transplantology and Pediatrics; Medical University of Warsaw, Warszawa, Poland
  3. Department of Pediatrics, Oncology and Hematology, Medical University of Łódź, Łódź, Poland
  4. Department of Pediatric Oncology and Hematology, Institute of Pediatrics, Jagiellonian University Medical College, Kraków, Poland
  5. Department of Oncology and Surgical Oncology for Children and Youth, Institute of Mother and Child, Warszawa, Poland
  6. Department of Oncology, Hematology and Chemotherapy, Division of Pediatrics, Medical University of Silesia, Upper Silesian Child Health Centre, Katowice, Poland
  7. Department of Pediatrics and Hematology and Oncology, Provincial Children’s Hospital, Olsztyn, Poland
  8. Department of Pediatric Hematology and Oncology and Transplantology, Medical University of Lublin, Lublin, Poland
  9. Department of Pediatric Hematology/Oncology and BMT, Medical University of Wrocław, Wrocław, Poland
  10. Department of Pediatrics, Institute of Medical Sciences, Collegium Medicum, University of Rzeszów, Rzeszów, Poland
  11. Department of Pediatrics, Hematology and Oncology, Medical University of Gdańsk, Gdańsk, Poland
  12. Department of Pediatric Oncology and Hematology, Children’s Hospital in Kielce, Kielce, Poland
  13. Department of Pediatric Oncology, Hematology and Transplantology, Poznań University of Medical Sciences, Poznań, Poland
Pediatr Pol 2025; 100 (4)
Data publikacji online: 2025/11/20
Plik artykułu:
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Metryki PlumX:
 
1. Ly KI, Blakeley JO. The diagnosis and management of neurofibromatosis type 1. Med Clin North Am 2019; 103: 1035-1054.
2. De Blank PMK, Gross AM, Akshintala S, Blakeley Jo, Bollag G, Cannon A, et al. MEK inhibitors for neurofibromatosis type 1 manifestations: clinical evidence and consensus. Neuro Oncol 2022; 24: 1845-1856.
3. Kim H, Yoon HM, Kim EK, Ra YS, Kim HW, Yum MS, et al. Safety and efficacy of selumetinib in pediatric and adult patients with neurofibromatosis type 1 and plexiform neurofibroma. Neuro Oncol 2024; 26: 2352-2363.
4. Armstrong AE, Belzberg AJ, Crawford JR, Hirbe AC, Wang ZJ. Treatment decisions and the use of MEK inhibitors for children with neurofibromatosis type 1-related plexiform neurofibromas. BMC Cancer 2023; 23: 553.
5. Fisher MJ, Blakeley JO, Weiss BD, Dombi E, Ahlawat S, Akshintala S, et al. Management of neurofibromatosis type 1-associated plexiform neurofibromas. Neuro Oncol 2022; 24: 1827-1844.
6. Gross AM, Dombi E, Wolters PL, Baldwin A, Dufek A, Herrera K, et al. Long-term safety and efficacy of selumetinib in children with neurofibromatosis type 1 on a phase 1/2 trial for inoperable plexiform neurofibromas. Neuro Oncol 2023; 25: 1883-1894.
7. Azizi AA, Hargrave D, Passos J, Wolkenstein P, Rosenbaum T, Santoro C, et al. Consensus recommendations on management of selumetinib-associated adverse events in pediatric patients with neurofibromatosis type 1 and plexiform neurofibromas. Neurooncol Pract 2024; 11: 515-531.
8. Płużański A. Evaluation of response to treatment – criteria RECIST 1.1. J Oncol 2014; 64: 331-335..
9. NIH NCI DCTD Cancer Evaluation Program. Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. Available from: https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/ctcae_v5_quick_ reference_8.5x11.pdf (accessed: 20.05.2025).
10. Gross AM, Wolters PL, Dombi E, Baldwin A, Whitcomb P, Fisher MJ, et al. Selumetinib in children with inoperable plexiform neurofibromas. N Engl J Med 2020; 382: 1430-1442.
Copyright: © 2025 Polish Society of Paediatrics. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
 
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