Smith Malcolm A, Reaman Gregory H
Cancer Therapy Evaluation Program, National Cancer Institute, 9609 Medical Center Drive, RM 5-W414, MSC 9737, Bethesda, MD 20892, USA.
Office of Hematology and Oncology Products, OND, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, White Oak Building 22, Room 2202, 10903 New Hampshire Avenue, Silver Spring, MD 20993, USA.
Pediatr Clin North Am. 2015 Feb;62(1):301-12. doi: 10.1016/j.pcl.2014.09.018. Epub 2014 Oct 18.
Despite the enormously important and gratifying advances in cancer treatment outcomes for children with cancer, cancer remains the biggest cause of death from disease in children. Because the etiology and biology of cancers that occur in children differ dramatically from those that occur in adults, the immediate extrapolation of efficacy and safety of new cancer drugs to childhood cancer indications is not possible. We discuss factors that will play key roles in guiding pediatric oncologists as they select lines of research to pursue in their quest for more effective treatments for children with cancer.
尽管儿童癌症治疗结果取得了极其重要且令人欣慰的进展,但癌症仍是儿童疾病死亡的最大原因。由于儿童癌症的病因和生物学特性与成人癌症截然不同,因此无法直接将新癌症药物的疗效和安全性外推至儿童癌症适应症。我们讨论了一些因素,这些因素将在指导儿科肿瘤学家选择研究方向以寻求更有效的儿童癌症治疗方法方面发挥关键作用。