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HAPLOIDENTICAL HEMATOPOIETIC STEM CELL TRANSPLANTATION WITH POST-TRANSPLANT CYCLOPHOSPHAMIDE FOR CHILDREN WITH JUVENILE MYELOMONOCYTIC LEUKEMIA 单倍体造血干细胞移植与移植后环磷酰胺治疗儿童髓细胞白血病
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100384
Anita Frisanco Oliveira , Rafaela Ferreira , Luiz Fernando Mantovani , Angela Venancio , Rafael Balceiro , Luiz Fernando Lopes , Neysimelia Villela
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引用次数: 0
RISK-ADAPTED THERAPY FOR JUVENILE MYELOMONOCYTIC LEUKEMIA: A MULTICENTER, PROSPECTIVE STUDY IN CHINA 中国一项多中心前瞻性研究:风险适应疗法治疗青少年髓单细胞白血病
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100390
Xia Qin , Maoquan Qin , Shaoyan Hu , Jie Yu , Xiaojun Xu , Lijun Qu , Yiping Zhu , Sen Chen , Ruijuan Sun , Ningling Wang , Hao Xiong , Rong Liu , Ansheng Liu , Huihong Dou , Yanna Mao , Benshan Zhang , Xiangling He , Dao Wang , Yunyan He , Yongjun Fang , Chen Jing
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引用次数: 0
MOLECULAR SURVEILLANCE IN BONE MARROW FAILURE: PREDICTIVE VALUE OF CLONAL HEMATOPOIESIS 骨髓衰竭的分子监测:克隆造血的预测价值
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100329
Nathan Gray, Enrico Attardi, Michelle Boals, Sara Lewis, Passant Shaker, Kelsey Ray, Jessica Uhrich, Melvanique Hale, Alyssa Kennedy, Marcin W. Wlodarski
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引用次数: 0
FUNCTIONAL ANALYSIS OF NON-CANONICAL FANCJ VARIANTS IN FANCONI ANEMIA 范可尼贫血非典型范可尼变异的功能分析
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100337
Anja Droste , Anna Repczynska , Isabell Popp , Britta Fiebig , Julia Vodopiutz , Andreas-Robert Janecke , Detlev Schindler , Jost Knaup , Regina Hark , Renata Kulka , Alexandra Sobeck , Reinhard Kalb
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引用次数: 0
GATA2 GENE HAPLOINSUFFICIENCY: A CLINICAL AND LABORATORY CHARACTERIZATION OF BRAZILIAN PATIENTS REGISTERED IN GCB-SMD-PED Gata2基因单倍不全:巴西gcb-smd-ped患者的临床和实验室特征
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100371
Anita Frisanco Oliveira , Guilherme Rodrigues , Neysimelia Villela , Samia Fahria , Glaucia Regina Murra , Rafael Balceiro , Eduardo Caetano Silva , Luiz Fernando Lopes , Juliana Gaspar
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引用次数: 0
CHARACTERIZATION OF MURINE STEM AND PROGENITOR CELLS HARBORING ONCOGENIC PTPTN11 OR KRAS MUTATIONS 携带致癌ptptn11或kras突变的小鼠干细胞和祖细胞的特性
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100413
Hui Xiao , Shuhan Jin , Jun Wang , Jovana Rajak , Naile Koleci , Sheila Bohler , Miriam Erlacher
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引用次数: 0
A CASE OF SEVERE CONGENITAL THROMBOCYTOPENIA WITH HETEROZYGOUS PATHOGENIC NBEAL2 MUTATION 重度先天性血小板减少伴杂合致病性nbeal2突变1例
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100398
Michelle Boals, Passant Shaker, Lili Kotmayer, Nathan Gray, Kelsey Ray, Marcin Wlodarski, Alyssa L. Kennedy
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引用次数: 0
GENETIC RE-EVALUATION OF SDS-LIKE AND NEUTROPENIA CONDITIONS sds样和中性粒细胞减少症的基因重新评估
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100400
Helen D. Reed , Sarah Brnich , Jonas Gudera , Stephanie DiTroia , Anne O’Donnell-Luria , Meng-Ju Li , Hermann Yang , Karyn Brundige , Sara Loveless , Leah Cheng , Felicia Andresen , Mark Fleming , Kasiani Myers , Akiko Shimamura
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引用次数: 0
Recommended phase 2 dose for abemaciclib in combination with irinotecan and temozolomide in pediatric and young adult patients with relapsed/refractory solid tumors: Results from JPCS study (Part A) abemaciclib联合伊立替康和替莫唑胺治疗复发/难治性实体瘤儿童和青年患者的推荐2期剂量:来自JPCS研究的结果(Part A)
Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ejcped.2025.100477
Antonio Juan Ribelles , Lucas Moreno , Chitose Ogawa , Anne Thorwarth , Antonio Ruggiero , Celine Pitou , Yanhong Zhou , Molly C. Hardebeck , Holly Knoderer , Alvaro Lassaletta

Background

Abemaciclib is a cyclin-dependent kinase (CDK) 4/6 inhibitor approved for breast cancer. The CDK4/6 pathway is essential for cell cycle progression. Pediatric cancers often harbor aberrations in this pathway, potentially rendering sensitivity to CDK4/6 inhibition.

Procedure

In this multicenter, open-label, phase 1 trial (JPCS; NCT04238819), children and young adults with relapsed/refractory solid tumors were nonrandomly assigned to standard-dose irinotecan and temozolomide with abemaciclib in a 3 + 3 escalation design with 4 planned dose levels (55, 70 [starting dose], 90, and 115 mg/m2 twice daily [BID]). An expansion phase followed. The primary objective was recommended phase 2 dose (RP2D) determination for abemaciclib based on safety and pharmacokinetics. A secondary endpoint was antitumor activity.

Results

Twenty patients enrolled (median age: 12 [7−17] years) with central nervous system tumors as the most frequent diagnosis. The abemaciclib RP2D was 55 mg/m2 BID. One of 12 dose-limiting toxicity (DLT)-evaluable patients experienced a DLT (thrombocytopenia) at the RP2D. At the RP2D, the most frequent treatment-related adverse events (TRAEs) were diarrhea (92 %), neutropenia (77 %), thrombocytopenia (62 %), and anemia (62 %), and the most common grade 3/4 TRAEs were neutropenia (62 %), thrombocytopenia, leukopenia, and anemia (each 31 %). At the RP2D, patients received a median of 4 (2−35) cycles of abemaciclib, and best overall response included 1 (5 %) complete response and 6 (46 %) stable disease. Abemaciclib plasma concentrations were within the range associated with efficacy in adults.

Conclusions

Abemaciclib 55 mg/m2 BID with irinotecan and temozolomide was tolerable and showed potential antitumor activity in children and young adults with relapsed/refractory malignant solid tumors.
abemaciclib是一种被批准用于乳腺癌的细胞周期蛋白依赖性激酶(CDK) 4/6抑制剂。CDK4/6通路对细胞周期进程至关重要。儿童癌症通常在这一途径中存在异常,可能导致对CDK4/6抑制的敏感性。在这项多中心、开放标签、1期临床试验(JPCS; NCT04238819)中,复发/难治实体瘤的儿童和年轻人被非随机分配到标准剂量伊立替康和替莫唑胺联合阿贝马昔lib组,采用3 + 3递增设计,有4个计划剂量水平(55,70[起始剂量],90和115 mg/m2,每日2次[BID])。随后是扩张阶段。主要目的是基于安全性和药代动力学确定abemaciclib的推荐2期剂量(RP2D)。次要终点是抗肿瘤活性。结果入选的20例患者(中位年龄:12[7−17]岁)以中枢神经系统肿瘤为最常见的诊断。abemaciclib的RP2D为55 mg/m2 BID。12例剂量限制性毒性(DLT)可评估的患者中有1例在RP2D时出现了DLT(血小板减少症)。在RP2D中,最常见的治疗相关不良事件(TRAEs)是腹泻(92 %)、中性粒细胞减少(77 %)、血小板减少(62 %)和贫血(62 %),最常见的3/4级TRAEs是中性粒细胞减少(62 %)、血小板减少、白细胞减少和贫血(各31 %)。在RP2D中,患者接受了中位4(2 - 35)个周期的abemaciclib治疗,最佳总缓解包括1个(5 %)完全缓解和6个(46 %)疾病稳定。阿贝马昔利布的血药浓度在与成人疗效相关的范围内。结论sabemaciclib 55 mg/m2 BID联合伊立替康和替莫唑胺治疗复发/难治性恶性实体瘤的儿童和青年患者具有耐受性和潜在的抗肿瘤活性。
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引用次数: 0
Transition needs and preferences identified during peer visits to three European best-practice CAYA cancer Long-Term Follow-Up care centres: An EU-CAYAS-NET project 在对三个欧洲最佳CAYA癌症长期随访护理中心的同行访问中确定的过渡需求和偏好:欧盟-CAYA - net项目
Pub Date : 2025-12-01 Epub Date: 2025-11-22 DOI: 10.1016/j.ejcped.2025.100479
Jikke Wams , Jaap den Hartogh , Cherine Mathot , Jeroen te Dorsthorst , Marie-Therese Gubi , Kerstin Krottendorfer , Ulrike Leiss , Esther Lasheras Soria , Begonya Nafria Escalera , Urška Košir , Katie Rizvi , Carina Schneider , Barbara Brunmair , Ismay de Beijer , Renée L. Mulder , Leontien C.M. Kremer , Helena J.H. van der Pal , on behalf of the EU-CAYAS-NET consortium

Background

A successful transition from child-centred to adult-oriented healthcare for survivors of childhood and adolescent cancer is essential to help them engage in lifelong surveillance in survivorship care. Information on their needs and preferences for the transition process is needed to identify key components for a successful transition.

Objective

To describe the transition needs and preferences of young cancer survivors, their parents, and healthcare providers.

Methods

Three in-person peer visits to best-practice long-term follow-up care centres in Europe were conducted. In these visits, the needs and preferences of young cancer survivors, their parents, and healthcare providers were collected through interactive sessions and structured documentation. The outcomes were analysed inductively using thematic analysis, resulting in a list of unique needs and preferences.

Results

Sixty-five participants, including 32 survivors, six parents, 21 healthcare providers, and six researchers, shared 188 needs and preferences, leading to the identification of 58 distinct transition needs and preferences. Participants stressed the need for structured, patient-centred transition processes with clear coordination and planning, following a holistic approach. Key support needs include lifestyle, psychosocial, and employment assistance. Improved access to reliable information, tailored education, and readiness-based transfers were emphasised.

Conclusion

Our findings highlight the need for personalised and ongoing coordination and support for survivors and their families during transition. Strengthening informational and educational transition resources are crucial to address gaps experienced by patients and caregivers. These insights will be implemented into the evidence-based European transition guideline from the EU-CAYAS-NET project.
儿童和青少年癌症幸存者的医疗保健成功地从以儿童为中心过渡到以成人为导向,这对于帮助他们参与幸存者护理的终身监测至关重要。需要关于他们对过渡过程的需求和偏好的信息,以确定成功过渡的关键组成部分。目的描述年轻癌症幸存者、其父母和医疗保健提供者的过渡需求和偏好。方法对欧洲最佳实践的长期随访护理中心进行了三次面对面的同伴访问。在这些访问中,通过互动会议和结构化文档收集了年轻癌症幸存者、他们的父母和医疗保健提供者的需求和偏好。使用主题分析对结果进行归纳分析,得出独特需求和偏好列表。结果65名参与者,包括32名幸存者、6名父母、21名医疗服务提供者和6名研究人员,共有188种需求和偏好,从而确定了58种不同的过渡需求和偏好。与会者强调,有必要按照整体办法进行有组织的、以病人为中心的过渡进程,并进行明确的协调和规划。主要的支持需求包括生活方式、社会心理和就业援助。强调了改善获得可靠信息的机会、量身定制的教育和基于准备的转移。结论:我们的研究结果强调了在过渡期间对幸存者及其家人进行个性化和持续的协调和支持的必要性。加强信息和教育过渡资源对于解决患者和护理人员所经历的差距至关重要。这些见解将被应用到EU-CAYAS-NET项目的以证据为基础的欧洲过渡指南中。
{"title":"Transition needs and preferences identified during peer visits to three European best-practice CAYA cancer Long-Term Follow-Up care centres: An EU-CAYAS-NET project","authors":"Jikke Wams ,&nbsp;Jaap den Hartogh ,&nbsp;Cherine Mathot ,&nbsp;Jeroen te Dorsthorst ,&nbsp;Marie-Therese Gubi ,&nbsp;Kerstin Krottendorfer ,&nbsp;Ulrike Leiss ,&nbsp;Esther Lasheras Soria ,&nbsp;Begonya Nafria Escalera ,&nbsp;Urška Košir ,&nbsp;Katie Rizvi ,&nbsp;Carina Schneider ,&nbsp;Barbara Brunmair ,&nbsp;Ismay de Beijer ,&nbsp;Renée L. Mulder ,&nbsp;Leontien C.M. Kremer ,&nbsp;Helena J.H. van der Pal ,&nbsp;on behalf of the EU-CAYAS-NET consortium","doi":"10.1016/j.ejcped.2025.100479","DOIUrl":"10.1016/j.ejcped.2025.100479","url":null,"abstract":"<div><h3>Background</h3><div>A successful transition from child-centred to adult-oriented healthcare for survivors of childhood and adolescent cancer is essential to help them engage in lifelong surveillance in survivorship care. Information on their needs and preferences for the transition process is needed to identify key components for a successful transition.</div></div><div><h3>Objective</h3><div>To describe the transition needs and preferences of young cancer survivors, their parents, and healthcare providers.</div></div><div><h3>Methods</h3><div>Three in-person peer visits to best-practice long-term follow-up care centres in Europe were conducted. In these visits, the needs and preferences of young cancer survivors, their parents, and healthcare providers were collected through interactive sessions and structured documentation. The outcomes were analysed inductively using thematic analysis, resulting in a list of unique needs and preferences.</div></div><div><h3>Results</h3><div>Sixty-five participants, including 32 survivors, six parents, 21 healthcare providers, and six researchers, shared 188 needs and preferences, leading to the identification of 58 distinct transition needs and preferences. Participants stressed the need for structured, patient-centred transition processes with clear coordination and planning, following a holistic approach. Key support needs include lifestyle, psychosocial, and employment assistance. Improved access to reliable information, tailored education, and readiness-based transfers were emphasised.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the need for personalised and ongoing coordination and support for survivors and their families during transition. Strengthening informational and educational transition resources are crucial to address gaps experienced by patients and caregivers. These insights will be implemented into the evidence-based European transition guideline from the EU-CAYAS-NET project.</div></div>","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"6 ","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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EJC paediatric oncology
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