{"id":33825,"date":"2025-07-18T09:22:44","date_gmt":"2025-07-18T07:22:44","guid":{"rendered":"https:\/\/imagineformargo.org\/?p=33825"},"modified":"2025-07-18T09:22:44","modified_gmt":"2025-07-18T07:22:44","slug":"cdk-inhibitors-in-pediatric-oncology-the-paediatric-strategy-forum-wants-to-refocus-research-efforts","status":"publish","type":"post","link":"https:\/\/imagineformargo.org\/en\/cdk-inhibitors-in-pediatric-oncology-the-paediatric-strategy-forum-wants-to-refocus-research-efforts\/","title":{"rendered":"CDK inhibitors in pediatric oncology: the Paediatric Strategy Forum wants to refocus research efforts"},"content":{"rendered":"<div id=\"attachment_33823\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-33823\" src=\"https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-1000x439.jpg\" alt=\"Oncology p\u00e9diatrique\" width=\"1000\" height=\"439\" srcset=\"https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-1000x439.jpg 1000w, https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-1440x633.jpg 1440w, https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-768x338.jpg 768w, https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-1536x675.jpg 1536w, https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-2048x900.jpg 2048w, https:\/\/imagineformargo.org\/wp-content\/uploads\/2025\/07\/international-childhood-cancer-awareness-month-2025-03-07-09-35-17-utc-228x100.jpg 228w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><p class=\"wp-caption-text\">International Childhood Cancer Awareness month, Doctor with Children toy and golden color Ribbon for supporting kids living. Healthcare and World cancer day concept<\/p><\/div>\n<p data-start=\"240\" data-end=\"802\">The latest <strong data-start=\"251\" data-end=\"280\">Paediatric Strategy Forum<\/strong>, organised by <strong data-start=\"295\" data-end=\"309\">ACCELERATE<\/strong> in collaboration with the <strong data-start=\"336\" data-end=\"371\">European Medicines Agency (EMA)<\/strong> and with participation from the <strong data-start=\"404\" data-end=\"411\">FDA<\/strong>, has brought to light the current limitations in the development of <strong data-start=\"480\" data-end=\"524\">cyclin-dependent kinase (CDK) inhibitors<\/strong> in paediatric oncology. <strong data-start=\"549\" data-end=\"567\">Patricia Blanc<\/strong>, founder of the <strong data-start=\"584\" data-end=\"605\">Imagine for Margo<\/strong> association, contributed to the publication of the Forum\u2019s conclusions in a landmark scientific article published in the <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0959804925004113\"><em data-start=\"727\" data-end=\"801\">European Journal of Cancer<\/em><\/a>.<\/p>\n<h3 data-start=\"809\" data-end=\"866\">Many clinical trials, yet limited meaningful outcomes<\/h3>\n<p data-start=\"868\" data-end=\"1318\">The Forum critically assessed the many studies conducted in recent years on <strong data-start=\"944\" data-end=\"965\">CDK4\/6 inhibitors<\/strong> (palbociclib, ribociclib, abemaciclib) in children with cancers such as <strong data-start=\"1038\" data-end=\"1055\">neuroblastoma<\/strong>, <strong data-start=\"1057\" data-end=\"1068\">gliomas<\/strong>, or <strong data-start=\"1073\" data-end=\"1085\">sarcomas<\/strong>. While these molecules are widely used in adults\u2014especially for breast cancer\u2014the results in paediatrics remain modest, with mostly <strong data-start=\"1218\" data-end=\"1240\">cytostatic effects<\/strong> (tumour growth slowdown) and very few actual <strong data-start=\"1286\" data-end=\"1308\">tumour regressions<\/strong> observed.<\/p>\n<h3 data-start=\"1325\" data-end=\"1395\">A strong message from patients: \u201cIt\u2019s time to change the paradigm\u201d<\/h3>\n<p data-start=\"1397\" data-end=\"1619\">Patricia Blanc and other patient advocacy representatives emphasised the <strong data-start=\"1470\" data-end=\"1494\">lack of coordination<\/strong> between trials, the <strong data-start=\"1515\" data-end=\"1546\">redundancy of study designs<\/strong>, and the <strong data-start=\"1556\" data-end=\"1580\">limited value gained<\/strong> given the number of children enrolled.<\/p>\n<blockquote data-start=\"1621\" data-end=\"1896\">\n<p data-start=\"1623\" data-end=\"1896\">\u201cExposing children to repeated, low-efficacy treatments without gaining real knowledge is a missed opportunity,\u201d stated Patricia Blanc during the Forum. \u201cWe need to prioritise, collaborate, and most importantly, learn from the past to avoid making the same mistakes again.\u201d<\/p>\n<\/blockquote>\n<h3 data-start=\"1903\" data-end=\"1953\">What\u2019s next for CDK inhibitors in paediatrics?<\/h3>\n<p data-start=\"1955\" data-end=\"1976\">Experts now call for:<\/p>\n<ul data-start=\"1978\" data-end=\"2474\">\n<li data-start=\"1978\" data-end=\"2042\">\n<p data-start=\"1980\" data-end=\"2042\">Reassessing the value of <strong data-start=\"2005\" data-end=\"2041\">CDK4\/6 inhibitors as monotherapy<\/strong>;<\/p>\n<\/li>\n<li data-start=\"2043\" data-end=\"2119\">\n<p data-start=\"2045\" data-end=\"2119\">Favouring <strong data-start=\"2055\" data-end=\"2081\">combination strategies<\/strong> based on strong preclinical evidence;<\/p>\n<\/li>\n<li data-start=\"2120\" data-end=\"2312\">\n<p data-start=\"2122\" data-end=\"2312\">Prioritising <strong data-start=\"2135\" data-end=\"2169\">transcriptional CDK inhibitors<\/strong> (notably CDK9, 12 and 13), which show greater promise in some paediatric cancers such as <strong data-start=\"2259\" data-end=\"2291\">MYCN-amplified neuroblastoma<\/strong> or <strong data-start=\"2295\" data-end=\"2311\">osteosarcoma<\/strong>;<\/p>\n<\/li>\n<li data-start=\"2313\" data-end=\"2474\">\n<p data-start=\"2315\" data-end=\"2474\">Improving <strong data-start=\"2325\" data-end=\"2384\">coordination between industry, academia, and regulators<\/strong>, and developing global, class-level strategies rather than product-by-product approaches.<\/p>\n<\/li>\n<\/ul>\n<h3 data-start=\"2481\" data-end=\"2524\">A major contribution to shift the lines<\/h3>\n<p data-start=\"2526\" data-end=\"2731\">Through her active involvement in this Forum and publication, <strong data-start=\"2588\" data-end=\"2644\">Patricia Blanc continues Imagine for Margo\u2019s mission<\/strong> to accelerate access to innovative and meaningful treatments for children with cancer.<\/p>\n<p data-start=\"2733\" data-end=\"2913\">This article stands as a clear call to <strong data-start=\"2772\" data-end=\"2804\">streamline paediatric trials<\/strong>, <strong data-start=\"2806\" data-end=\"2837\">prioritise based on science<\/strong>, and <strong data-start=\"2843\" data-end=\"2876\">foster stronger collaboration<\/strong> among all stakeholders in the field.<\/p>\n<p data-start=\"2915\" data-end=\"3021\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0959804925004113\">Read the full article in the <em data-start=\"2948\" data-end=\"2976\">Eu<\/em><em data-start=\"2948\" data-end=\"2976\">ropean Journal of Cancer<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The latest Paediatric Strategy Forum, organised by ACCELERATE in collaboration with the European Medicines Agency (EMA) and with participation from the FDA, has brought to light the current limitations in the development of cyclin-dependent kinase (CDK) inhibitors in paediatric oncology. Patricia Blanc, founder of the Imagine for Margo association, contributed to the publication of the [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":22430,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[164],"tags":[],"class_list":["post-33825","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publications"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CDK inhibitors in pediatric oncology: the Paediatric Strategy Forum wants to refocus research efforts - Imagine for Margo<\/title>\n<meta name=\"description\" content=\"Accelerate&#039;s Paediatric Strategy Forum highlights the limitations of CDK inhibitors in pediatric oncology.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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