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Comprehensive multi-platform tyrosine kinase profiling reveals novel actionable FGFR aberrations across sarcomas affecting the young - PubMed

5 hours ago
  • #sarcoma
  • #FGFR-inhibitors
  • #precision medicine
  • Limited targeted agents are approved for pediatric sarcomas.
  • Tyrosine kinase (TK) inhibitors show clinical efficacy in some young sarcoma patients but lack predictive response biomarkers.
  • TK-activating fusions or mutations are rare in these patients, but RNA overexpression of TKs is common.
  • A study of 107 sarcoma patients identified novel actionable FGFR aberrations, including a novel LSM1-FGFR1 fusion in osteosarcoma.
  • High FGFR4 and FGF8 RNA expression levels indicate TK pathway activity and predict sensitivity to FGFR-inhibitors.
  • FGFR4-specific inhibitor FGF401 and multi-kinase FGFR-inhibitor lenvatinib showed marked tumor growth inhibition in FP-RMS PDXs.
  • A clinical response to lenvatinib was observed in a relapsed metastatic FP-RMS patient.
  • The study highlights FP-rhabdomyosarcoma as a candidate for FGFR-inhibitors due to FGFR4/FGF8 co-expression.