The changing landscape of treatment options in childhood acute lymphoblastic leukaemia

Drug Discov Today. 2022 May;27(5):1483-1494. doi: 10.1016/j.drudis.2022.01.002. Epub 2022 Jan 7.

Abstract

New paediatric acute lymphoblastic leukaemia (ALL) treatments have been developed and innovative products are in the pipeline. However, despite many active clinical trials, bridging bench science to clinical development to authorised medicines remains challenging. Research in first-line treatment continues to focus on multidrug chemotherapy with the potential addition of new targeted molecules being studied. Research in second- and third-line treatment represents a shift from cytotoxic intensification to an area of precision medicine through emergent innovative and immuno-oncology products. The collaborative research model in ALL involving different stakeholders should intensify to facilitate bench-to-bedside clinical translation for the benefit of patients.

Keywords: Childhood acute lymphoblastic leukaemia; Clinical drug development; Clinical trials; EU regulation; Oncology; Research.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Child
  • Humans
  • Medical Oncology
  • Precision Medicine
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / drug therapy

Substances

  • Antineoplastic Agents