Pediatric patients with von Hippel-Lindau and hemangioblastomas treated successfully with belzutifan.

belzutifan hemangioblastoma pediatric von Hippel–Lindau

Journal

Pediatric blood & cancer
ISSN: 1545-5017
Titre abrégé: Pediatr Blood Cancer
Pays: United States
ID NLM: 101186624

Informations de publication

Date de publication:
16 Oct 2024
Historique:
revised: 24 08 2024
received: 29 04 2024
accepted: 23 09 2024
medline: 17 10 2024
pubmed: 17 10 2024
entrez: 17 10 2024
Statut: aheadofprint

Résumé

Hemangioblastoma is the most common tumor associated with von Hippel-Lindau (VHL), and are a leading cause of mortality. We present five pediatric patients with VHL-associated hemangioblastomas treated with belzutifan, a hypoxia-inducible factor 2a (HIF2a) inhibitor. Three patients were started on belzutifan due to vision loss from progressive retinal hemangioblastomas. Within one year of treatment, all three patients had improvement in hemangioblastoma size and visual acuity. For patients with intracranial lesions, belzutifan resulted in an improvement in neurologic symptoms and hemangioblastoma size. Four patients experienced grade 1-2 anemia and two patients required a dose reduction. Our report suggests that belzutifan can be an effective therapy for pediatric, adolescent, and young adult patients with VHL-associated hemangioblastomas.

Identifiants

pubmed: 39415342
doi: 10.1002/pbc.31371
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e31371

Informations de copyright

© 2024 The Author(s). Pediatric Blood & Cancer published by Wiley Periodicals LLC.

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Auteurs

Emily Duan (E)

Department of Pediatrics, University of California, Los Angeles (UCLA), Los Angeles, California, USA.

Michael Robinson (M)

Division of Pediatric Hematology/Oncology, Vanderbilt, Nashville, Tennessee, USA.

Charles Davis (C)

Department of Radiology, UCLA, Los Angeles, California, USA.

Sumit Pruthi (S)

Department of Neuroradiology, Vanderbilt, Nashville, Tennessee, USA.

Christina Shin (C)

Ronald Reagan UCLA Medical Center, UCLA, Los Angeles, California, USA.

Marisa Lewis (M)

Division of Pediatric Hematology/Oncology, UCLA, Los Angeles, California, USA.

Julian A Martinez-Agosto (JA)

Division of Clinical Genetics, Department of Human Genetics, UCLA, Los Angeles, California, USA.
Department of Psychiatry, UCLA, Los Angeles, California, USA.
Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, USA.

Michael B Gorin (MB)

Department of Ophthalmology, UCLA, Los Angeles, California, USA.

Brian M Shuch (BM)

Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, USA.
Department of Urology, UCLA, Los Angeles, California, USA.

Debra L Friedman (DL)

Division of Pediatric Hematology/Oncology, Vanderbilt, Nashville, Tennessee, USA.

Vivian Y Chang (VY)

Division of Pediatric Hematology/Oncology, UCLA, Los Angeles, California, USA.
Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, USA.
Children's Discovery and Innovation Institute, UCLA, Los Angeles, California, USA.

Classifications MeSH