» Articles » PMID: 31921698

Current and Future Treatment Strategies for Rhabdomyosarcoma

Overview
Journal Front Oncol
Specialty Oncology
Date 2020 Jan 11
PMID 31921698
Citations 70
Authors
Affiliations
Soon will be listed here.
Abstract

Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children, and can be subcategorized histologically and/or based on PAX-FOXO1 fusion gene status. Over the last four decades, there have been no significant improvements in clinical outcomes for advanced and metastatic RMS patients, underscoring a need for new treatment options for these groups. Despite significant advancements in our understanding of the genomic landscape and underlying biological mechanisms governing RMS that have informed the identification of novel therapeutic targets, development of these therapies in clinical trials has lagged far behind. In this review, we summarize the current frontline multi-modality therapy for RMS according to pediatric protocols, highlight emerging targeted therapies and immunotherapies identified by preclinical studies, and discuss early clinical trial data and the implications they hold for future clinical development.

Citing Articles

Rhabdomyosarcoma with pancreatic metastases: A case report.

Luo S, Li J, Zeng J, Li Y, Wang J Heliyon. 2025; 11(4):e42634.

PMID: 40034278 PMC: 11874728. DOI: 10.1016/j.heliyon.2025.e42634.


Prognostic factors in patients with localized and metastatic alveolar rhabdomyosarcoma. A report from two studies and two registries of the Cooperative Weichteilsarkom Studiengruppe CWS.

Koscielniak E, Stegmaier S, Ljungman G, Kazanowska B, Niggli F, Ladenstein R Cancer Med. 2025; 14(1):e70215.

PMID: 39781573 PMC: 11712121. DOI: 10.1002/cam4.70215.


Enhancement of anti-sarcoma immunity by NK cells engineered with mRNA for expression of a EphA2-targeted CAR.

Lam P, Omer N, Wong J, Tu C, Alim L, Rossi G Clin Transl Med. 2025; 15(1):e70140.

PMID: 39763064 PMC: 11705447. DOI: 10.1002/ctm2.70140.


Synthetic inhibition of SREBP2 and the mevalonate pathway blocks rhabdomyosarcoma tumor growth in vitro and in vivo and promotes chemosensitization.

Codenotti S, Asperti M, Poli M, Lorenzi L, Pietrantoni A, Cassandri M Mol Metab. 2024; 92:102085.

PMID: 39706565 PMC: 11750561. DOI: 10.1016/j.molmet.2024.102085.


Primary Esophageal Rhabdomyosarcoma: An Exceptionally Rare Cause of Pediatric Dysphagia.

Ataollahi M, Mashhadiagha A, Karbasian F, Moshfeghinia R, Arabpour J, Geramizadeh B Case Rep Gastrointest Med. 2024; 2024:3648155.

PMID: 39703342 PMC: 11658847. DOI: 10.1155/crgm/3648155.


References
1.
Crist W, Gehan E, Ragab A, Dickman P, Donaldson S, Fryer C . The Third Intergroup Rhabdomyosarcoma Study. J Clin Oncol. 1995; 13(3):610-30. DOI: 10.1200/JCO.1995.13.3.610. View

2.
Dietz K, Miller P, Iyengar A, Loupe J, Hollenbach A . Identification of serines 201 and 209 as sites of Pax3 phosphorylation and the altered phosphorylation status of Pax3-FOXO1 during early myogenic differentiation. Int J Biochem Cell Biol. 2011; 43(6):936-45. PMC: 3095663. DOI: 10.1016/j.biocel.2011.03.010. View

3.
Harris M, Gieser P, Goorin A, Ayala A, Shochat S, Ferguson W . Treatment of metastatic osteosarcoma at diagnosis: a Pediatric Oncology Group Study. J Clin Oncol. 1998; 16(11):3641-8. DOI: 10.1200/JCO.1998.16.11.3641. View

4.
Mackall C, Rhee E, Read E, Khuu H, Leitman S, Bernstein D . A pilot study of consolidative immunotherapy in patients with high-risk pediatric sarcomas. Clin Cancer Res. 2008; 14(15):4850-8. PMC: 2497450. DOI: 10.1158/1078-0432.CCR-07-4065. View

5.
Satheesha S, Manzella G, Bovay A, Casanova E, Bode P, Belle R . Targeting hedgehog signaling reduces self-renewal in embryonal rhabdomyosarcoma. Oncogene. 2015; 35(16):2020-30. PMC: 5399168. DOI: 10.1038/onc.2015.267. View