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In this interactive educational video, Dr Theodore Laetsch, paediatric oncologist at the Children’s Hospital of Philadelphia, guides you through a paediatric sarcoma patient case focusing on the evolving role of NTRK fusion testing and targeted therapy.

 

As you work through the interactive patient case, you'll explore ways to implement optimal diagnostic strategies for identifying NTRK gene fusions, review recent clinical data, and hear about how to recognise appropriate therapy placement across different clinical scenarios.

 

This video is interactive!

 

Click on the screen to:

 

  • Respond to questions
  • Open folders in the video to access supplementary information

 

 

Clinical takeaways

 

  • Testing for NTRK fusions is critical for providing treatment options. Optimal testing strategies depend on the patient, tumour type, and urgency of testing. FISH or RNA-based NGS are typically recommended
  • TRK inhibitors can facilitate local control of otherwise unresectable tumours ​
  • In the event of discontinuations, retreatment with TRK inhibitors can be effective when there is progression off therapy 
  • Be able to implement optimal testing strategies and interpretation of results to identify patients with TRK fusion-positive cancer​ 
  • Understand the clinical trial data and treatment options of TRK inhibitor therapy for the treatment of TRK fusion-positive cancers ​ 
  • Recognise the appropriate placement of therapies for the treatment of TRK fusion paediatric sarcoma 

Dr. Laetsch is a paediatric oncologist and Associate Professor of Paediatrics at the University of Pennsylvania, chair of the Rare Tumours Committee for the Children’s Oncology Group (COG), and director of the Developmental Therapeutics and Very Rare Malignant Tumours Programs and leads the Precision Medicine for High-Risk Cancer Frontier Program at the Children’s Hospital of Philadelphia (CHOP).  He received his MD degree from the University of California, San Francisco. Dr. Laetsch completed his paediatrics residency at the University of Colorado/Children’s Hospital Colorado and fellowship training in paediatric haematology/oncology at CHOP.

 

Dr. Laetsch leads clinical and translational research evaluating novel targeted and immunotherapies for patients with high-risk and often ultra-rare cancers. He has been a leader in the development of TRK and RET inhibitors for children with TRK- and RET-fusion cancers and serves as the global paediatric PI for several clinical trials of TRK inhibitors and the global lead investigator for the paediatric phase 1/2 selpercatinib trial. He developed and chairs COG ADVL1823, in which we are evaluating the TRK inhibitor larotrectinib as the initial therapy for children with TRK fusion solid tumours, the first histology-agnostic frontline study conducted within COG.

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This educational programme is supported by an Independent Educational Grant from Bayer.
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PRECISION ONCOLOGY CONNECT is an initiative of COR2ED, supported by Independent Educational Grants from AstraZeneca, Amoy Diagnostics, Bayer, Pierre Fabre Laboratories and Thermo Fisher Scientific.

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