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Comment on: “Tumour-agnostic drugs in paediatric cancers”, Chisholm et al., BJC 2020

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We agree in principle with our colleagues’ endorsement in this journal of the use of the tropomyosin receptor kinase (TRK) inhibitor LOXO-101 (larotrectinib) in children. Our enthusiasm for the accelerated… Click to show full abstract

We agree in principle with our colleagues’ endorsement in this journal of the use of the tropomyosin receptor kinase (TRK) inhibitor LOXO-101 (larotrectinib) in children. Our enthusiasm for the accelerated deployment of LOXO-101 has been tempered by our experience of multi-TRK inhibitor resistance though. Resistance mutations to LOXO-101 do occur but can be overcome by secondgeneration TRK inhibitors, such as LOXO195 (selitrectinib). We, however, report the emergence of resistance mutations to both firstand second-generation TRK www.nature.com/bjc

Keywords: comment tumour; tumour agnostic; trk; loxo 101; drugs paediatric; agnostic drugs

Journal Title: British Journal of Cancer
Year Published: 2020

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