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Would you consider combining tovorafenib and trametinib as dual therapy?

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What patient factors might make you select combination tovorafenib and trametinib for pLGG?

6 physicians have voted

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3 Answers
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Pediatric Hematology/Oncology · Memorial Sloan-Kettering Cancer Center
Answered on

A phase 1/2 study of tovorafenib and the MEK inhibitor selumetinib is planned through the Developmental Therapeutics Committee of the Children's Oncology Group for low-grade gliomas that have failed appropriate prior MAPK blocking therapy and other patients with BRAF/RAF1, RAS, and NF driven maligna...

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Pediatric Hematology/Oncology · University of Toronto Faculty of Medicine
Answered on

First, I would worry about side effects and I want to see the results of a phase I study. Second, I don't know if there is a clear benefit. In my opinion, the combination should be tested in the context of a randomised trial. Tovo+tram versus tovo (and maybe a third arm with tram).

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Pediatric Hematology/Oncology · The Brain Tumor Institute
Answered on

No. I think the combination of tovorafenib and trametinib or an alternate MEK inhibitor needs to be studied prospectively to determine where dual therapy is needed. Tovorafenib was effective as a single agent in patients with recurrent or refractory V600E mutant tumors even in some cases when they h...

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