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. 2018 Jun 12;20(5):395–408. doi: 10.1007/s40272-018-0297-x
Immunotherapy is changing the treatment landscape for specific subsets of pediatric cancer patients.
Several monoclonal antibodies are FDA approved for patients with hematologic malignancies but only one is FDA approved for patients with solid tumors; checkpoint inhibition therapy is FDA approved in very limited subsets of pediatric patients, such as those with melanoma, Hodgkin lymphoma, and biallelic mismatch repair deficiency.
Chimeric antigen receptor T cell (CAR-T) therapy is FDA approved for some pediatric patients with leukemia but challenges remain in leveraging such technology for patients with solid tumors.
Issues of importance are the investigation of combinations of immunotherapies, the identification of predictive biomarkers, and specific toxicities of immunotherapies in pediatric patients.