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J Adolesc Young Adult Oncol. 2011 Sep;1(3):118-23. doi: 10.1089/jayao.2012.0005.

Workshop Report on the European Bone Sarcoma Networking Meeting: Integration of Clinical Trials with Tumor Biology.

Journal of adolescent and young adult oncology

David M Thomas, Miriam Wilhelm, Anne-Marie Cleton-Jansen, Uta Dirksen, Natacha Entz-Werlé, Hans Gelderblom, Bass Hassan, Heribert Jürgens, Jan Koster, Heinrich Kovar, Arjan C Lankester, Ian J Lewis, Ola Myklebost, Michaela H M Nathrath, Piero Picci, Jeremy S Whelan, Pancras C W Hogendoorn, Stefan S Bielack

Affiliations

  1. 1 Peter MacCallum Cancer Centre , Melbourne, Australia .
  2. 2 Pediatrics 5, Klinikum Stuttgart Olgahospital , Stuttgart, Germany .
  3. 3 Medical Oncology, Pathology, and Pediatrics, Leiden University Medical Center , Leiden, The Netherlands .
  4. 4 Pediatric Hematology and Oncology, University Children's Hospital Münster , Münster, Germany .
  5. 5 Pediatric Oncology and Hematology, CHRU Hautepierre , Strasbourg, France .
  6. 6 Oxford University , Oxford, United Kingdom .
  7. 7 Oncogenomics, Academic Medical Center , Amsterdam, The Netherlands .
  8. 8 Children's Cancer Research Institute , Vienna, Austria .
  9. 9 Alder Hey Children's NHS Foundation Trust, University of Leeds , Leeds, United Kingdom .
  10. 10 Institute for Cancer Research, Oslo University Hospital , Norwegian Radium Hospital, Oslo, Norway .
  11. 11 Helmholtz Zentrum and Department of Pediatrics, Technische Universitaet , Munich; Pediatric Oncology, Klinikum Kassel, Germany .
  12. 12 Laboratory of Experimental Oncology, Istituto Ortopedico Rizzoli , Bologna, Italy .
  13. 13 Department of Oncology, University College Hospital , London, United Kingdom .

PMID: 26811922 DOI: 10.1089/jayao.2012.0005

Abstract

A key workshop was held in The Netherlands in June 2011, hosted by several European bone sarcoma networks and with a broad range of stakeholders from Europe and Australia. The purpose of the meeting was to identify the strengths and weaknesses in current clinical trials for bone sarcomas and to make recommendations as to how to accelerate progress in this field. Two areas of particular interest were discussed. First, all participants agreed upon the importance of tumor biology to understanding clinical responses for all types of bone sarcoma. Various barriers to biobanking tumor and germline specimens were canvassed and are outlined in this paper. Second, there was consideration of the particular challenges of dealing with adolescent and young adult cancers, exemplified by bone sarcomas. Participants recommended greater engagement of both pediatric and adult sarcoma trial organizations to address this issue. Specific opportunities were identified to develop biological sub-studies within osteosarcoma, focused on understanding germ line risk and pharmacogenomics defining toxicity and biological responses. In Ewing sarcoma, it was harder to define opportunities for biological insights. There was agreement that the results for insulin-like growth factor pathway inhibition in Ewing family tumors were disappointing, but represented a clear indication of the need for companion biologic studies to develop predictive biomarkers. The meeting ended with broad commitment to working together to make progress in this rare but important subgroup of cancers.

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