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024 7 _ |a 10.1016/j.ccell.2025.02.018
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024 7 _ |a 1535-6108
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037 _ _ |a DKFZ-2025-00771
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Mayr, Lisa
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245 _ _ |a Effective targeting of PDGFRA-altered high-grade glioma with avapritinib.
260 _ _ |a Cambridge, Mass.
|c 2025
|b Cell Press
336 7 _ |a article
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500 _ _ |a 2025 Apr 14;43(4):740-756.e8
520 _ _ |a PDGFRA is crucial to tumorigenesis and frequently genomically altered in high-grade glioma (HGG). In a comprehensive dataset of pediatric HGG (n = 261), we detect PDGFRA mutations and/or amplifications in 15% of cases, suggesting PDGFRA as a therapeutic target. We reveal that the PDGFRA/KIT inhibitor avapritinib shows (1) selectivity for PDGFRA inhibition, (2) distinct patterns of subcellular effects, (3) in vitro and in vivo activity in patient-derived HGG models, and (4) effective blood-brain barrier penetration in mice and humans. Furthermore, we report preliminary clinical real-world experience using avapritinib in pediatric and young adult patients with predominantly recurrent/refractory PDGFRA-altered HGG (n = 8). Our early data demonstrate that avapritinib is well tolerated and results in radiographic response in 3/7 cases, suggesting a potential role for avapritinib in the treatment of HGG with specific PDGFRA alterations. Overall, these translational results underscore the therapeutic potential of PDGFRA inhibition with avapritinib in HGG.
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650 _ 7 |a PDGFRA alteration
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650 _ 7 |a PDGFRA amplification
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650 _ 7 |a PDGFRA inhibitor
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650 _ 7 |a PDGFRA mutation
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650 _ 7 |a avapritinib
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650 _ 7 |a brain penetrance
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650 _ 7 |a diffuse midline glioma
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650 _ 7 |a glioblastoma
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650 _ 7 |a high-grade glioma
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650 _ 7 |a tyrosine kinase inhibitor
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700 1 _ |a Neyazi, Sina
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700 1 _ |a Schwark, Kallen
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700 1 _ |a Trissal, Maria
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700 1 _ |a Eder, Sebastian K
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700 1 _ |a Marques, Joana G
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700 1 _ |a Lo Cascio, Costanza
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700 1 _ |a Sridhar, Sunita
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700 1 _ |a Kenkre, Rishaan
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700 1 _ |a Wang, Shanqing
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700 1 _ |a Nascimento, Andrezza
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700 1 _ |a Dorfer, Christian
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700 1 _ |a Dieckmann, Karin
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700 1 _ |a Peyrl, Andreas
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700 1 _ |a Azizi, Amedeo A
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700 1 _ |a Baumgartner, Alicia
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700 1 _ |a Stucklin, Ana Guerreiro
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700 1 _ |a Mueller, Sabine
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700 1 _ |a Skrypek, Mary
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700 1 _ |a Haberler, Christine
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700 1 _ |a Chinnaiyan, Arul
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700 1 _ |a Koschmann, Carl
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