Learn | The Facts
SKC focuses on 3 of the deadliest childhood cancers:
Neuroblastoma | Brain (and other CNS) tumors | Sarcomas
These 3 deadly childhood cancers are complex diseases that need special attention to solve
The broad term "cancer" comprises over 200 different genetically and molecularly variant diseases
Pediatric cancers are especially unique. Pediatric cancers:
- Are not preventable and do not result from lifestyle choices
- Are difficult to detect – children present with these cancers after they have already formed and often metastasized
- Are the leading cause of death by disease in children
There are currently no real solutions for these deadly childhood cancers
There has not been a significant breakthrough in the deadliest childhood cancers in 30 years
- One of the deadliest childhood cancers which has not seen therapeutic advancement is neuroblastoma
- Is the most common cancer in infants
- Because there is no system for detecting neuroblastoma, most children present at Stage 4 with metastases1
- Despite aggressive treatment, the survival rate of advanced stage neuroblastoma in children >1 year of age is only 30%2,3
- Current neuroblastoma relapse survival rate: 0-10% (rates vary by institution)
Therapies being used are often adult hand-me-down agents that are overly toxic for children. These agents are also not aimed at treating the unique pathology of children’s cancers
- Number of effective therapies available to all children with these deadly forms of cancer: 0
There is no standardized treatment for deadly childhood cancers — the only option children have for treatment is participation in clinical trials
Translational research transforms scientific discoveries arising from laboratory, clinical, or population studies into clinical applications to reduce cancer incidence, morbidity, and mortality.
The Translational Research Working Group (TRWG), National Cancer Institute (NCI)
The status quo is unacceptable
In today’s clinical research landscape, progress is too slow and promise too rare
- Average time for a therapeutic discovery to be tested in humans: 5 to 7 years
The possibility of discovering appropriate therapies can be limited by accepted research standards (eg, large scale, multicenter, single-treatment, placebo-controlled, narrow eligibility criteria)
Basic research generally receives more funding than translational or clinical research
- Existing ideas need to be identified, prioritized based on viability, and progressed into therapeutic development in humans
The usual players are not in the position to solve the problem alone
Pediatric oncologists are, justifiably, focused on treating their patients, not necessarily on developing and prioritizing new therapeutic discoveries
Research scientists and academic institutions have everyday demands which prevent them from investigating many promising basic research ideas
- Rewards in this field are given for scientific discoveries, not practical applications of these discoveries
Pharmaceutical and biotech companies are not incentivized financially to develop treatments in small populations such as children with cancer
Conventional nonprofit organizations are not necessarily designed to progress therapeutic development
Parents are forced to become experts in their child’s treatment
- With their child’s well-being as their first priority, parents bring a valuable perspective of ethics and a sense of urgency to clinical research
Children cannot advocate for themselves like adults with deadly or debilitating diseases can
To date, there has not been a single group, institution, or research entity effectively and solely dedicated to the task of solving kids’ cancer
Children need help now
Children suffering from these forms of cancer today are often forgotten about in the pursuit of a cure
It’s time to change the paradigm
Solving Kids’ Cancer is explicitly charged to manage the full scope of the problem.
Video with Dr. Kenneth Cohen: Challenging the Status Quo
Relevant Articles
- Hobson, K. Childhood Cancer: Progress, But Need for Targeted Therapies. The Wall Street Journal Health Blog. April 22, 2010.
- Pollack, A. For Profit, Industry Seeks Cancer Drugs. The New York Times. September 01, 2009. [pdf]
- Kolata, G. Grant System Leads Cancer Researchers to Play It Safe The New York Times June 27, 2009. [pdf]
- Harmon A. Fighting for a last chance at life. The New York Times. May 16, 2009. [pdf]
- Epstein RA. Cancer patients deserve faster access to life-saving drugs. Wall Street Journal Online. May 02, 2009. [pdf]
- Specter A. A bridge across the valley of death: The Cures Acceleration Network Act. Cures Acceleration Network Act. April 25, 2009. [pdf]
- Dockser-Marcus, A. To Make Progress in Rare Cancers, Patients Must Lead the Way Journal of Clinical Oncology March 17, 2009. [pdf]
- Stewart DJ, Kurzrock R. Cancer: the road to Amiens. J Clin Oncology. January 20, 2009. [pdf]
- Begley S. Where are the cures? Newsweek. November 10, 2008. [pdf]
- Carey J. Less than 1 in 5 cancer trials are published. Business Week Online. September 26, 2008:1. [pdf]
- The MedInsight Project. How to instantly advance medicine by 100 years [brochure]. MedInsight Research Institute. December 01, 2007. [pdf]
- Szabo, L. Who's Fighting Cancer in Kids? USA Today. July 20, 2005.
- Daniels C. Milken - The man who changed medicine. Fortune. November 15, 2004. [pdf]
- Horrobin DF. Are large clinical trials in rapidly lethal diseases usually unethical? Lancet. August 22, 2003. [pdf]
- Pober JS. Obstacles facing translational research in academic medical centers. The FASEB Journal. November 01, 2001. [pdf]
References: 1. American Cancer Society National Cancer Institute. SEER Report. 2. Brodeur GM, Pritchard J, Berthold F, et al. Revisions of the international criteria for neuroblastoma diagnosis, staging, and response to treatment. J Clin Oncol. 1993;11:1466–1477. 3. Brodeur GM, Maris JM, Yamashiro DJ, et al. Biology and genetics of human neuroblastomas. J Pediatr Hematol Oncol. 1997;19:93–101.
Cancer is a terrible disease. Progress to date has been slow, tedious, and too limited. We feel that we now have the knowledge to potentially change the landscape for patients with cancer. However, the objectives, methods, and regulation of clinical trials need to change so that we can rapidly move drugs from the lab into the clinic, and then define those drugs that are effective and those patients who are most likely to benefit.
David J. Stewart. Journal of Clinical Oncology. January 20, 2009.