Treatment Options

Every child with pLGG has a different treatment experience

Lily, lives with pLGG.
Lives for dancing.

What’s available to treat pLGG?

Each child’s journey is unique. Depending on the location of the tumor, surgery is usually the first treatment choice to remove as much of the tumor as possible without creating any additional damage to the brain. After removing as much of the tumor as possible, the outlook is generally very good. However, further treatment may still be required.

If surgery does not remove the tumor entirely, additional surgeries may be needed in addition to other treatments, such as radiation and/or chemotherapy.

Treatment and/or approachPurposeInformation to note

Observation

Watch the tumor to see if it changes in size; this can be referred to as “watch and wait”

No treatment is used

Surgery

Remove as much tumor as possible without causing additional damage to the brain

May not be an option for everyone based on tumor location

Chemotherapy

Attacks tumor cells in the body

Not as targeted, so it may also attack healthy cells

Radiation

Kills tumor cells or slows their growth by damaging their DNA

May be avoided due to its side effects

Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics

Targets cancer-causing proteins involved in the growth of tumor cells

Limited available options for those with pLGG

Most options available to treat pLGG, including chemotherapies and certain Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics, are only approved by the FDA for use in adults

What is the difference between treatments that are “approved for” vs treatments that are “used in” pLGG?

Many of these options have been studied for effectiveness and safety in children with pLGG but have not been FDA approved specifically for children with pLGG.

pLGG, and all that it means for you and your loved ones, can represent change for your family. While surgery, chemotherapy, radiation, and targeted therapies may be effective treatment options, it is important to know that they can all have a lifelong impact on your child’s quality of life.

These treatments may trigger harsh side effects. They may need to be taken once or twice a day or even require your child to go to the hospital for treatment.

Children are not little adults. They need FDA-approved treatment options that are safe, effective, and designed specifically for children living with pLGG.

Discover other pLGG experiences from people like you

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How might Genomic testing = Sometimes referred to as genetic testing, and used to identify types of alterations in genes including those in BRAF inform Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics selection?

The majority of patients with pLGG have a BRAF = a gene that, when altered, may be a driver of pLGG growth Alteration = a type of genomic change (mutation or fusion) in the BRAF gene that may contribute to cancer development in their tumor. A BRAF = a gene that, when altered, may be a driver of pLGG growth Alteration = a type of genomic change (mutation or fusion) in the BRAF gene that may contribute to cancer development will fall into 1 of 2 categories: (1) a BRAF fusion = 1 of the 2 most common types of BRAF alterations in pLGG (ie, KIAA1549-BRAF fusion) or (2) a BRAF point mutation = 1 of the 2 most common types of BRAF alterations in pLGG (ie, BRAF V600E). Genomic testing can help identify the type of alteration that is causing a tumor.

Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics are treatments that attack tumor cells based on their unique characteristics. Some Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics block the action of certain proteins or other molecules involved in tumor cell growth.

Genomic testing can help identify the type of alteration that is causing a tumor. Tumors with BRAF fusions do not get inhibited with type 1 BRAF inhibitors, while tumors with point mutations do.
Genomic testing can help identify the type of alteration that is causing a tumor. Tumors with BRAF fusions do not get inhibited with type 1 BRAF inhibitors, while tumors with point mutations do.
An important goal is to develop medicine specifically designed to target any BRAF alteration that may be causing your child's tumor.
An important goal is to develop medicine specifically   designed to target any BRAF alteration that may be   causing your child’s tumor

For explanations of terms used throughout the site, please see the glossary.

Speak with your child’s healthcare provider for information about ongoing Targeted therapy = type of treatment that targets and attacks tumor cells with certain characteristics research.

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