Table 1. Literature review.
Literature review of patients with midline hypothalamic/supra-sellar low-grade glioma treated with BRAF inhibitors
b/l, bilateral
Reference | Age/sex | Tumor location | Genomic findings | Chemotherapy | Targeted therapy | Response | Targeted therapy toxicities |
Lassaletta et al. [10] | 2 months/male | Hypothalamic/chiasmatic | BRAF-V600E | Vinblastine x 1 week | Dabrafenib | Profound/sustained radiological response | Moderate eczema |
Improvement in vision/weight gain | |||||||
Normalization of neurodevelopment | |||||||
Wagner et al. [11] | 3 months/male | Hypothalamic/chiasmatic | BRAF: KIAA1549 fusion | Vincristine/carboplatin x 12 weeks | Trametinib | Profound/ sustained radiological response | Nil |
Improvement in vision/weight gain | |||||||
Vinblastine x 12 weeks | Normalization of neurodevelopment | ||||||
Bavle et al. [12] | 2 months/female | Disseminated: chiasm/b/l optic nerves/thalami/cerebellum | BRAF-V600E | Vincristine/carboplatin x 18 months | Selumetinib x 8 weeks | Partial radiological response | Vesicles/keratosis pilaris/fever |
Improvement in oral intake | |||||||
Vinblastine x 8 weeks | Dabrafenib | Decreased Seizures | |||||
Howden et al. (Current study) | 2 years/female | Hypothalamic/chiasmatic | BRAF-V600E | Vincristine/carboplatin x 6 weeks | Dabrafenib | Profound/sustained radiological response | Nil |
Improvement in vision | |||||||
Normalization of neurodevelopment |