BRAF V600E-mutated metastatic Wilms tumor with complete response to targeted RAF/MEK inhibition: a post-treatment follow-up case report - Summary - MDSpire

BRAF V600E-mutated metastatic Wilms tumor with complete response to targeted RAF/MEK inhibition: a post-treatment follow-up case report

  • By

  • Iliani Slika

  • Carlene K. Edwards

  • Kenneth J. Cohen

  • Alan D. Friedman

  • Christine A. Pratilas

  • Patience Odeniyide

  • May 7, 2026

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Objective:

To report the long-term outcomes of a pediatric patient with recurrent Wilms tumor treated with BRAF/MEK inhibition, focusing on the implications of targeted therapy.

Key Findings:
  • The patient remains disease-free two years after discontinuation of targeted therapy, marking a significant milestone in treatment outcomes.
  • Targeted therapy was well tolerated with only minor adverse effects, indicating a favorable safety profile.
  • This case represents the first report of long-term survival after targeted therapy for multiply relapsed BRAF V600E Wilms tumor, suggesting potential for broader application.
Interpretation:

The successful use of precision-targeted therapy in this case suggests potential for broader application in similar cases of relapsed Wilms tumor.

Limitations:
  • This is a single case report, limiting generalizability and necessitating further studies.
  • Long-term effects of BRAF/MEK inhibition in pediatric patients remain unclear, highlighting the need for more extensive research.
Conclusion:

Targeted therapy with BRAF/MEK inhibitors may offer a promising treatment avenue for recurrent Wilms tumor, warranting further investigation.

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