2016
DOI: 10.1002/pbc.26124
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Premature physeal closure following 13‐cis‐retinoic acid and prolonged fenretinide administration in neuroblastoma

Abstract: Retinoid therapy has contributed to improved outcomes in neuroblastoma. Clinical trials of fenretinide report favorable toxicity and disease stabilization in patients with high risk (HR) neuroblastoma. Skeletal effects have been described with other retinoids, but not with fenretinide to date. Two patients with HR, metastatic, refractory neuroblastoma received protracted courses of oral fenretinide for more than 5 years' duration. Both developed premature long bone physeal closure, causing limb length discrepa… Show more

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Cited by 17 publications
(13 citation statements)
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(24 reference statements)
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“…Excessive RA, such as in pharmacologic treatment with retinoids, can result in skeletal abnormalities as well. 27 …”
Section: Retinoic Acid Signallingmentioning
confidence: 99%
“…Excessive RA, such as in pharmacologic treatment with retinoids, can result in skeletal abnormalities as well. 27 …”
Section: Retinoic Acid Signallingmentioning
confidence: 99%
“…Consensus recommendations are listed in Table 6. 74,75 and fibrodysplasia ossificans progressiva 76 as well as from animal models. 65 Many observational studies during treatment, as well as prospective studies, have substantiated the role of systemic retinoids in accelerating the development of DISH-like hyperostotic changes involving the tendon and ligaments of the spine and peripheral joints (osteophytes, tendon and ligament calcification, and hyperostosis).…”
Section: II Bmentioning
confidence: 99%
“…Additional studies with larger cohorts may be better able to resolve the etiology of the thoracic growth deficiency, as it may be caused by direct influences (eg, thoracic or spinal radiation) or indirect influences (eg, neurohormonal imbalance). It should be noted that while some treatment modalities that historically contributed to thoracic growth deficiency may be omitted in contemporary treatment regimens (eg, craniospinal irradiation in the treatment of ALL), other therapeutic agents are only now being found to have significant skeletal toxicity (eg, cis‐retinoic acid), which could propagate thoracic growth deficiency in future childhood cancer survivors.…”
Section: Discussionmentioning
confidence: 99%