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targeted-therapy / targeted-therapyPediatric Low-Grade Glioma & BRAF-Targeted Therapy

Mark W. Kieran

马克·基耶兰

MD, PhD

🏢Bristol Myers Squibb (formerly Dana-Farber / Boston Children's Hospital)(百时美施贵宝(原丹娜法伯/波士顿儿童医院))🌐USA

Head of Pediatric Oncology Drug Development, Bristol Myers Squibb; Former Director, Pediatric Medical Neuro-Oncology, Dana-Farber Cancer Institute百时美施贵宝儿科肿瘤药物开发主任,原丹娜法伯癌症研究院儿童神经肿瘤科主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Mark W. Kieran, MD, PhD is a preeminent pediatric neuro-oncologist whose clinical and translational work at Dana-Farber Cancer Institute and Boston Children's Hospital defined the modern treatment paradigm for pediatric low-grade gliomas (pLGG). He was a pioneer in recognizing BRAF alterations—including KIAA1549-BRAF fusion and BRAF V600E—as the dominant oncogenic drivers of pediatric gliomas and led early clinical trials of BRAF inhibitors (dabrafenib) and MEK inhibitors (trametinib, selumetinib) in children with recurrent or progressive pLGG. His work provided the preclinical and clinical evidence that led to the FDA approval of selumetinib (koselugo) in NF1-associated pLGG in 2020 and subsequent approvals of dabrafenib/trametinib for pediatric BRAF V600E-mutant gliomas. He has also contributed substantially to understanding the biology and therapy of DIPG and other high-grade pediatric brain tumors, leading early-phase combination trials.

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🧪Research Fields 研究领域

Pediatric Low-Grade Glioma儿童低级别胶质瘤
BRAF V600E and BRAF Fusion in Pediatric Glioma儿童胶质瘤BRAF V600E和BRAF融合
MEK Inhibitors in Pediatric Brain TumorsMEK抑制剂用于儿童脑肿瘤
DIPG and High-Grade Pediatric Glioma弥漫内生性桥脑胶质瘤
Pediatric Neuro-Oncology Drug Development儿童神经肿瘤药物开发

🎓Key Contributions 主要贡献

BRAF Alterations as Drivers of Pediatric Low-Grade Glioma

Contributed to the clinical characterization of BRAF-KIAA1549 fusions and BRAF V600E mutations as the most common oncogenic alterations in pediatric low-grade gliomas, validating them as therapeutic targets and establishing the molecular classification underlying current treatment stratification.

MEK Inhibitor Trials in Pediatric Gliomas (TRAM-01, ACNS1831)

Led early-phase trials of trametinib and selumetinib in pediatric low-grade gliomas, including NF1-associated pLGG, providing the efficacy data that supported FDA approval of selumetinib in 2020 for NF1-pLGG and established a new first-line targeted therapy paradigm.

BRAF+MEK Combination Therapy in Pediatric BRAF V600E Gliomas

Contributed to the design and analysis of the TADPOLE trial (dabrafenib + trametinib in pediatric BRAF V600E tumors), which demonstrated 47% objective response rates in pLGG and led to FDA pediatric approval of the combination in 2022 for BRAF V600E-mutant pediatric solid tumors.

Antiangiogenic Therapy and DIPG Trials

Conducted pivotal trials of bevacizumab and novel antiangiogenic regimens in DIPG, and contributed to the first ONC201 and H3K27M-directed immunotherapy trials in diffuse midline gliomas, advancing the early clinical development pipeline for this universally fatal disease.

Representative Works 代表性著作

[1]

Selumetinib in children with inoperable plexiform neurofibromas

New England Journal of Medicine (2020)

Phase II trial demonstrating 70% objective response rate for selumetinib in NF1-associated plexiform neurofibromas in children, leading to FDA approval of the MEK inhibitor for this indication.

[2]

Dabrafenib plus trametinib in pediatric patients with BRAF V600-mutant tumors

Nature Medicine (2023)

TADPOLE trial demonstrating durable objective responses to dabrafenib+trametinib combination in pediatric BRAF V600E-mutant LGG and HGG, supporting regulatory approval.

[3]

Pediatric low-grade glioma: a heterogeneous group of tumors with BRAF pathway alterations

JCO Precision Oncology (2020)

Comprehensive molecular and clinical review defining the spectrum of BRAF and MAPK pathway alterations in pLGG and their implications for risk stratification and targeted therapy selection.

🏆Awards & Recognition 奖项与荣誉

🏆Society for Neuro-Oncology (SNO) Presidential Award
🏆National Brain Tumor Society Research Award
🏆Dana-Farber / Boston Children's Brain Tumor Center Distinguished Investigator
🏆ASCO Conquer Cancer Foundation Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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