TY - JOUR A1 - Heisig, Anne A1 - Sörensen, Jan A1 - Zimmermann, Stefanie-Yvonne A1 - Schöning, Stefan A1 - Schwabe, Dirk A1 - Kvasnicka, Hans Michael A1 - Schwentner, Raphaela A1 - Hutter, Caroline A1 - Lehrnbecher, Thomas T1 - Vemurafenib in Langerhans cell histiocytosis : report of a pediatric patient and review of the literature T2 - OncoTarget N2 - Selective BRAF inhibitors such as vemurafenib have become a treatment option in patients with Langerhans cell Histiocytosis (LCH). To date, only 14 patients receiving vemurafenib for LCH have been reported. Although vemurafenib can stabilize the clinical condition of these patients, it does not seem to cure the patients, and it is unknown, when and how to stop vemurafenib treatment. We present a girl with severe multisystem LCH who responded only to vemurafenib. After 8 months of treatment, vemurafenib was tapered and replaced by prednisone and vinblastine, a strategy which has not been described to date. Despite chemotherapy, early relapse occurred, but remission was achieved by re-institution of vemurafenib. Further investigation needs to address the optimal duration of vemurafenib therapy in LCH and whether and which chemotherapeutic regimen may prevent disease relapse after cessation of vemurafenib. KW - Langerhans cell histiocytosis KW - LCH KW - child KW - vemurafenib KW - BRAF Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/46579 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-465795 SN - 1949-2553 N1 - All site content, except where otherwise noted, is licensed under a Creative Commons Attribution 3.0 License. VL - 9 IS - 31 SP - 22236 EP - 22240 PB - Impact Journals LLC CY - [s. l.] ER -