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Progress has been made over the last 50 years by using intensive chemotherapy regimens

(combined with surgery and/or radiotherapy in solid tumours). This includes improved

outcomes in some cancers with poor prognosis such as high-risk neuroblastoma (40%

survival with highly intensive chemotherapy regimens including immunotherapy) and

acute myeloid leukaemia (60% survival with intensive chemotherapy and allogeneic

hematopoietic stem cell transplantation).

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Patient survival has plateaued over the last five years or more for difficult-to-treat diseases,

which calls for innovative treatments with new mechanisms of action to control resilient

and resistant diseases.

There has been little progress regarding difficult-to-treat diseases during the

last five years

11

A EUROPEAN CANCER PLAN FOR CHILDREN AND ADOLESCENTS

Credit Czech Working Group for Paediatric Oncology, Czech Republic

“Children and adolescents with cancer

need to be treated within clinical trials and benefit

from all the facilities required by standard of care.”

(Marianne Naafs-Wilstra, parent advocate, VOKK,

The Netherlands)