• Eflornithine (Iwilfin) is now FDA-approved to reduce the risk of relapse in high-risk neuroblastoma patients who have shown partial response to prior therapies.
• The approval was based on a Phase II trial demonstrating significantly improved event-free survival and overall survival compared to historical controls.
• Eflornithine inhibits polyamine synthesis, targeting the MYCN oncogene, which is crucial in neuroblastoma development and progression.
• Common adverse effects include otitis media, sinusitis, pneumonia, and diarrhea, necessitating careful monitoring and management of patients on eflornithine.