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Testing New Treatment Protocols and Supportive Care Strategies for Pediatric Patients with Burkitt Lymphoma in Malawi
When Dr. Rizine Mzikamanda, a pediatric oncologist based in Malawi, received a Conquer Cancer grant, he was determined to use that funding to improve research and care for pediatric patients with Burkitt lymphoma. This cancer, though rare in most parts of the world, is endemic to sub-Saharan Africa—and is made worse by high levels of malnutrition and limited resources.
This aggressive, fast-growing cancer requires intensive treatments that can prove intolerable for children, with side effects like sepsis, anemia, mucositis, and febrile neutropenia. Across this region of Africa, many pediatric patients also suffer from chronic malnutrition, which can significantly reduce survival. For Dr. Mzikamanda, better supportive care that accounts for these complex factors is essential to ensuring that more children with Burkitt lymphoma experience equitable outcomes.
Dr. Mzikamanda’s work addresses a major disparity in global cancer care: In the U.S., children with Burkitt lymphoma have more than an 80% survival rate. In African countries, however, the rate is around 40%.
“Conquering cancer,” he says, “means a child with Burkitt lymphoma in Africa has the same chance of survival as a child with the same disease in the U.S.”
Determined to improve care and outcomes for patients with Burkitt lymphoma, Dr. Mzikamanda used his Conquer Cancer funding to assess the feasibility of a more personalized treatment approach that considers treatment side effects and the unique needs of local populations. His primary goal? To develop and implement a supportive care strategy that better addresses the treatment challenges and disparities experienced by patients in Malawi and throughout sub-Saharan Africa.
“We know which treatments work best, which side effects are common, and how to administer the therapies,” Dr. Mzikamanda said. “The focus is really on making sure it’s done in a safe and effective way. If supportive care strategies are implemented to help children with Burkitt lymphoma in African settings better manage the side effects of treatment, then our patients are much likelier to complete treatment and reach better outcomes in the long term.”