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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nodgo</journal-id><journal-title-group><journal-title xml:lang="ru">Российский журнал детской гематологии и онкологии (РЖДГиО)</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Pediatric Hematology and Oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2311-1267</issn><issn pub-type="epub">2413-5496</issn><publisher><publisher-name>LTD “Graphica”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21682/2311-1267-2025-12-1-77-88</article-id><article-id custom-type="elpub" pub-id-type="custom">nodgo-1133</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРАКТИЧЕСКИЕ ВОПРОСЫ ДЕТСКОЙ ОНКОЛОГИИ-ГЕМАТОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL QUESTIONS OF PEDIATRIC ONCOLOGY-HEMATOLOGY</subject></subj-group></article-categories><title-group><article-title>Руководство по профилактике и коррекции нежелательных явлений у пациентов, получающих терапию препаратом динутуксимаб бета</article-title><trans-title-group xml:lang="en"><trans-title>Guidance for the prevention and management of adverse events in patients receiving dinutuximab beta therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7846-3473</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сагоян</surname><given-names>Г. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sagoyan</surname><given-names>G. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гарик Барисович Сагоян - старший научный сотрудник, врач-детский онколог детского онкологического отделения № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Senior Researcher, Pediatric Oncologist Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">sagoyan-garik@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5489-1879</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сулейманова</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Suleymanova</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>старший научный сотрудник, врач-детский онколог детского онкологического отделения № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Senior Researcher, Pediatric Oncologist Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">aminasuleymanova313@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1949-6280</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Папян</surname><given-names>Р. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Papyan</surname><given-names>R. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>руководитель мультидисциплинарной группы по заболеваниям опорно-двигательной системы, педиатрический руководитель, старший научный сотрудник Научно-исследовательского института иммуноонкологии, заведующая отделением детской онкологии Гематологического центра им. проф. Р.О. Еоляна, преподаватель кафедры детской онкологии и гематологии Ереванского государственного медицинского университета, сопредседатель Рабочей группы по вопросам подростков и молодых людей Международного общества детской онкологии (SIOP)</p><p>0014, Ереван, ул. Нерсисян, 7</p><p>0014, Ереван, ул. Нерсисян, 7</p><p>Ереван, 0025, ул. Корюн, 2</p></bio><bio xml:lang="en"><p>Head of the Multidisciplinary Group on Diseases of the Musculoskeletal System, Pediatric Director, Senior Researcher; Head; Lecturer at the Department of Pediatric Oncology and Hematology</p><p>7 Nersisyan St., Yerevan, 0014</p><p>7 Nersisyan St., Yerevan, 0014</p><p>2 Koryun St., Yerevan, 0025</p></bio><email xlink:type="simple">ruzannapapyan92@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1016-539X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рубанская</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rubanskaya</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., заведующая детским онкологическим отделением № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова</p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med.), Head of the Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">marishvecova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0390-8498</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кулева</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kulyova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, заведующая детским онкологическим отделением, ведущий научный сотрудник научного отдела инновационных методов терапевтической онкологии и реабилитации, профессор учебно-методического отдела </p><p>197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Professor, Head of Pediatric Oncology Department, Leading Researcher of the Research Department of Innovative Therapeutic Oncology and Rehabilitation Methods, Professor of the Training and Methodology Department </p><p>68 Leningradskaya St., Pesochny, Saint Petersburg, 197758</p></bio><email xlink:type="simple">kulevadoc@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7805-5616</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Матинян</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Matinya</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., заведующая отделом анестезиологии-реанимации НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова; профессор кафедры детской анестезиологии и интенсивной терапии </p><p>AuthorID: 884136</p><p>115522, Москва, Каширское шоссе, 23</p><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Head of the Department of Anesthesiology and Resuscitation of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov; Professor Department of Pediatric Anesthesiology and Intensive Care </p><p>23 Kashirskoe Shosse, Moscow, 115522</p><p>1 Ostrovityanova St., Moscow, 117997</p></bio><email xlink:type="simple">n9031990633@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-8044-570X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галанскова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Galanskova</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-детский онколог детского онкологического отделения № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова</p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Pediatric Oncologist Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">ag@galanskova.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-6559-5359</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сидорова</surname><given-names>Д. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Sidorova</surname><given-names>D. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-детский онколог детского онкологического отделения № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Pediatric Oncologist Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">darya.kochetova.1993@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-5989-3521</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терехина</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Terekhina</surname><given-names>D. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-детский онколог детского онкологического отделения № 1 (химиотерапии опухолей торакоабдоминальной локализации) НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Pediatric Oncologist Pediatric Oncology Department № 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">daria.terekhina1@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5911-553X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белышева</surname><given-names>Т. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Belysheva</surname><given-names>T. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, ведущий научный сотрудник поликлинического отделения НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Professor, Leading Researcher Polyclinic Department of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">klinderma@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2945-284X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киргизов</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kirgizov</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., заместитель директора по научной работе НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med.), Deputy Director for Scientific Work of Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">k.kirgizov@ronc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6131-1783</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Варфоломеева</surname><given-names>С. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Varfolomeeva</surname><given-names>S. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, директор НИИ детской онкологии и гематологии им. акад. РАМН Л.А. Дурнова </p><p>115522, Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Professor, Director of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov</p><p>23 Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">s.varfolomeeva@ronc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт иммуноонкологии; АОЗТ «Гематологический центр имени профессора Р.О. Еоляна» Mинздрава Республики Армения; Ереванский государственный медицинский университет</institution><country>Армения</country></aff><aff xml:lang="en"><institution>Immune Oncology Research Institute; Pediatric Cancer and Blood Disorders Center of Armenia, Hematology Center named after Professor R.O. Yeolyan; Yerevan State Medical University</institution><country>Armenia</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии имени Н.Н. Петрова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава России; ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia;  N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>04</month><year>2025</year></pub-date><volume>12</volume><issue>1</issue><fpage>77</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сагоян Г.Б., Сулейманова А.М., Папян Р.Х., Рубанская М.В., Кулева С.А., Матинян Н.В., Галанскова А.Г., Сидорова Д.Д., Терехина Д.А., Белышева Т.С., Киргизов К.И., Варфоломеева С.Р., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Сагоян Г.Б., Сулейманова А.М., Папян Р.Х., Рубанская М.В., Кулева С.А., Матинян Н.В., Галанскова А.Г., Сидорова Д.Д., Терехина Д.А., Белышева Т.С., Киргизов К.И., Варфоломеева С.Р.</copyright-holder><copyright-holder xml:lang="en">Sagoyan G.B., Suleymanova A.M., Papyan R.K., Rubanskaya M.V., Kulyova S.A., Matinya N.V., Galanskova A.G., Sidorova D.D., Terekhina D.А., Belysheva T.S., Kirgizov K.I., Varfolomeeva S.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.nodgo.org/jour/article/view/1133">https://journal.nodgo.org/jour/article/view/1133</self-uri><abstract><p>Руководство по профилактике и коррекции нежелательных явлений (НЯ) у пациентов, получающих терапию препаратом динутуксимаб бета, представляет собой рекомендации по оценке риска развития, профилактике и коррекции НЯ.</p></abstract><trans-abstract xml:lang="en"><p>The guidelines for the prevention and management of adverse events in patients receiving dinutuximab beta therapy provide recommendations for assessing the risk of development, prevention and management of adverse events.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>руководство</kwd><kwd>нейробластома</kwd><kwd>иммунотерапия</kwd><kwd>динутуксимаб бета</kwd><kwd>нежелательные явления</kwd></kwd-group><kwd-group xml:lang="en"><kwd>guidelines</kwd><kwd>neuroblastoma</kwd><kwd>immunotherapy</kwd><kwd>dinutuximab beta</kwd><kwd>adverse events</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Voeller J., Sondel P.M. 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