韩国慢性淋巴细胞白血病/小淋巴细胞淋巴瘤的治疗模式:一个多中心的回顾性研究 (KCSG LY20-06)
Jung Sun Kim1, Tae Min Kim2, Myoung Joo Kang3
1Department of Internal Medicine, Chungnam National University Sejong Hospital, Sejong, Korea.
The Korean journal of internal medicine
|June 26, 2023
概括
韩国患有慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL) 的患者在较年轻的年龄和fludarabine,cyclophosphamide,加 rituximab (FCR) 治疗后的生存率有所改善. 补偿影响了治疗转换,新的疗法,如奥比努祖祖马布加ambucil (GC) 获得引力.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床研究 临床研究
背景情况:
- 慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL) 在韩国很少见,但其发病率正在上升.
- 关于韩国CLL/SLL患者目前的治疗模式和生存率的数据有限.
研究的目的:
- 评估韩国CLL/SLL治疗策略的最新趋势.
- 分析与治疗方式和患者人口统计学相关的生存结果.
主要方法:
- 一项多中心回顾性研究分析了141名韩国CLL/SLL患者,这些患者从2010年到2020年接受了全身治疗.
- 评估了治疗模式,适应症和生存终点 (无进展生存率和总生存率).
主要成果:
- 弗卢达拉,环胺,再加上修复剂 (FCR) 是常见的第一线治疗 (46.8%).
- 无进展生存时间的中位数为49.3个月;整体生存时间没有达到.
- 年龄较小 (≤65岁) 和FCR一线治疗与改善无进展生存率有关.
结论:
- 韩国的治疗策略受患者年龄和药品报销政策的影响.
- 在临床试验中实施风险分层和探索新药对于改善韩国CLL/SLL患者的治疗结果至关重要.
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