慢性淋巴细胞白血病患者前线治疗的发展:来自欧洲一个中心的经验
Miguel Arguello-Tomas1,2,3,4, Nil Albiol2,3,5, Paola Jara2,4
1Hematology Department, Hospital de la Santa Creu i Sant Pau, Barcelona.
Leukemia & lymphoma
|July 15, 2023
概括
慢性淋巴细胞白血病 (CLL) 的前线治疗已经从化剂转向向治疗. 向疗法显著改善了CLL患者的时间到下一次治疗 (TTNT) 和整体存活率 (OS).
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 临床治疗学 临床治疗学
背景情况:
- 慢性淋巴细胞白血病 (CLL) 治疗已经显著发展.
- 向治疗是CLL管理的一个重大进步.
研究的目的:
- 以回顾性分析CLL患者前线治疗处方的演变.
- 评估前线治疗对治疗时间 (TTNT) 和整体存活率 (OS) 的影响.
主要方法:
- 对780名CLL患者的回顾性分析.
- 收集关于治疗处方,TTNT和OS的数据.
- 多变量分析以确定与TTNT和OS相关的因素.
主要成果:
- 41.4%的患者在平均6.4年的随访后需要前线治疗.
- 治疗从ambucil 演变为化学免疫疗法,到 2018 年,向疗法成为主导 (74.1%).
- 与其他疗法相比,向疗法与明显更长的TTNT有关. 突变的IGHV,女性性别,年龄较小 (<65岁) 和向治疗与改善的生存状况相关.
结论:
- 对CLL的最前线治疗格局已经向向治疗转移.
- 针对性疗法在CLL患者的TTNT和OS方面显示出优异的结果.
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