在复发性多发性骨髓瘤中使用BCMA导向疗法的不良反应管理:集中审查
Razwana Khanam1, Beth Faiman2, Saba Batool3
1Department of Hospital Medicine, Baystate Medical Center, Springfield, MA 01199, USA.
Journal of clinical medicine
|September 9, 2023
概括
针对BCMA的双特异性抗体,抗体-药物合物和CAR T细胞对复发性耐火性多发性髓瘤 (RRMM) 有效. 本综述详细介绍了管理严重的副作用,如细胞因子释放综合征和神经毒性,以改善患者的治疗结果.
科学领域:
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 抗BCMA疗法对复发性耐火性多发性骨髓瘤 (RRMM) 是有前途的.
- 这些疗法包括双特异性抗体,抗体-药物合体和CAR T细胞.
- 严重的,可能危及生命的副作用与BCMA向治疗有关.
研究的目的:
- 在RRMM中审查BCMA治疗后的常见并发症.
- 讨论这些并发症的风险因素,发病因子,临床特征和管理策略.
- 提供关于预防和治疗不良事件的指导,以改善患者的治疗结果.
主要方法:
- 针对BCMA向治疗的四项原始研究的集中审查.
- 对批准剂的FDA批准数据包的分析.
- 检查风险因素,病原,临床表现和并发症的治疗.
主要成果:
- 常见的严重副作用包括细胞因子释放综合征,神经毒性,细胞衰竭,感染,HLH和器官毒性.
- 四种针对BCMA的药物 (idecabtagene vicleucel,ciltacabtagene autoleucel,teclistamab,belantamab mafodotin) 已被FDA批准用于成人RRMM.
- 根据FDA的数据概述了逐步管理协议.
结论:
- 对RRMM患者来说,有效管理BCMA治疗并发症至关重要.
- 了解风险因素和早期干预可以减轻严重的不良事件.
- 本综述为管理并发症提供了一个框架,以优化患者的治疗结果.
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