在venetoclax和波萨可纳同时服用后发生的侵入性真菌感染
Gemma Reynolds1,2, Karen F Urbancic1,3,4, Chun Y Fong5
1Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia.
British journal of haematology
|September 21, 2023
概括
对于接受venetoclax的骨髓性恶性瘤患者来说,监测波萨可纳水平至关重要. 这确保了适当的抗真菌预防,并指导必要的剂量调整,最大限度地减少突破性侵入性真菌感染 (IFI).
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 维内托克拉克斯是一种BCL-2抑制剂,用于骨髓性恶性瘤.
- 与波萨可纳的同时使用可以预防侵入性真菌感染 (IFI),并降低venetoclax的成本.
- 适当的波萨可纳药物水平对于有效的预防至关重要.
研究的目的:
- 为了评估波萨科纳在同时处方venetoclax.x的患者处方的充分性.
- 为了确定这个患者队列中的突破IFI的速度.
- 评估波萨可纳药物水平监测对剂量调整的影响.
主要方法:
- 99名患有骨髓瘤恶性瘤的患者的回顾性审计.
- 患者同时接受了venetoclax和波萨可纳 (2018年1月至2022年4月).
- 对波萨可纳水平和突破性IFI事件的分析.
主要成果:
- 77%的患者至少有一次测量了波萨可纳水平.
- 37%的患者需要根据最低水平调整波萨可纳的剂量.
- 突破性IFI发生在4%的患者中,大多发生在第一个月内.
结论:
- 对于接受venetoclax治疗的患者来说,密切监测波萨可纳的药物水平至关重要.
- 监测在早期门诊环境中尤为重要.
- 确保治疗性波萨可纳水平有助于预防IFI和优化治疗.
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