在免疫疗法时代,优化复发性/耐药性经典霍奇金淋巴瘤的治疗
Michael P Randall1, Michael A Spinner1
1Division of Hematology/Oncology, Department of Medicine, University of California San Francisco, San Francisco, CA 94143, USA.
Cancers
|September 28, 2023
概括
对于复发/耐药的经典霍奇金淋巴瘤 (cHL),像布伦图西马布维多丁和PD-1抑制剂这样的新疗法提供了更好的救援选择. 本综述详细介绍了R/R cHL目前的管理策略和未来的免疫疗法.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
背景情况:
- 经典霍奇金淋巴瘤 (cHL) 的治愈率很高,但10-20%的患者复发,5-10%患有初级耐火性疾病.
- 对于R/RcHL的治疗场景已经被抗体药物联合体 (brentuximab vedotin) 和PD-1抑制剂 (nivolumab, pembrolizumab) 改变.
研究的目的:
- 在2023年审查目前的R/RcHL管理,重点是救援疗法,移植后护理和老年/不合格患者的治疗.
- 讨论新兴的免疫疗法和个性化治疗方法的生物标志物.
主要方法:
- 审查当前的临床实践和关于R/R cHL管理的最新文献.
- 讨论新型治疗剂和正在进行的免疫疗法临床试验.
主要成果:
- 布伦图西马布维多丁和PD-1抑制剂扩大了救援疗法选择,改善了生存结果.
- 目前的策略重点是选择第一个救援疗法,移植后的维护和管理特定患者群体.
结论:
- 现代免疫疗法显著改善了R/RcHL患者的治疗结果.
- 未来的方向包括新的免疫疗法组合,抗体-药物合物,双特异性抗体,细胞疗法和基于生物标志物的个性化治疗.
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