多发性骨髓瘤,版本2.2024,NCCN瘤学临床实践指南
Shaji K Kumar1, Natalie S Callander2, Kehinde Adekola3
1Mayo Clinic Comprehensive Cancer Center.
Journal of the National Comprehensive Cancer Network : JNCCN
|December 11, 2023
概括
复发性/耐药性多发性骨髓瘤 (MM) 的治疗现在包括新的疗法,如CAR T细胞和双特异性抗体. 根据耐药性和患者因素,NCCN指南为选择这些复杂的组合治疗提供了一个框架.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床指南 临床指南
背景情况:
- 多发性骨髓瘤 (MM) 治疗领域已通过新型药物显著扩大.
- 患者经常出现复发,需要多线治疗.
- 选择复发性/耐药性MM的最佳治疗方法是复杂的.
研究的目的:
- 概述NCCN指南对复发性/耐药性多发性骨髓瘤的建议.
- 为复发性/耐药性MM的治疗决策提供框架.
主要方法:
- 对多发性骨髓瘤的NCCN临床实践指南的审查.
- 专注于针对复发/耐药性疾病阶段的具体建议.
主要成果:
- 新的治疗选择包括第二代蛋白酶体抑制剂,免疫调节剂,单克隆抗体,CAR T细胞,双特异性抗体,selinexor和venetoclax.
- 选择治疗需要评估对特定药物类别的耐药性.
- 患者特定的因素,如年龄和并发症,对于决策至关重要.
结论:
- 该NCCN指南提供了管理复发性/耐药性MM的基本指导.
- 结合新型治疗方法的个性化治疗策略是改善患者治疗结果的关键.
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