在多发性髓瘤中使用Selinexor
Enrica Antonia Martino1, Ernesto Vigna1, Antonella Bruzzese1
1Hematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Expert opinion on pharmacotherapy
|March 19, 2024
概括
作为XPO1抑制剂的Selinexor在复发性/耐药性多发性骨髓瘤 (RRMM) 中表现有前途. 临床试验证明了其在组合疗法中的有效性,改善了具有挑战性疾病的患者的响应率和无进展生存率.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 药理学 药理学是指药理学的学科.
背景情况:
- 复发性/耐药性多发性骨髓瘤 (RRMM) 存在重大治疗挑战.
- 选择性抑制素出口因1 (XPO1) 的Selinexor是一种新兴的治疗选择.
研究的目的:
- 审查selinexor在多发性骨髓瘤 (MM) 患者的临床疗效和安全性.
- 探索selinexor在各种组合疗法和患者群体中的作用.
主要方法:
- 对临床试验的审查,包括STORM和BOSTON.
- 分析现实世界的证据和正在进行的调查.
主要成果:
- 在组合治疗方案 (XKd,XRd,XPd) 中,Selinexor表现出显著的整体应答率 (ORR) 和延长的无进展生存期 (mPFS).
- 在三级耐火和高风险MM患者中观察到有效性,包括那些患有外骨髓性疾病的患者.
结论:
- 塞利尼克索尔是RRMM多药策略中的通用和关键成分.
- 精心管理耐药机制和不良事件对于最佳结果至关重要.
相关概念视频
Treatment Resistant Cancers
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...


