基于达拉图穆马布的治疗方案在复发性/耐药性急性白血病的临床疗效:单中心经验
Yi Dai1, Lin Luo1, Zhenbin Wei1
1Department of Hematology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, China.
Annals of hematology
|July 24, 2024
概括
基于达拉图穆马布的救援方案对复发性/耐药性急性白血病 (R/R-AL) 显示出希望. 这种方法实现了70%的响应率,提供了缓解和桥梁到干细胞移植的机会.
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:
- 复发性/耐药性急性白血病 (R/R-AL) 存在严重的治疗挑战,预后不佳.
- 在急性髓性白血病 (AML) 和急性淋巴细胞白血病 (ALL) 中都存在CD38表达.
- 达拉图马布是一种抗CD38单克隆抗体,已在多发性骨髓瘤中表现出有效性,并正在研究R/R-AL.
研究的目的:
- 评估基于达拉图穆马布的救援疗法的安全性和有效性,用于R/R-AL的成年患者.
- 评估治疗响应率,生存结果和不良事件.
- 探索这种治疗方案在将患者连接到异性干细胞移植 (ASCT) 的潜力.
主要方法:
- 从2018年7月至2023年5月期间接受R/R-AL治疗的10名成年患者的临床数据的回顾性分析.
- 患者接受了基于达拉图马布的救援疗法.
- 结果包括响应率 (CR,PR),生存数据和不良事件监测.
主要成果:
- 观察到70%的整体响应率 (60%的完整响应,10%的部分响应).
- 在7名响应者中,有3人进行了全基干细胞移植 (ASCT).
- 在先前用venetoclax治疗的R/RAML患者中,再用venetoclax加daratumumab进行治疗,在5名患者中,有3名患者产生反应.
结论:
- 基于达拉图穆马布的救援方案为R/R-AL患者提供了可行的治疗选择,实现了显著的缓解率.
- 该疗法显示了可接受的耐受性,并为ASCT提供了潜在的桥梁.
- 对于R/R-AL治疗,需要进一步研究组合疗法,包括venetoclax.
关键词:
CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38 CD38基于达拉图穆马布的救援方案复发/耐药性急性白血病的复发/耐药性急性白血病.威尼托克拉克斯 (Venetoclax) 是一个属于威尼托克拉克斯的地区.更多相关视频
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