重新治疗多发性骨髓瘤,使用以前耐火药物
Utkarsh Goel1,2, Charalampos Charalampous1, Prashant Kapoor1
1Division of Hematology, Mayo Clinic, Rochester, MN.
Blood advances
|November 13, 2024
概括
使用以前无效的药物重新治疗复发/耐药多发性骨髓瘤 (RRMM) 患者有希望. 较长的初始治疗持续时间和重新治疗前较长的时间间隔显著提高了无进展的生存率.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床治疗学 临床治疗学
背景情况:
- 患有复发性/耐药性多发性骨髓瘤 (RRMM) 的患者经常耗尽可用的治疗方法.
- 在RRMM中更长的存活时间需要探索以前使用的药物重新治疗的选择.
研究的目的:
- 评估RRMM患者用以前耐药药物重新治疗的疗效和结果.
- 确定从这种再治疗策略中获益最多的患者子组.
主要方法:
- 对315名RRMM患者的回顾性分析,他们用一种药物重新治疗了他们的疾病以前是耐火的.
- 评估整体应答率 (ORR) 和无进展生存率 (PFS).
主要成果:
- 观察到总体响应率为56.2%,PFS中位数为11个月.
- 初始治疗时间较长的患者 (>28.4个月) 具有更好的PFS (16.9个月与8.1个月).
- 再次治疗的时间间隔较长 (>46.1个月) 也与更好的PFS (28.2个月与8.9个月) 相相关.
结论:
- 用以前耐火药重新治疗RRMM是一种可行的治疗选择.
- 最佳结果与初始药物敏感性和治疗疗程之间的延长间隔有关.
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