[针对复发性/耐药性扩散性大B细胞淋巴瘤的Axicabtagene ciloleucel治疗结果:单一机构的回顾性分析]
Wataru Kitamura1,2, Nobuharu Fujii1,2, Chihiro Kamoi1,2
1Department of Hematology and Oncology, Okayama University Hospital.
概括
艾克西卡巴特基因 ciloleucel (axi-cel) 在治疗复发性/耐药性扩散性大B细胞淋巴瘤 (DLBCL) 中显示出高的有效性和安全性. 这项在日本进行的现实研究发现,轴细胞治疗的无进展和整体存活率有前途.
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:
- 抗CD19仿真抗原受体-T细胞疗法已经改变了R/R DLBCL治疗.
- 对于日本的axicabtagene ciloleucel (axi-cel),现实世界数据有限.
研究的目的:
- 评估在日本R/R DLBCL患者中Axi-cel的实际有效性和安全性.
- 分析患者的结果,包括生存率和不良事件.
主要方法:
- 对27名R/R DLBCL患者的回顾性分析,这些患者接受了轴细胞治疗.
- 收集关于不良事件 (CRS,ICANS) 和治疗结果的数据.
- 生存分析,随访时间中位数为8.1个月.
主要成果:
- 细胞因子释放综合征 (88.9%) 和ICANS (29.6%) 的高发病率.
- 皮质类固醇在70.4%的患者中使用.
- 观察到6个月无进展存活率 (80.2%) 和整体存活率 (92.0%).
结论:
- 在R/R DLBCL中,Axi-cel表现出高效率和可管理的安全性.
- 现实世界的数据支持axi-cel作为一个可行的治疗选择.
- 需要对更大的队列和更长的随访进行进一步的研究.
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