复发性/耐药性多发性骨髓瘤患者的治疗折射率和反应率:对现实世界数据的回顾性分析
Ning Lyu1, Zahra Majd1, Bilqees Fatima1
1University of Houston, College of Pharmacy, Houston, TX, USA.
Cancer treatment and research communications
|April 8, 2025
概括
尽管治疗进展,许多多发性骨髓瘤 (MM) 患者面临复发和折射性. 这项研究显示,即使在复发性/耐药性MM患者多次治疗后,治疗响应率有限.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床研究 临床研究
背景情况:
- 多发性骨髓瘤 (MM) 管理已取得进展,但复发率仍然很高,影响患者的预后和生存率.
- 了解治疗耐火性对于改善复发性和/或耐火性MM的治疗结果至关重要.
研究的目的:
- 评估复发性和/或耐药性多发性骨髓瘤患者的治疗折射率和反应率.
- 利用现实世界的证据来评估在严重预先治疗的MM人群中治疗的有效性.
主要方法:
- 使用2022年商业注册表数据进行回顾性队列研究.
- 包括患有复发性/耐药性MM的患者 (18-79岁),≥5种疗法,包括蛋白酶抑制剂,免疫调节药物和CD38抗体.
- 排除了同时患有恶性瘤或在治疗开始后过早死亡的患者.
主要成果:
- 分析了283名患者,总体应答率为35.7%,平均应答持续时间为6.3个月.
- 五重耐火 (33.6%) 和三重耐火 (25.4%) 患者代表了最大的群体.
- 响应率因耐火类而异: 49.1% (双重),22.2% (三重),44.7% (非三重) 和33.7% (五重).
结论:
- 很大一部分患者表现出有限的治疗反应和折射性,尽管先前有多种疗法.
- 这些发现凸显了管理高级多发性骨髓瘤的持续挑战.
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