基于蛋白酶体抑制剂治疗多发性骨髓瘤的维持或巩固疗法的有效性:一个元分析
Dan Wu1, Feiqing Wang1,2, Xu Yang1
1Clinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Discover oncology
|April 12, 2025
概括
蛋白质酶抑制剂 (PI) 改善了多发性骨髓瘤 (MM) 患者在维持和巩固疗法中的结果. 虽然增强了生存率和反应率,但PI也增加了3级不良事件的风险.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床试验 临床试验
背景情况:
- 评估蛋白酶体抑制剂 (PI) 在多发性骨髓瘤 (MM) 治疗中的有效性.
- 在维护和巩固治疗环境中评估PI.
研究的目的:
- 为了确定蛋白酶体抑制剂 (PI) 在多发性骨髓瘤 (MM) 维持和巩固疗法的有效性.
- 分析PI对完全响应 (CR),整体响应 (≥VGPR),无进展生存期 (PFS) 和整体生存期 (OS) 的影响.
主要方法:
- 在主要数据库中对随机对照试验 (RCT) 进行全面的文献搜索.
- 包括以英语和中文出版的研究,重点关注基于PI的MM的巩固或维持疗法.
- 评估结果包括CR,≥VGPR,PR,PFS和OS.
主要成果:
- 分析包括10个RCT (4个维持,6个巩固) 与4711名患者.
- 与对照组相比,基于PI的疗法显著改善了PFS和OS.
- PIs增强了CR和≥VGPR的实现,巩固疗法对≥VGPR显示出更大的益处.
结论:
- 基于PI的维持和巩固疗法可以改善MM患者的CR,≥VGPR,PFS和OS.
- 这些疗法与3级不良事件的风险增加有关.
- 药物注射是MM的有价值的治疗选择,需要仔细评估风险和益处.
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