与多发性骨髓瘤的博特佐米布基前线治疗方案相关的治疗出现的外围神经病变
Carlyn Tan1, Jennifer S Harper2, Santosh Gautam3
1Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Leukemia & lymphoma
|October 10, 2025
概括
与非Bortezomib方案相比,针对多发性骨髓瘤的基于Bortezomib的治疗显著增加了外围神经病变的风险. 这一发现强调了在选择初始多发性骨髓瘤疗法时需要考虑神经病变的必要性.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 基于bortezomib的疗法是多发性骨髓瘤 (MM) 的标准一线治疗方案.
- 治疗引起的周围神经病变 (TEPN) 是与博特佐米布相关的频繁不良事件,影响生活质量和医疗费用.
研究的目的:
- 为了比较患有多发性骨髓瘤的患者中TEPN的发病率,接受基于Bortezomib的治疗方案与非基于Bortezomib的治疗方案.
- 确定可能减轻多发性骨髓瘤患者TEPN风险的治疗策略.
主要方法:
- 在Optum Clinformatics Data Mart数据库上使用了一种线程治疗算法.
- 将患者分组为基于Bortezomib和非基于Bortezomib的治疗队列.
- 应用了1:1匹配,以确保群体之间的基线人口统计和临床特征相似.
主要成果:
- 在接受基于Bortezomib的治疗方案的患者中,24%的患者观察到TEPN,而在非基于Bortezomib的治疗组中,这一比例为9%.
- 基于Bortezomib的组中TEPN的发病率明显高于基于Bortezomib的组 (46.0人/年),而非基于Bortezomib的组 (15.8人/年).
- 统计分析证实TEPN发病率存在显著差异 (p < 0.0001).
结论:
- 基于博尔特佐米布的疗法与多发性骨髓瘤患者治疗时出现的外周神经病变的发生率大幅增加有关.
- 研究结果表明,早期多发性骨髓瘤的治疗选择应考虑外围神经病变的风险.
- 对具有较低TEPN发病率的替代疗法进行进一步研究是有必要的.
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