多发性骨髓瘤中含达拉图穆马布的治疗方案所带来的感染风险:系统性审查和元分析
Zeng-Yi Huang1,2, Xiao-Lian Liu2, Ting Li1
1Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, Macau SAR, China.
Frontiers in oncology
|January 22, 2026
概括
治疗多发性骨髓瘤的达拉图姆治疗增加了感染风险,特别是严重的感染和肺炎. 然而,与感染相关的死亡率仍然很低,需要积极的监测和预防策略.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 达拉图马布是一种针对CD38的单克隆抗体,是多发性骨髓瘤的基石治疗方法.
- 它的机制涉及消耗免疫细胞,可能增加感染易感性.
研究的目的:
- 系统评估与多发性骨髓瘤患者的达拉图穆马布基疗法相关的感染风险.
- 量化任何感染,严重感染和肺炎等特定感染的风险.
主要方法:
- 随机二期和三期试验的系统审查和元分析.
- 搜索了主要的数据库 (PubMed,Embase等) 通过2025年10月.
- 包括9项试验,5281名成年多发性骨髓瘤患者.
主要成果:
- 达拉图马布治疗方案显著增加了任何感染 (RR 1.23) 和等级≥3感染 (RR 1.29) 的风险.
- 肺炎的风险明显更高 (RR 1.60).
- 与感染相关的死亡率很低 (≤2%),并且在各组之间相似.
结论:
- 达拉图穆马布治疗增加了感染的风险,尤其是严重的感染和肺炎.
- 虽然绝对死亡率很低,但积极的感染预防和监测至关重要.
- 这些发现支持随着达拉图穆马布使用的扩大,谨慎管理.
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