含有fotemustine的化疗表明毒性较低,有效性与高剂量甲醇基疗法相比相似:回顾性队列分析
Xudong Zhang1, Wanyue Zhao1, Wenhua Wang1
1Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Therapeutic advances in medical oncology
|March 9, 2026
概括
含有fotemustine的疗法在治疗初级中枢神经系统淋巴瘤 (PCNSL) 时,效果与高剂量甲状腺酸盐 (HD-MTX) 的效果相当. 这些fotemustine疗法在新诊断的PCNSL患者中提供了更安全的特征,并减少了不良事件.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 初级中枢神经系统淋巴瘤 (PCNSL) 是一种罕见的,侵袭性的非霍奇金淋巴瘤.
- 基于高剂量甲状腺酸盐 (HD-MTX) 的化疗是目前的标准一线治疗.
- 含有fotemustine的疗法是一个潜在的替代方案,具有有前途的疗效和耐受性.
研究的目的:
- 为了比较含有fotemustine的疗法与含有HD-MTX的疗法的疗效,安全性和可行性.
- 评估新诊断的PCNSL患者的治疗结果.
主要方法:
- 在114名新诊断PCNSL患者的回顾性队列研究中.
- 两个队列:含有fotemustine (n=72) 和含有HD-MTX (n=42) 的队列.
- 主要终点:客观反应率 (ORR);次要终点:无进展生存率 (PFS),总生存率 (OS) 和不良事件 (AE).
主要成果:
- 在fotemustine和HD-MTX组之间可比的ORR (68%对67%,p=0.879).
- 在两个方案之间,PFS和OS结果相似.
- 基于fotemustine的治疗显示显著减少了包括白血病,血小板减少,消化毒性和粘膜炎 (p<0.05) 在内的副作用.
结论:
- 含有fotemustine的疗法在新诊断的PCNSL中具有与HD-MTX相似的疗效.
- 基于fotemustine的治疗提供了一个更安全的替代方案,具有减少AE概况.
- 这些发现支持fotemustine作为PCNSL治疗的可行选择.
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