吉妥珠单抗奥唑米星在急性髓系白血病患者治疗中的作用。
The role of Gemtuzumab Ozogamicin in the treatment of acute myeloid leukemia patients.
作者信息
Pagano L, Fianchi L, Caira M, Rutella S, Leone G
机构信息
Istituto di Ematologia, Università Cattolica del Sacro Cuore, Rome, Italy.
出版信息
Oncogene. 2007 May 28;26(25):3679-90. doi: 10.1038/sj.onc.1210364.
Gemtuzumab Ozogamicin (GO) is an antibody-targeted chemotherapy agent consisting of the humanized murine CD33 antibody (clone P67.6) to which the calicheamicin-g1 derivative is attached via a hydrolysable bifunctional linker. GO is able to induce apoptosis in vitro in CD33-expressing cells and it has been approved in USA and in Europe as monotherapy for the treatment of elderly patients (older than 60 years) with relapsed acute myeloid leukemia (AML). GO administered as a single agent has resulted in overall response rates of about 30% in previously relapsed adults AML patients (including also with incomplete platelet recovery). Preliminary data indicate a potential role for GO also as a component of induction or consolidation regimens in adults and children. As for adverse events, veno-occlusive syndrome characterizes its tolerability profile, but GO is comparatively well tolerated by most patients.
吉妥单抗奥佐米星(GO)是一种抗体靶向化疗药物,由人源化鼠抗CD33抗体(克隆号P67.6)组成,通过可水解的双功能连接子连接加利车霉素-g1衍生物。GO能够在体外诱导表达CD33的细胞凋亡,并且在美国和欧洲已被批准作为单一疗法用于治疗复发的老年急性髓系白血病(AML)患者(年龄大于60岁)。作为单一药物给药时,GO在既往复发的成年AML患者(包括血小板恢复不完全的患者)中总体缓解率约为30%。初步数据表明,GO在成人和儿童诱导或巩固治疗方案中也可能发挥作用。至于不良事件,静脉闭塞综合征是其耐受性特征,但大多数患者对GO的耐受性相对较好。