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吉妥珠单抗奥唑米星单药治疗一名急性髓系白血病耐药复发儿科患者取得成功。

Successful treatment with gemtuzumab ozogamicin monotherapy in a pediatric patient with resistant relapse of acute myeloid leukemia.

作者信息

Unal Sule, Cakir Meltem, Kuşkonmaz Bariş, Cetin Mualla, Tuncer A Murat

机构信息

Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2009 Jan-Feb;51(1):69-71.

Abstract

There are few therapeutic options in relapsed or refractory acute myeloid leukemia patients. CD33 antigen is expressed on approximately 90% of myeloblasts, and gemtuzumab ozogamicin, as a monoclonal antibody directed against the CD33 surface antigen, may be a good target for these patients. Herein, we present a 15-year-old acute myeloid leukemia patient who was resistant at relapse and could achieve remission with gemtuzumab ozogamicin at a total dose of 9 mg/m2, divided into three doses and delivered to hematopoietic stem-cell transplantation; however, the patient relapsed in a short time without application of transplantation.

摘要

复发或难治性急性髓系白血病患者的治疗选择有限。约90%的成髓细胞表达CD33抗原,而吉妥珠单抗奥唑米星作为一种针对CD33表面抗原的单克隆抗体,可能是这些患者的良好治疗靶点。在此,我们报告一名15岁的急性髓系白血病患者,其复发时耐药,接受总量为9 mg/m²的吉妥珠单抗奥唑米星治疗(分三次给药)并进行造血干细胞移植后实现缓解;然而,该患者未进行移植,短时间内即复发。

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