Unal Sule, Cakir Meltem, Kuşkonmaz Bariş, Cetin Mualla, Tuncer A Murat
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2009 Jan-Feb;51(1):69-71.
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.
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。