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利妥昔单抗在非霍奇金淋巴瘤的自体和异基因造血干细胞移植中的作用。

The role of rituximab in autologous and allogeneic hematopoietic stem cell transplantation for non-Hodgkin's lymphoma.

机构信息

Department of Hematology and BMT, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 64239, Tel-Aviv, Israel.

出版信息

Curr Hematol Malig Rep. 2006 Dec;1(4):220-9. doi: 10.1007/s11899-006-0003-x.

DOI:10.1007/s11899-006-0003-x
PMID:20425317
Abstract

The addition of rituximab to chemotherapy has substantially changed the treatment strategies for patients with B-cell lymphomas. Rituximab, combined with standard chemotherapy regimens, shows consistently improved results compared with chemotherapy alone and has been extensively employed in both newly diagnosed and relapsed patients with B-cell lymphoma. Because of its low toxicity profile and its potent antilymphoma activity mediated through direct apoptotic and indirect effector mechanisms, rituximab also has been actively incorporated into stem cell transplantation (SCT) protocols to attain a state of minimal disease, provide a safe and effective method for in vivo purging prior to autologous SCT, and promote graft-versus-lymphoma effects in allogeneic SCT. This review compiles the still immature but rapidly growing data on this combined modality.

摘要

利妥昔单抗联合化疗显著改变了 B 细胞淋巴瘤患者的治疗策略。与单纯化疗相比,利妥昔单抗联合标准化疗方案显示出一致的改善效果,已广泛应用于新诊断和复发的 B 细胞淋巴瘤患者。由于其低毒性特征以及通过直接凋亡和间接效应机制介导的强大抗淋巴瘤活性,利妥昔单抗也积极纳入干细胞移植 (SCT) 方案,以达到微小残留病状态,为自体 SCT 前提供安全有效的体内净化方法,并在异基因 SCT 中促进移植物抗淋巴瘤效应。这篇综述汇集了关于这种联合治疗模式的仍不成熟但快速增长的数据。

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本文引用的文献

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Randomised phase III study of R-ICE versus R-DHAP in relapsed patients with CD20 diffuse large B-cell lymphoma (DLBCL) followed by high-dose therapy and a second randomisation to maintenance treatment with rituximab or not: an update of the CORAL study.R-ICE方案与R-DHAP方案用于复发的CD20弥漫性大B细胞淋巴瘤(DLBCL)患者的随机III期研究,后续进行大剂量治疗并再次随机分组以决定是否接受利妥昔单抗维持治疗:CORAL研究的更新
Ann Oncol. 2006 May;17 Suppl 4:iv31-2. doi: 10.1093/annonc/mdj996.
2
CHOP-like chemotherapy plus rituximab versus CHOP-like chemotherapy alone in young patients with good-prognosis diffuse large-B-cell lymphoma: a randomised controlled trial by the MabThera International Trial (MInT) Group.在预后良好的年轻弥漫性大B细胞淋巴瘤患者中,CHOP样化疗联合利妥昔单抗对比单纯CHOP样化疗:美罗华国际试验(MInT)组的一项随机对照试验
Lancet Oncol. 2006 May;7(5):379-91. doi: 10.1016/S1470-2045(06)70664-7.
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Ann Hematol. 2006 Aug;85(8):530-4. doi: 10.1007/s00277-006-0113-5. Epub 2006 Apr 26.
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Blood. 2006 Jul 15;108(2):756-62. doi: 10.1182/blood-2006-01-0233. Epub 2006 Mar 21.
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Blood Rev. 2006 Sep;20(5):235-44. doi: 10.1016/j.blre.2006.01.001. Epub 2006 Mar 2.
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