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血液学。伊马替尼——我们是否应该有更多这样的好东西?

Hematology. Imatinib--should we have more of a good thing?

机构信息

Department of Haematology, Imperial College, Hammersmith Hospital, Ducane Road, London, UK.

出版信息

Nat Rev Clin Oncol. 2010 Jun;7(6):303-4. doi: 10.1038/nrclinonc.2010.68.

DOI:10.1038/nrclinonc.2010.68
PMID:20517337
Abstract

Imatinib 400 mg has been the first-line therapy for chronic myeloid leukemia (CML) since 2001 but may have been licensed at too low a dose. A recent study compared the standard dose with higher doses in patients with newly diagnosed CML and found no difference in response rates at 12 months. But, is the devil in the detail?

摘要

自 2001 年以来,伊马替尼 400mg 一直是慢性髓性白血病(CML)的一线治疗药物,但剂量可能过低。最近的一项研究比较了新诊断的 CML 患者的标准剂量与较高剂量,发现 12 个月时的反应率没有差异。但是,细节决定成败吗?

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1
Hematology. Imatinib--should we have more of a good thing?血液学。伊马替尼——我们是否应该有更多这样的好东西?
Nat Rev Clin Oncol. 2010 Jun;7(6):303-4. doi: 10.1038/nrclinonc.2010.68.
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本文引用的文献

1
Adherence is the critical factor for achieving molecular responses in patients with chronic myeloid leukemia who achieve complete cytogenetic responses on imatinib.对于在伊马替尼治疗下达到完全细胞遗传学缓解的慢性髓性白血病患者,其分子学反应的取得取决于是否有较好的依从性。
J Clin Oncol. 2010 May 10;28(14):2381-8. doi: 10.1200/JCO.2009.26.3087. Epub 2010 Apr 12.
2
Phase III, randomized, open-label study of daily imatinib mesylate 400 mg versus 800 mg in patients with newly diagnosed, previously untreated chronic myeloid leukemia in chronic phase using molecular end points: tyrosine kinase inhibitor optimization and selectivity study.采用分子终点的新诊断、未经治疗的慢性期慢性髓性白血病患者每日甲磺酸伊马替尼 400mg 与 800mg 的随机、开放标签 III 期研究:酪氨酸激酶抑制剂优化和选择性研究。
J Clin Oncol. 2010 Jan 20;28(3):424-30. doi: 10.1200/JCO.2009.25.3724. Epub 2009 Dec 14.
3
Comparison of imatinib 400 mg and 800 mg daily in the front-line treatment of high-risk, Philadelphia-positive chronic myeloid leukemia: a European LeukemiaNet Study.伊马替尼每日400毫克与800毫克用于高危、费城染色体阳性慢性髓性白血病一线治疗的比较:一项欧洲白血病网研究
Blood. 2009 May 7;113(19):4497-504. doi: 10.1182/blood-2008-12-191254. Epub 2009 Mar 4.
4
Intermittent target inhibition with dasatinib 100 mg once daily preserves efficacy and improves tolerability in imatinib-resistant and -intolerant chronic-phase chronic myeloid leukemia.每日一次服用100毫克达沙替尼进行间歇性靶向抑制可维持疗效,并提高对伊马替尼耐药和不耐受的慢性期慢性髓性白血病患者的耐受性。
J Clin Oncol. 2008 Jul 1;26(19):3204-12. doi: 10.1200/JCO.2007.14.9260. Epub 2008 Jun 9.
5
Five-year follow-up of patients receiving imatinib for chronic myeloid leukemia.接受伊马替尼治疗的慢性髓性白血病患者的五年随访
N Engl J Med. 2006 Dec 7;355(23):2408-17. doi: 10.1056/NEJMoa062867.
6
Gene expression changes associated with progression and response in chronic myeloid leukemia.与慢性髓性白血病进展和反应相关的基因表达变化
Proc Natl Acad Sci U S A. 2006 Feb 21;103(8):2794-9. doi: 10.1073/pnas.0510423103. Epub 2006 Feb 13.
7
Molecular profiling of CD34+ cells identifies low expression of CD7, along with high expression of proteinase 3 or elastase, as predictors of longer survival in patients with CML.CD34+细胞的分子谱分析表明,CD7低表达以及蛋白酶3或弹性蛋白酶高表达可作为慢性粒细胞白血病患者生存期更长的预测指标。
Blood. 2006 Jan 1;107(1):205-12. doi: 10.1182/blood-2005-05-2155. Epub 2005 Sep 6.
8
Prognostic discrimination in "good-risk" chronic granulocytic leukemia.“低危”慢性粒细胞白血病的预后判别
Blood. 1984 Apr;63(4):789-99.