Department of Hematology, Hillingdon Hospital, Pield Heath Road, Uxbridge, Middlesex, UB8 3NN.
Clin Med Insights Oncol. 2012;6:85-100. doi: 10.4137/CMO.S7262. Epub 2012 Jan 22.
Acute lymphoblastic leukemia (ALL) treatment regimes are amongst the longest, most intensive and complex used in hematooncology. Despite this, while treatment of pediatric ALL is a success story, we are far from being able to ensure a durable response in adult ALL. This is not due to failure of induction therapy as a complete remission (CR) is achieved in over 90% of patients. However the challenge remains in ensuring a sustained remission. Furthermore in the face of relapsed disease, salvage therapies currently offer a poor chance of a good outcome. This article reviews the novel agents which show the most promise in the treatment of adult ALL.
急性淋巴细胞白血病(ALL)的治疗方案是血液肿瘤学中最长、最密集和最复杂的治疗方案之一。尽管如此,尽管儿童 ALL 的治疗取得了成功,但我们远未能够确保成人 ALL 能够持久缓解。这并不是因为诱导治疗失败,因为超过 90%的患者达到完全缓解(CR)。然而,挑战仍然在于确保持续缓解。此外,面对复发疾病,目前的挽救治疗提供良好结局的机会很差。本文综述了在成人 ALL 治疗中最有前途的新型药物。