Dickinson Michael, Prince Henry Miles
Peter MacCallum Cancer Centre and University of Melbourne, Division of Cancer Medicine , St Andrew's Place, East Melbourne, Victoria , Australia +61 3 96561111 ; +61 3 86720774 ;
Expert Opin Emerg Drugs. 2014 Jun;19(2):201-13. doi: 10.1517/14728214.2014.896337. Epub 2014 Mar 18.
T-cell lymphomas are rare and conventional treatments are not typically curative. Integration of biologic agents into routine practice is especially difficult given the breadth of emerging drugs currently or recently in trials.
This is an overview of the management of T-cell lymphoma as it stands today. The authors review clinically active biological and novel chemotherapeutic agents, which have a niche in current practice or are being actively developed and have a potential future role in the management of this challenging group of diseases. Clinical trial data were retrieved from journals and current major conference proceedings following interrogation of online search engines
Pralatrexate, the histone deacetylase inhibitors and brentuximab vedotin have reached the market and have provided new and useful treatment options. No novel agent has yet demonstrated a survival advantage for patients with this disease, or shown an ability to improve the low response rate to first-line chemotherapy that these diseases frequently exhibit. New randomized studies of these emerging drugs that may finally move the field forward with evidence of superiority from large Phase II and III trials currently open to accrual.
T细胞淋巴瘤较为罕见,传统治疗通常无法治愈。鉴于目前或近期处于试验阶段的新兴药物种类繁多,将生物制剂纳入常规治疗尤为困难。
本文概述了当前T细胞淋巴瘤的治疗现状。作者回顾了具有临床活性的生物制剂和新型化疗药物,这些药物在当前治疗中占有一席之地,或正在积极研发,有望在这类具有挑战性的疾病治疗中发挥未来作用。通过在线搜索引擎查询后,从期刊和当前主要会议记录中检索了临床试验数据。
普拉曲沙、组蛋白去乙酰化酶抑制剂和本妥昔单抗已上市,提供了新的有效治疗选择。尚无新型药物显示对该病患者具有生存优势,或能改善这些疾病一线化疗时常见的低缓解率。这些新兴药物的新随机研究可能最终推动该领域发展,目前正在进行的大型II期和III期试验有望提供优越性证据。