Pham Anh, Chen Robert
Department of Hematology and Hematopoietic Cell Transplantation, City of Hope Cancer Center, 1500 E Duarte Rd, Duarte, CA 91010, USA.
Expert Rev Hematol. 2015 Aug;8(4):403-12. doi: 10.1586/17474086.2015.1044432. Epub 2015 May 12.
Although Hodgkin's lymphoma is considered a highly curable cancer, a substantial portion of patients will be refractory or will relapse after first-line therapies and even after subsequent autologous stem cell transplantation. With the absence of effective salvage therapies, these patients carry a poor prognosis with dismal survival. In this therapeutic void, the antibody-drug conjugate brentuximab vedotin was introduced and has since yielded impressive and durable response with minimal and reversible toxicity. Such efficacy in the relapse-refractory setting has led to new hypotheses and dramatic changes in our treatment strategies of Hodgkin's lymphoma. Numerous clinical trials evaluating brentuximab in the frontline and various other treatment settings are forthcoming and will demonstrate the full extent of the drug's impact.
尽管霍奇金淋巴瘤被认为是一种治愈率很高的癌症,但仍有相当一部分患者在一线治疗后,甚至在随后的自体干细胞移植后会出现难治或复发的情况。由于缺乏有效的挽救治疗方法,这些患者预后较差,生存率很低。在这种治疗空白的情况下,抗体药物偶联物本妥昔单抗被引入,此后产生了令人印象深刻且持久的反应,毒性最小且可逆。这种在复发难治情况下的疗效引发了新的假说,并使我们对霍奇金淋巴瘤的治疗策略发生了巨大变化。许多评估本妥昔单抗在一线及其他各种治疗环境中的临床试验即将开展,将充分证明该药物的影响程度。