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急性髓系白血病的新药

New drugs in acute myeloid leukemia.

作者信息

Kadia T M, Ravandi F, Cortes J, Kantarjian H

机构信息

Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston, USA

Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston, USA.

出版信息

Ann Oncol. 2016 May;27(5):770-8. doi: 10.1093/annonc/mdw015. Epub 2016 Jan 22.

Abstract

The standard therapy for acute myeloid leukemia (AML) has not changed meaningfully for the past four decades. Improvements in supportive care and modifications to the dose and schedule of existing agents have led to steady improvements in outcomes. However, developing new therapies for AML has been challenging. Although there have been advances in understanding the biology of AML, translating this knowledge to viable treatments has been slow. Active research is currently ongoing to address this important need and several promising drug candidates are currently in the pipeline. Here, we review some of the most advanced and promising compounds that are currently in clinical trials and may have the potential to be part of our future armamentarium. These drug candidates range from cytotoxic chemotherapies, targeted small-molecule inhibitors, and monoclonal antibodies.

摘要

在过去的四十年里,急性髓系白血病(AML)的标准治疗方法没有显著变化。支持性护理的改善以及对现有药物剂量和给药方案的调整使得治疗效果稳步提高。然而,开发AML的新疗法一直具有挑战性。尽管在了解AML生物学方面取得了进展,但将这些知识转化为可行的治疗方法进展缓慢。目前正在进行积极的研究以满足这一重要需求,并且有几种有前景的候选药物正在研发中。在此,我们回顾一些目前正在进行临床试验且可能有潜力成为我们未来治疗手段一部分的最先进、最有前景的化合物。这些候选药物包括细胞毒性化疗药物、靶向小分子抑制剂和单克隆抗体。

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