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经典型霍奇金淋巴瘤的新型治疗药物

Novel agents in classical Hodgkin lymphoma.

作者信息

Borchmann Sven, von Tresckow Bastian

机构信息

a German Hodgkin Study Group (GHSG), Department I of Internal Medicine , University Hospital Cologne , Cologne , Germany.

出版信息

Leuk Lymphoma. 2017 Oct;58(10):2275-2286. doi: 10.1080/10428194.2017.1300898. Epub 2017 Mar 20.

Abstract

Classical Hodgkin lymphoma (cHL) is the most common hematological malignancy in young adults and can be cured in most cases. However, relapsed and refractory Hodgkin lymphoma, certain patient groups, such as elderly patients, and toxicity of first-line treatment still pose significant challenges. Consequently, new treatment options are needed. Recently, many new treatment concepts have been evaluated in clinical trials. Targeted drug-antibody conjugates and immune checkpoint inhibitors have decisively changed treatment approaches. This review aims to give a comprehensive overview of novel agents in Hodgkin lymphoma that have been recently or are currently being evaluated in clinical trials. In addition to dedicated sections on brentuximab vedotin (BV) and immune checkpoint inhibitors, other emerging substances and concepts are discussed. In doing so, this review compares trial results regarding safety and efficacy. A special focus lies on the effect novel agents will have on the different treatment settings faced by clinicians involved in the treatment of Hodgkin lymphoma.

摘要

经典型霍奇金淋巴瘤(cHL)是年轻成年人中最常见的血液系统恶性肿瘤,大多数情况下可以治愈。然而,复发难治性霍奇金淋巴瘤、某些患者群体(如老年患者)以及一线治疗的毒性仍然构成重大挑战。因此,需要新的治疗选择。最近,许多新的治疗概念已在临床试验中进行评估。靶向药物抗体偶联物和免疫检查点抑制剂已决定性地改变了治疗方法。本综述旨在全面概述最近或目前正在临床试验中评估的霍奇金淋巴瘤新型药物。除了关于brentuximab vedotin(BV)和免疫检查点抑制剂的专门章节外,还讨论了其他新兴物质和概念。在此过程中,本综述比较了关于安全性和有效性的试验结果。特别关注新型药物对参与霍奇金淋巴瘤治疗的临床医生所面临的不同治疗环境的影响。

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