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多发性骨髓瘤:2016年美国血液学会年会临床进展

Multiple Myeloma: Clinical Updates From the American Society of Hematology Annual Meeting 2016.

作者信息

Terpos Evangelos

机构信息

Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Clin Lymphoma Myeloma Leuk. 2017 Jun;17(6):329-339. doi: 10.1016/j.clml.2017.02.010. Epub 2017 Mar 18.

DOI:10.1016/j.clml.2017.02.010
PMID:28462890
Abstract

The novel clinical data for plasma cell neoplasms (smoldering myeloma, multiple myeloma (MM) and AL-amyloidosis) that were presented in the 2016 Annual Meeting of the American Society of Hematology are summarized here. Data from large phase 3 studies for newly diagnosed MM patients who are eligible for autologous transplantation (EMN02, MRC XI and StaMINA trials) are described along with the results of phase 2 studies using novel anti-myeloma drug combinations for induction, consolidation and maintenance as first line therapy. Recent updates of previous important studies in the field of both newly diagnosed (FIRST) and relapsed/refractory MM (POLLUX, CASTOR) are also reported. Moreover, the results of clinical studies with the use of anti-myeloma drugs with new mechanisms of action, including pembrolizumab, selinexor, venetoclax and monoclonal antibodies, are discussed. All these data provide the basis for possible changes in the way we manage myeloma in the near future trying to "cure" the disease.

摘要

本文总结了在2016年美国血液学会年会上公布的浆细胞肿瘤(冒烟型骨髓瘤、多发性骨髓瘤(MM)和AL淀粉样变性)的新临床数据。描述了来自大型3期研究的数据,这些研究针对符合自体移植条件的新诊断MM患者(EMN02、MRC XI和StaMINA试验),同时还介绍了使用新型抗骨髓瘤药物组合进行诱导、巩固和维持作为一线治疗的2期研究结果。还报告了该领域先前重要研究(新诊断MM的FIRST研究以及复发/难治性MM的POLLUX、CASTOR研究)的最新进展。此外,还讨论了使用具有新作用机制的抗骨髓瘤药物(包括派姆单抗、塞利尼索、维奈克拉和单克隆抗体)的临床研究结果。所有这些数据为我们在不久的将来尝试“治愈”骨髓瘤的治疗方式可能发生的变化提供了依据。

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