Cavenagh Jamie D, Popat Rakesh
Department of Haematology, Barts and the London NHS Trust, London, United Kingdom.
University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Clin Lymphoma Myeloma Leuk. 2018 Aug;18(8):501-507. doi: 10.1016/j.clml.2018.05.007. Epub 2018 May 24.
Recent advances in treatment have extended the survival of patients with multiple myeloma. This improvement in itself poses challenges because of the length of time that patients live with myeloma, its physical complications, and toxicities of treatment. Thus, improvements in maintaining quality of life are essential, and part of this challenge involves learning how to optimally use new therapeutic agents. Panobinostat is the first histone deacetylase inhibitor approved for the treatment of multiple myeloma. It is approved for use in combination with bortezomib and dexamethasone for the treatment of patients with relapsed or relapsed and refractory multiple myeloma who have received ≥ 2 previous regimens, including bortezomib and an immunomodulatory drug. In this review multiple myeloma-related symptoms and adverse events resulting from treatments for multiple myeloma are discussed, with a focus on adverse events related to histone deacetylase inhibitors and histone deacetylase inhibitor combinations. The contribution of myeloma to these adverse events is discussed as well as how these AEs can best be managed.
治疗方面的最新进展延长了多发性骨髓瘤患者的生存期。由于患者患骨髓瘤的时间、身体并发症以及治疗的毒性,生存期的延长本身带来了挑战。因此,维持生活质量的改善至关重要,而这一挑战的一部分涉及学习如何最佳地使用新的治疗药物。帕比司他是首个被批准用于治疗多发性骨髓瘤的组蛋白去乙酰化酶抑制剂。它被批准与硼替佐米和地塞米松联合使用,用于治疗复发或复发且难治的多发性骨髓瘤患者,这些患者此前已接受过≥2种包括硼替佐米和一种免疫调节药物在内的治疗方案。在本综述中,讨论了与多发性骨髓瘤相关的症状以及多发性骨髓瘤治疗导致的不良事件,重点关注与组蛋白去乙酰化酶抑制剂及组蛋白去乙酰化酶抑制剂联合用药相关的不良事件。讨论了骨髓瘤对这些不良事件的影响以及如何最好地管理这些不良事件。