Kwiatek Michał, Pruchniewski Łukasz, Kwiatek Joanna, Kaźmierczak Maciej, Lewandowski Krzysztof
Katedra I Klinika Hematologii I Transplantacji Szpiku Uniwersytetu Medycznego Im. Karola Marcinkowskiego W Poznaniu, Poznań, Polska.
Klinika Reumatologii I Chorób Wewnętrznych Uniwersytetu Medycznego Im. Karola Marcinkowskiego W Poznaniu, Poznań, Polska.
Wiad Lek. 2018;71(5):1095-1098.
Follicular lymphoma (FL) is the most common of indolent non-Hodgkin's lymphomas. Its first-line treatment, based on immuno-chemotherapy with the anti-CD20 monoclonal antibody rituximab, is characterized by a high overall response rate to therapy. However, the disease is not curable in most cases and frequent relapses and transformations to other higher-grade lymphomas are observed. The effectiveness of the treatment of relapsed or refractory FL is not satisfactory, therefore the novel drugs are under investigation. Data from clinical trials with tazemetostat (an EZH2 inhibitor) in a group of patients with confirmed presence of the EZH2 mutation showed that this treatment may be an alternative to currently used chemotherapy regimens.
滤泡性淋巴瘤(FL)是最常见的惰性非霍奇金淋巴瘤。其一线治疗基于使用抗CD20单克隆抗体利妥昔单抗的免疫化疗,其特点是对治疗的总体缓解率较高。然而,在大多数情况下该疾病无法治愈,并且观察到频繁复发以及向其他高级别淋巴瘤的转化。复发或难治性FL的治疗效果并不令人满意,因此新型药物正在研究中。在一组确诊存在EZH2突变的患者中使用他泽司他(一种EZH2抑制剂)进行临床试验的数据表明,这种治疗可能是目前使用的化疗方案的替代方案。