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意大利专家小组关于 PD-1 阻断治疗在经典型霍奇金淋巴瘤中最佳应用的共识声明。

Italian expert panel consensus statement on the optimal use of PD-1 blockade therapy in classical Hodgkin lymphoma.

机构信息

a Institute of Hematology L. e A. Seràgnoli , University of Bologna , Bologna , Italy.

b Department of Oncology and Hematology , IRCCS Humanitas Cancer Center , Milan , Italy.

出版信息

Leuk Lymphoma. 2019 May;60(5):1204-1213. doi: 10.1080/10428194.2018.1519808. Epub 2018 Oct 15.

Abstract

Programmed death 1 (PD-1) blocking antibodies now represent a major advance in the treatment of patients with classical Hodgkin lymphoma (cHL) who relapse after autologous stem cell transplantation (ASCT) and pre- and/or post-ASCT brentuximab vedotin or after at least three lines of therapy. However, uncertainties still remain on the optimal use of these agents in refractory Hodgkin disease. A panel of experts was convened to produce a consensus document aimed at providing practice recommendations for the optimal use of PD-1 blocking antibodies in cHL, especially on pretreatment selection and evaluation of cHL patients' response and treatment length, management of PD-1 blockade therapy-treated patients, evaluation and management of toxicity. Our hope is that these recommendations might help hematologists to improve optimal management of patients with pretreated cHL.

摘要

程序性死亡受体 1(PD-1)阻断抗体的出现,为自体造血干细胞移植(ASCT)后复发、以及在 ASCT 前和/或后应用 Brentuximab vedotin 或至少经过三线治疗的经典型霍奇金淋巴瘤(cHL)患者的治疗带来了重大进展。然而,对于这些药物在难治性霍奇金病中的最佳应用,仍存在不确定性。专家组召开会议,制定了一份共识文件,旨在为 cHL 患者中 PD-1 阻断抗体的最佳应用提供实践建议,特别是在预处理选择、cHL 患者的反应和治疗时间的评估、PD-1 阻断治疗患者的管理、毒性的评估和管理方面。我们希望这些建议可以帮助血液科医生更好地管理预处理后的 cHL 患者。

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