Luppi Mario, Fabbiano Francesco, Visani Giuseppe, Martinelli Giovanni, Venditti Adriano
Section of Hematology Department of Medical and Surgical Sciences, Azienda Ospedaliera Universitaria di Modena Università di Modena e Reggio Emilia, 41125 Modena, Italy.
Division of Hematology and Bone Marrow Transplantation, Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.
Cancers (Basel). 2018 Nov 9;10(11):429. doi: 10.3390/cancers10110429.
Acute myeloid leukemia (AML) is a complex hematological disease characterized by genetic and clinical heterogeneity. Recent advances in the understanding of AML pathogenesis have paved the way for the development of new agents targeting specific molecules or mechanisms that contribute to finally move beyond the current standard of care, which is "3 + 7" regimen. In particular, new therapeutic options such as targeted therapies (midostaurin and enasidenib), monoclonal antibodies (gemtuzumab ozogamicin), and a novel liposomal formulation of cytarabine and daunorubicin (CPX-351) have been recently approved, and will be soon available for the treatment of adult patients with AML. In this review, we will present and describe these recently approved drugs as well as selected novel agents against AML that are currently under investigation, and show the most promising results as monotherapy or in combination with chemotherapy. The selection of these emerging treatments is based on the authors' opinion.
急性髓系白血病(AML)是一种复杂的血液系统疾病,具有遗传和临床异质性。对AML发病机制认识的最新进展为开发针对特定分子或机制的新型药物铺平了道路,这些药物最终有望超越目前的“3 + 7”标准治疗方案。特别是,靶向疗法(米哚妥林和恩杂鲁胺)、单克隆抗体(吉妥珠单抗奥唑米星)以及阿糖胞苷和柔红霉素的新型脂质体制剂(CPX-351)等新的治疗选择最近已获批准,并将很快用于治疗成年AML患者。在本综述中,我们将介绍和描述这些最近获批的药物以及目前正在研究的针对AML的选定新型药物,并展示作为单一疗法或与化疗联合使用时最有前景的结果。这些新兴治疗方法的选择基于作者的观点。