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吉妥珠单抗奥佐米星联合柔红霉素-阿糖胞苷与其他治疗方案用于初诊急性髓系白血病的比较评价。

A comparative evaluation of gemtuzumab ozogamicin + daunorubicin-cytarabine and other treatments for newly diagnosed acute myeloid leukemia.

机构信息

Evidera Inc., Waltham, MA, USA.

Pfizer Ltd, Surrey, UK.

出版信息

Future Oncol. 2019 Feb;15(6):663-681. doi: 10.2217/fon-2018-0512. Epub 2018 Nov 19.

Abstract

AIM

To evaluate the comparative efficacy and safety of gemtuzumab ozogamicin + daunorubicin-cytarabine (GO + DA) versus common induction therapies for newly diagnosed acute myeloid leukemia. Materials & methods: A network meta-analysis following a systematic literature review.

RESULTS

In base-case analyses, GO + DA was associated with significantly greater overall survival and relapse-free survival versus most comparators, and similar rates of complete remission versus all evaluated comparators. Similar findings were seen in the subgroup analyses. Grade 3+ bleeding and hepatic events were higher with GO + DA versus some comparators, consistent with GO's profile. No differences were found for other evaluated outcomes.

CONCLUSION

GO + DA provides significant overall survival and relapse-free survival benefit versus evaluated induction regimens for newly diagnosed acute myeloid leukemia.

摘要

目的

评估吉妥珠单抗奥唑米星联合柔红霉素-阿糖胞苷(GO+DA)与新诊断的急性髓系白血病的常规诱导疗法相比的疗效和安全性。

材料与方法

一项系统文献回顾后的网络荟萃分析。

结果

在基准分析中,GO+DA 与大多数对照相比,具有显著更高的总生存率和无复发生存率,与所有评估的对照相比,完全缓解率相似。亚组分析也得出了类似的结果。GO+DA 组的 3 级以上出血和肝脏事件发生率高于某些对照,与 GO 的作用模式一致。其他评估结果则无差异。

结论

GO+DA 与新诊断的急性髓系白血病的评估诱导方案相比,提供了显著的总生存率和无复发生存率获益。

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