Leukemia Program, Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA.
Blood. 2019 Aug 29;134(9):741-745. doi: 10.1182/blood.2019876821. Epub 2019 Jun 26.
The natural history of FLT3-mutated AML is changing after the approval of midostaurin for frontline therapy and gilteritinib for relapsed or refractory patients. Recently reported, positive randomized trials of the drugs gilteritinib, quizartinib, and sorafenib predict even wider use of FLT3 inhibitors going forward. FLT3 inhibitors now emerge as an important, if not indispensable, part of therapy for a large subset of high-risk patients.
FLT3 突变型 AML 的自然病程在 midostaurin 获批用于一线治疗以及 gilteritinib 获批用于复发/难治性患者后发生了改变。最近报道的 gilteritinib、quizartinib 和索拉非尼的阳性随机试验预示着 FLT3 抑制剂的应用范围将进一步扩大。FLT3 抑制剂目前已成为很大一部分高危患者治疗中不可或缺的重要组成部分。