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治疗复发/难治性急性髓系白血病的新兴药物和方案。

Emerging agents and regimens for treatment of relapsed and refractory acute myeloid leukemia.

机构信息

Department of Hematology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510260, China.

Translational Medicine Center, Huaihe Hospital of Henan University, Kaifeng, 475000, China.

出版信息

Cancer Gene Ther. 2020 Feb;27(1-2):1-14. doi: 10.1038/s41417-019-0119-5. Epub 2019 Jul 11.

Abstract

Relapsed and refractory acute myeloid leukemia (R/R AML) has complicated pathogenesis. Its treatment is complicated, and the prognosis is poor. So far, there is no consensus on what is the optimal treatment strategy. With the deepening of research, new chemotherapy regimens, new small molecule inhibitors, and immunotherapy have been increasingly applied to clinical trials, providing more possibilities for the treatment of R/R AML. The most effective treatment for patients who achieve complete remission after recurrence is still sequential conditioning therapy followed by allogeneic hematopoietic cell transplantation. Finding the best combination of treatments is still an important goal for the future.

摘要

复发难治性急性髓系白血病(R/R AML)发病机制复杂,治疗棘手,预后不良。目前,对于何种治疗策略为最佳,尚无共识。随着研究的深入,新的化疗方案、新型小分子抑制剂及免疫治疗不断地应用于临床试验,为 R/R AML 的治疗提供了更多可能。对于复发后获得完全缓解的患者,最有效的治疗方法仍然是序贯的预处理治疗后行异基因造血干细胞移植。寻找最佳的治疗组合仍然是未来的一个重要目标。

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