Technion, Israel Institute of Technology, Haifa, Israel; Department of Hematology, Rambam Health Care Campus, Haifa, Israel; Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Hematology, Shaare Zedek Medical Center, 12 Shmuel Bait St, Jerusalem, IL, 9103102, Israel.
Best Pract Res Clin Haematol. 2019 Dec;32(4):101094. doi: 10.1016/j.beha.2019.101094. Epub 2019 Oct 18.
In recent years, several drugs-including midostaurin, gilteritinib, and gemtuzumab ozogamicin, to name a few-have been approved or reapproved in the United States to treat patients with acute myeloid leukemia (AML). Yet survival rates for younger patients had improved with chemotherapy alone even before the approvals of these new agents. This begs the question whether the new therapies will actually have a positive impact on survival. The 5-year survival rate for older patients has also risen, again without the addition of these new agents. The challenge will be to incorporate new therapies and use them where they will have the greatest impact-major work for clinicians and researchers alike.
近年来,在美国,已有几种药物(包括米哚妥林、吉特替尼和吉妥珠单抗奥佐米星等)获得批准或重新批准用于治疗急性髓系白血病(AML)患者。然而,即使在这些新药物获得批准之前,年轻患者的化疗单独生存率已经提高。这就提出了一个问题,即新的治疗方法是否真的会对生存产生积极影响。老年患者的 5 年生存率也在上升,而没有添加这些新药物。挑战将是整合新的治疗方法,并在最能产生影响的地方使用它们——这是临床医生和研究人员的一项重大工作。