Okura Miyuki, Ida Naoko, Yamauchi Takahiro
Department of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Japan.
Intern Med. 2020 Aug 15;59(16):2047-2051. doi: 10.2169/internalmedicine.4440-20. Epub 2020 May 8.
Relapsed acute lymphoblastic leukemia (ALL) has a poor prognosis. Inotuzumab Ozogamicin (InO) is a novel therapeutic drug for the treatment of relapsed ALL. InO has received attention as a bridging therapy before transplantation due to its high complete remission (CR) rate. However, the significance of InO in non-transplant patients remains unclear. We retrospectively evaluated four non-transplant patients treated with InO. All cases achieved CR after receiving at least two cycles of InO. Three of the four cases survived for more than 11 months without relapse. Moreover, all patients received InO as outpatients, because the adverse events were well-controlled. InO therefore appears to be a beneficial treatment even for non-transplant patients.
复发性急性淋巴细胞白血病(ALL)预后较差。奥英妥珠单抗(InO)是一种用于治疗复发性ALL的新型治疗药物。由于其高完全缓解(CR)率,InO作为移植前的桥接治疗受到关注。然而,InO在非移植患者中的意义仍不明确。我们回顾性评估了4例接受InO治疗的非移植患者。所有病例在接受至少两个周期的InO治疗后均达到CR。4例中有3例存活超过11个月且无复发。此外,所有患者均作为门诊患者接受InO治疗,因为不良事件得到了良好控制。因此,即使对于非移植患者,InO似乎也是一种有益的治疗方法。