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英国和爱尔兰接受伊布替尼治疗复发/难治性套细胞淋巴瘤患者的真实世界观察研究的 5 年随访结果。

The 5-year follow-up of a real-world observational study of patients in the United Kingdom and Ireland receiving ibrutinib for relapsed/refractory mantle cell lymphoma.

机构信息

Department of Haematology, Royal Cornwall NHS Hospital Trust, Truro, Cornwall, UK.

Department of Haematology, Sheffield University Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

出版信息

Br J Haematol. 2021 Mar;192(6):1035-1038. doi: 10.1111/bjh.16739. Epub 2020 May 23.

Abstract

This is a 5-year real-world study of 65 patients treated with ibrutinib for relapsed/refractory mantle cell lymphoma across the UK and Ireland. Ibrutinib was well tolerated with no fatal adverse events. The median progression-free survival and overall survival (OS) was 12 and 18·5 months, respectively. Overall, 80% of patients discontinued treatment, predominantly for progressive disease. On discontinuation, 20% received alternative immunochemotherapy with a median OS of 24 months. Ibrutinib was used as a bridge to transplant in 8% (median OS not reached). These observations are comparable with trial outcomes with encouraging responses to immunochemotherapy at relapse.

摘要

这是一项在英国和爱尔兰进行的 65 例复发/难治性套细胞淋巴瘤患者接受伊布替尼治疗的 5 年真实世界研究。伊布替尼耐受性良好,无致命不良事件。中位无进展生存期和总生存期(OS)分别为 12 个月和 18.5 个月。总体而言,80%的患者停止治疗,主要是因为疾病进展。停药后,20%的患者接受了替代免疫化疗,中位 OS 为 24 个月。8%的患者(中位 OS 未达到)将伊布替尼作为移植的桥梁。这些观察结果与试验结果相当,复发时对免疫化疗有令人鼓舞的反应。

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