Department of Oncology, St Jude Children's Research Hospital.
University of Tennessee Health Science Center.
J Pediatr Hematol Oncol. 2021 Jul 1;43(5):e692-e696. doi: 10.1097/MPH.0000000000001992.
Although outcomes for patients with high-risk neuroblastoma improved after the addition of a chimeric anti-GD2 monoclonal antibody (dinutuximab) as treatment for minimal residual disease, nearly half of these patients die of disease. Recent studies demonstrated efficacy of the combination of chemotherapy with anti-GD2 mAb in patients with relapsed or newly diagnosed disease. This retrospective case series describes 6 patients treated at St Jude Children's Research Hospital with an induction regimen containing dinutuximab and chemotherapy, followed by consolidation and postconsolidation therapy. The treatment was well tolerated with expected toxicities. All patients completed induction therapy and demonstrated a clinical response. Further studies are warranted.
尽管在治疗微小残留病时加入嵌合抗 GD2 单克隆抗体(dinutuximab)后,高危神经母细胞瘤患者的预后有所改善,但仍有近一半的患者死于疾病。最近的研究表明,化疗联合抗 GD2 mAb 治疗复发或新诊断疾病的疗效。本回顾性病例系列描述了在圣裘德儿童研究医院接受治疗的 6 名患者,他们接受了包含 dinutuximab 和化疗的诱导治疗,随后进行了巩固和巩固后治疗。治疗耐受性良好,出现了预期的毒性。所有患者均完成了诱导治疗,并表现出临床反应。需要进一步的研究。