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本文引用的文献

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Venetoclax is safe and tolerable as post-transplant maintenance therapy for AML patients at high risk for relapse.维奈托克作为高危复发 AML 患者移植后的维持治疗是安全耐受的。
Bone Marrow Transplant. 2023 Aug;58(8):849-854. doi: 10.1038/s41409-023-01987-5. Epub 2023 Apr 25.
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Allogeneic Stem Cell Transplantation for FLT3-Mutated Acute Myeloid Leukemia: T-Cell Depletion and Posttransplant Sorafenib Maintenance Improve Survival. A Retrospective Acute Leukemia Working Party-European Society for Blood and Marrow Transplant Study.FLT3突变型急性髓系白血病的异基因干细胞移植:T细胞清除和移植后索拉非尼维持治疗可改善生存率。一项急性白血病工作组-欧洲血液和骨髓移植学会的回顾性研究。
Clin Hematol Int. 2019 Mar 18;1(1):58-74. doi: 10.2991/chi.d.190310.001. eCollection 2019 Mar.
3
Therapeutic targeting of FLT3 and associated drug resistance in acute myeloid leukemia.FLT3 治疗靶点及其在急性髓系白血病中的相关耐药性。
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Effect of rhG-CSF Combined With Decitabine Prophylaxis on Relapse of Patients With High-Risk MRD-Negative AML After HSCT: An Open-Label, Multicenter, Randomized Controlled Trial.rhG-CSF 联合地西他滨预防高危 MRD 阴性 AML 患者 HSCT 后复发的疗效:一项开放标签、多中心、随机对照试验。
J Clin Oncol. 2020 Dec 20;38(36):4249-4259. doi: 10.1200/JCO.19.03277. Epub 2020 Oct 27.
5
Outcomes with sequential FLT3-inhibitor-based therapies in patients with AML.伴有 FLT3 抑制剂的序贯治疗在 AML 患者中的疗效。
J Hematol Oncol. 2020 Oct 8;13(1):132. doi: 10.1186/s13045-020-00964-5.
6
Sorafenib prevents AML relapse after allo-HSCT.索拉非尼可预防异基因造血干细胞移植后急性髓系白血病复发。
Nat Rev Clin Oncol. 2020 Oct;17(10):591. doi: 10.1038/s41571-020-00431-7.
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Sorafenib maintenance in patients with FLT3-ITD acute myeloid leukaemia undergoing allogeneic haematopoietic stem-cell transplantation: an open-label, multicentre, randomised phase 3 trial.索拉非尼维持治疗伴 FLT3-ITD 急性髓系白血病行异基因造血干细胞移植患者:一项开放标签、多中心、随机 3 期临床试验。
Lancet Oncol. 2020 Sep;21(9):1201-1212. doi: 10.1016/S1470-2045(20)30455-1. Epub 2020 Aug 10.
8
Azacitidine and Venetoclax in Previously Untreated Acute Myeloid Leukemia.阿扎胞苷和维奈托克治疗未经治急性髓系白血病。
N Engl J Med. 2020 Aug 13;383(7):617-629. doi: 10.1056/NEJMoa2012971.
9
Chemotherapy and Venetoclax in Elderly Acute Myeloid Leukemia Trial (CAVEAT): A Phase Ib Dose-Escalation Study of Venetoclax Combined With Modified Intensive Chemotherapy.老年急性髓系白血病化疗与 Venetoclax 试验(CAVEAT):Venetoclax 联合改良强化化疗的 1b 期剂量递增研究。
J Clin Oncol. 2020 Oct 20;38(30):3506-3517. doi: 10.1200/JCO.20.00572. Epub 2020 Jul 20.
10
Sorafenib Maintenance After Allogeneic Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia With -Internal Tandem Duplication Mutation (SORMAIN).异基因造血干细胞移植治疗伴有内部串联重复突变的急性髓系白血病后的索拉非尼维持治疗(SORMAIN)。
J Clin Oncol. 2020 Sep 10;38(26):2993-3002. doi: 10.1200/JCO.19.03345. Epub 2020 Jul 16.

异基因造血干细胞移植后急性髓系白血病的维持治疗。

Maintenance therapy in acute myeloid leukemia after allogeneic hematopoietic stem cell transplantation.

机构信息

Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

出版信息

J Hematol Oncol. 2021 Jan 6;14(1):4. doi: 10.1186/s13045-020-01017-7.

DOI:10.1186/s13045-020-01017-7
PMID:33407700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786934/
Abstract

Relapse remains the main cause of treatment failure in acute myeloid leukemia (AML) undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT). Emerging evidence has demonstrated that AML patients might benefit from maintenance therapy post-transplantation, especially for high-risk AML patients. In this mini-review, we will summarize targeted drugs, such as hypomethylating agents, FLT3 inhibitors and isocitrate dehydrogenase inhibitors, as maintenance therapy post-transplantation in AML patients undergoing allo-HSCT.

摘要

在接受异基因造血干细胞移植(allo-HSCT)的急性髓系白血病(AML)患者中,复发仍然是治疗失败的主要原因。新出现的证据表明,AML 患者可能从移植后维持治疗中获益,特别是对于高危 AML 患者。在这个迷你综述中,我们将总结移植后作为 AML 患者维持治疗的靶向药物,如低甲基化剂、FLT3 抑制剂和异柠檬酸脱氢酶抑制剂。