Al-Hadidi Samer A, Lee Hun Ju
Department of Hematology and Oncology, Baylor College of Medicine, Houston, TX.
Department of Lymphoma and Myeloma, the University of Texas MD Anderson Cancer Center, Houston, TX.
JCO Oncol Pract. 2021 Feb;17(2):64-71. doi: 10.1200/OP.20.00771. Epub 2021 Jan 12.
The checkpoint inhibitors nivolumab and pembrolizumab are principal treatment options for relapsed or refractory classic Hodgkin lymphoma. In patients who decline autologous stem-cell transplantation or who are unsuited for high-dose chemotherapy and subsequent autologous stem-cell transplantation because of comorbidities, the use of checkpoint inhibitors may improve overall survival and have a manageable side effect profile. This clinical review provides an evidence-based summary to guide practicing oncologists in the use of checkpoint inhibitors in relapsed or refractory classic Hodgkin lymphoma and includes checkpoint inhibitor efficacy and adverse effect profiles. We highlight the use of checkpoint inhibitors in the management of relapsed or refractory classic Hodgkin lymphoma in patients who are ineligible for an autologous stem-cell transplant with the goal of improving disease control while limiting adverse events.
检查点抑制剂纳武单抗和派姆单抗是复发或难治性经典霍奇金淋巴瘤的主要治疗选择。对于那些拒绝接受自体干细胞移植的患者,或者由于合并症而不适合进行大剂量化疗及随后的自体干细胞移植的患者,使用检查点抑制剂可能会提高总生存率,且副作用可控。本临床综述提供了基于证据的总结,以指导执业肿瘤学家在复发或难治性经典霍奇金淋巴瘤中使用检查点抑制剂,内容包括检查点抑制剂的疗效和不良反应情况。我们强调在不符合自体干细胞移植条件的复发或难治性经典霍奇金淋巴瘤患者中使用检查点抑制剂,目的是在限制不良事件的同时改善疾病控制。