库潘尼西治疗复发滤泡性淋巴瘤:临床应用与经验
Copanlisib in the Treatment of Relapsed Follicular Lymphoma: Utility and Experience from the Clinic.
作者信息
Chauhan Ayushi F, Cheson Bruce D
机构信息
Department of Hematology and Oncology, Lombardi Comprehensive Cancer Center, MedStar Georgetown University Hospital, Washington DC, USA.
Scientific Advisory Board, Lymphoma Research Foundation, Washington, DC, USA.
出版信息
Cancer Manag Res. 2021 Jan 25;13:677-692. doi: 10.2147/CMAR.S201024. eCollection 2021.
The phosphatidylinositol-3-kinase (PI3K) pathway is ubiquitous to multiple cellular processes and is intricately implicated in lymphomagenesis. The development of PI3K inhibitors has broadened treatment options for relapsed and/or refractory follicular lymphoma (FL) and currently three PI3K inhibitors have been approved in the third-line setting for FL, including idelalisib (oral), duvelisib (oral), and copanlisib (intravenous), with other agents under investigation. In this review, we discuss the clinical advance of copanlisib through preclinical to Phase III trials, its unique cellular targets and side effect profile that have poised it as a safer and equally efficacious option when compared to the older-generation oral PI3Kis, and its utility to the clinician as part of the therapeutic armamentarium for relapsed and/or refractory FL.
磷脂酰肌醇-3-激酶(PI3K)通路在多种细胞过程中普遍存在,并且与淋巴瘤发生密切相关。PI3K抑制剂的研发拓宽了复发和/或难治性滤泡性淋巴瘤(FL)的治疗选择,目前已有三种PI3K抑制剂在FL的三线治疗中获批,包括idelalisib(口服)、duvelisib(口服)和copanlisib(静脉注射),还有其他药物正在研究中。在本综述中,我们讨论了copanlisib从临床前试验到III期试验的临床进展,其独特的细胞靶点和副作用特征使其与 older-generation oral PI3Kis相比成为更安全且疗效相当的选择,以及它作为复发和/或难治性FL治疗手段之一对临床医生的实用性。