Marjoncu Dennis, Andrick Benjamin
Methodist University Hospital, Memphis, Tennessee.
Geisinger Medical Center, Danville, Pennsylvania.
J Adv Pract Oncol. 2020 Jan-Feb;11(1):104-108. doi: 10.6004/jadpro.2020.11.1.7. Epub 2020 Jan 1.
Acute myeloid leukemia (AML) is the most common adult leukemia, with an overall poor prognosis. New agents targeting various receptors may improve treatment outcomes and overall survival. FMS-like tyrosine kinase 3 (FLT3) is a targetable mutation occurring in one third of AML patients. It contributes to increased tumor proliferation and decreased cellular differentiation, ultimately conferring a poor overall prognosis. Among patients with -positive relapsed/refractory AML, outcomes are particularly dismal. Gilteritinib is a novel, second-generation FLT3 inhibitor approved by the U.S. Food & Drug Administration (FDA) for the treatment of relapsed/refractory AML with an mutation as detected by an FDA-approved test.
急性髓系白血病(AML)是最常见的成人白血病,总体预后较差。靶向各种受体的新型药物可能会改善治疗效果和总生存期。FMS样酪氨酸激酶3(FLT3)是三分之一AML患者中出现的可靶向突变。它导致肿瘤增殖增加和细胞分化减少,最终导致总体预后不良。在FLT3阳性复发/难治性AML患者中,预后尤其糟糕。吉列替尼是一种新型第二代FLT3抑制剂,已获美国食品药品监督管理局(FDA)批准,用于治疗经FDA批准的检测方法检测到存在FLT3突变的复发/难治性AML。