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酪氨酸激酶抑制剂在慢性髓性白血病中的停药:适应证标准和成功预测因素。

Tyrosine Kinase Inhibitor discontinuation in Chronic Myeloid Leukemia: eligibility criteria and predictors of success.

机构信息

Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.

Hematology Division and Bone Marrow Unit, San Gerardo Hospital, ASST Monza, Monza, Italy.

出版信息

Am J Hematol. 2022 Aug;97(8):1075-1085. doi: 10.1002/ajh.26556. Epub 2022 Apr 12.

Abstract

TKI discontinuation proved to be safe and feasible in patients with CML with deep and durable molecular responses, introducing an additional treatment goal for these patients beyond overall survival. However, treatment interruption is a safe procedure only with appropriate patient selection and monitoring. Clinical and biological factors associated with better outcomes do not yet offer a precise stratification of patients according to their risk of relapse. This article aims at reviewing the leading studies present in the field in order to define eligibility criteria for discontinuation and predictors of success.

摘要

TKI 停药在获得深度和持久分子学反应的 CML 患者中被证明是安全且可行的,为这些患者提供了超越总体生存的额外治疗目标。然而,只有通过适当的患者选择和监测,治疗中断才是安全的。与更好的结果相关的临床和生物学因素尚未根据患者的复发风险对其进行精确分层。本文旨在回顾该领域的主要研究,以确定停药的入选标准和成功预测因子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20df/9546318/8dcf9f8c02f1/AJH-97-1075-g001.jpg

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