Clinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.
Intern Med J. 2023 May;53(5):845-849. doi: 10.1111/imj.16091.
Since the recognition of BRAF V600E mutations in the majority of cases of hairy cell leukaemia, Erdheim-Chester disease and Langerhans cell histiocytosis, the targeted oral kinase inhibitors dabrafenib and vemurafenib have been adapted for their treatment. Like other targeted agents, these drugs produce high response rates and predictable but unique side effects. Physician familiarity is essential for the effective use of these agents. We review the Australian experience of BRAF/MEK inhibitor therapy in these rare haematological cancers.
自大多数毛细胞白血病、 Erdheim-Chester 病和朗格汉斯细胞组织细胞增生症病例中发现 BRAF V600E 突变以来,针对该突变的口服激酶抑制剂 dabrafenib 和 vemurafenib 已被用于这些疾病的治疗。与其他靶向药物一样,这些药物具有较高的缓解率和可预测但独特的副作用。医生对这些药物的熟悉程度对于其有效使用至关重要。我们回顾了 BRAF/MEK 抑制剂在这些罕见血液系统癌症中的澳大利亚治疗经验。