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依妥珠单抗治疗新诊断的老年急性淋巴细胞白血病-播客。

Inotuzumab in Older Patients with Newly Diagnosed Acute Lymphoblastic Leukemia-A Podcast.

机构信息

Department of Leukemia, The University of Texas, M. D. Anderson Cancer Center, 1515 Holcombe Blvd # 207, Houston, TX, 77030, USA.

Universitätsklinikum Münster, Münster, Germany.

出版信息

Target Oncol. 2024 Mar;19(2):135-141. doi: 10.1007/s11523-023-01023-y. Epub 2024 Mar 8.

DOI:10.1007/s11523-023-01023-y
PMID:38457052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10963454/
Abstract

Older patients with acute lymphoblastic leukemia (ALL) have historically had poor outcomes (5-year survival rate, 20%) with standard intensive and dose-adjusted chemotherapy regimens, due to a high incidence of adverse biologic features including high-risk cytogenetics, presence of TP53 mutations, and poor tolerance to intensive therapy. Thus, there is an unmet medical need in this patient population. Inotuzumab ozogamicin is a humanized antibody-drug conjugate that targets CD22-positive leukemic blasts. It is approved for the treatment of relapsed or refractory ALL and has been shown to be effective and tolerable in older patients. Several ongoing trials in older patients with newly diagnosed ALL have yielded encouraging data with inotuzumab ozogamicin in induction alone and in combination with low-intensity chemotherapy. In this podcast, the authors summarize and highlight some of the recent findings on the use of inotuzumab ozogamicin as induction therapy for older adults with newly diagnosed ALL.

摘要

患有急性淋巴细胞白血病(ALL)的老年患者由于存在高风险的细胞遗传学、TP53 突变的存在以及对强化治疗的耐受性差等不良生物学特征,其接受标准强化和剂量调整化疗方案的预后较差(5 年生存率为 20%)。因此,这一患者群体存在未满足的医疗需求。Inotuzumab ozogamicin 是一种针对 CD22 阳性白血病细胞的人源化抗体药物偶联物。它被批准用于治疗复发或难治性 ALL,并且在老年患者中已被证明是有效且耐受的。几项针对新诊断为 ALL 的老年患者的正在进行的试验显示,Inotuzumab ozogamicin 单独使用和与低强度化疗联合使用在诱导缓解方面均获得了令人鼓舞的数据。在本期播客中,作者总结并强调了一些关于 Inotuzumab ozogamicin 作为新诊断为 ALL 的老年患者诱导治疗的最新研究结果。

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本文引用的文献

1
Mini-hyper-CVD plus inotuzumab ozogamicin, with or without blinatumomab, in the subgroup of older patients with newly diagnosed Philadelphia chromosome-negative B-cell acute lymphocytic leukaemia: long-term results of an open-label phase 2 trial.新型超 CVd 方案联合伊妥珠单抗奥滨尤妥珠单抗,或联合或不联合blinatumomab,治疗新诊断的费城染色体阴性 B 细胞急性淋巴细胞白血病老年患者亚组:一项开放标签 2 期试验的长期结果。
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Characteristics and Outcome of Elderly Patients (>55 Years) with Acute Lymphoblastic Leukemia.老年(>55岁)急性淋巴细胞白血病患者的特征与预后
Cancers (Basel). 2022 Jan 23;14(3):565. doi: 10.3390/cancers14030565.
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Acute lymphoblastic leukemia in older adults: curtain call for conventional chemotherapy?老年人急性淋巴细胞白血病:传统化疗的终章?
Hematology Am Soc Hematol Educ Program. 2021 Dec 10;2021(1):7-14. doi: 10.1182/hematology.2021000226.
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New approaches to the treatment of older adults with acute lymphoblastic leukemia.治疗老年急性淋巴细胞白血病的新方法。
Semin Hematol. 2020 Jul;57(3):122-129. doi: 10.1053/j.seminhematol.2020.09.001. Epub 2020 Sep 5.
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Acute Lymphoblastic Leukemia in the Older Adult.老年急性淋巴细胞白血病。
J Oncol Pract. 2019 Feb;15(2):67-75. doi: 10.1200/JOP.18.00271.
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Incorporating Immunotherapy Into the Treatment Strategies of B-Cell Adult Acute Lymphoblastic Leukemia: The Role of Blinatumomab and Inotuzumab Ozogamicin.将免疫疗法纳入B细胞成人急性淋巴细胞白血病的治疗策略:博纳吐单抗和奥英妥珠单抗的作用
Am Soc Clin Oncol Educ Book. 2018 May 23;38:574-578. doi: 10.1200/EDBK_199505.