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吉瑞替尼再次给药治疗伴有中枢神经系统复发的FLT3突变复发/难治性急性髓系白血病患者的安全性和有效性:一例病例报告

The safety and efficacy of the re-administration of gilteritinib in a patient with FLT3-mutated R/R AML with CNS relapse: a case report.

作者信息

Ji Yueru, Wan Zhuo, Yang Jian, Hao Miaowang, Liu Li, Qin Weiwei

机构信息

Department of Hematology, Second Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi, China.

出版信息

Front Oncol. 2024 Jul 2;14:1402970. doi: 10.3389/fonc.2024.1402970. eCollection 2024.

Abstract

FLT3-ITD is a type of poor prognostic factors in acute myeloid leukemia (AML) disease. Gilteritinib, the second-generation FLT3 tyrosine kinase inhibitor, improved the overall survival of patients with relapsed/refractory FLT3-mutated AML in the ADMIRAL phase III trial. However, few data are available on the efficacy and safety of gilteritinib-based therapy for FLT3-mutated AML with central nervous system (CNS) involvement. We performed gilteritinib to treat a patient with CNS relapsed AML after allogeneic hematopoietic stem cell transplantation. The positive antileukemic effect of gilteritinib may bring new hope for the treatment of FLT3-mutated AML with CNS relapse.

摘要

FLT3-ITD是急性髓系白血病(AML)疾病中一种预后不良的因素。第二代FLT3酪氨酸激酶抑制剂吉瑞替尼在ADMIRAL III期试验中改善了复发/难治性FLT3突变AML患者的总生存期。然而,关于吉瑞替尼治疗中枢神经系统(CNS)受累的FLT3突变AML的疗效和安全性的数据很少。我们对1例异基因造血干细胞移植后CNS复发的AML患者进行了吉瑞替尼治疗。吉瑞替尼的阳性抗白血病作用可能为治疗CNS复发的FLT3突变AML带来新希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34cd/11250475/edf8e40c8a3f/fonc-14-1402970-g001.jpg

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