Ji Yueru, Wan Zhuo, Yang Jian, Hao Miaowang, Liu Li, Qin Weiwei
Department of Hematology, Second Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi, China.
Front Oncol. 2024 Jul 2;14:1402970. doi: 10.3389/fonc.2024.1402970. eCollection 2024.
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.
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。