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塞利尼索联合维奈克拉及阿扎胞苷诱导治疗复发难治性急性髓系白血病的临床安全性与疗效

[The clinical safety and efficacy of selinexor combined with venetoclax and azactitidine induction therapy in relapsed and refractory acute myeloid leukemia].

作者信息

Liu L N, Cui Y S, Liu Y Z, Wang Y M, Xiang P, Liang L J, Li Y R, Fang B J

机构信息

Department of Hematology, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou 450008, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2024 Aug 14;45(8):772-775. doi: 10.3760/cma.j.cn121090-20231031-00241.

DOI:10.3760/cma.j.cn121090-20231031-00241
PMID:39307725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11535561/
Abstract

To determine the efficacy and safety of selinexor combined with venetoclax (VEN) and azactitidine (AZA) for patients with relapsed and/or refractory acute myeloid leukemia (R/R AML) . Twelve patients with R/R AML treated with selinexor plus VEN and AZA in the Affiliated Cancer Hospital of Zhengzhou University from May 2022 to May 2023 were included. Their clinical data were retrospectively analyzed. Among the 12 R/R AML patients, 5 (41.7%) achieved complete remission (CR) , 1 (8.3%) achieved CR with incomplete hematological recovery, and 5 (41.7%) achieved partial remission. The median time to reach CR was 28 (16-59) days. The median PFS was 61 (15-300) days. The main adverse event of the regimen was hematological toxicity. No chemotherapy-related deaths were observed. The combination of selinexor plus VEN and AZA is an effective treatment for R/R AML patients.

摘要

确定塞利尼索联合维奈克拉(VEN)和阿扎胞苷(AZA)治疗复发和/或难治性急性髓系白血病(R/R AML)患者的疗效和安全性。纳入了2022年5月至2023年5月在郑州大学附属肿瘤医院接受塞利尼索联合VEN和AZA治疗的12例R/R AML患者。对他们的临床资料进行回顾性分析。在这12例R/R AML患者中,5例(41.7%)达到完全缓解(CR),1例(8.3%)达到血液学未完全恢复的CR,5例(41.7%)达到部分缓解。达到CR的中位时间为28(16 - 59)天。中位无进展生存期为61(15 - 300)天。该方案的主要不良事件为血液学毒性。未观察到化疗相关死亡。塞利尼索联合VEN和AZA是治疗R/R AML患者的有效方法。

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本文引用的文献

1
Long-term follow-up of VIALE-A: Venetoclax and azacitidine in chemotherapy-ineligible untreated acute myeloid leukemia.VIALE-A 研究的长期随访:不适合化疗的初治急性髓系白血病患者中应用维奈克拉联合阿扎胞苷。
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2
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Zhonghua Xue Ye Xue Za Zhi. 2023 Nov 14;44(11):936-939. doi: 10.3760/cma.j.issn.0253-2727.2023.11.009.
3
Selinexor Synergistically Promotes the Antileukemia Activity of Venetoclax in Acute Myeloid Leukemia by Inhibiting Glycolytic Function and Downregulating the Expression of DNA Replication Genes.塞利尼索通过抑制糖酵解功能和下调DNA复制基因的表达,协同增强维奈克拉在急性髓系白血病中的抗白血病活性。
Immunotargets Ther. 2023 Nov 23;12:135-147. doi: 10.2147/ITT.S429402. eCollection 2023.
4
Azacitidine Is Synergistically Lethal with XPO1 Inhibitor Selinexor in Acute Myeloid Leukemia by Targeting XPO1/eIF4E/c-MYC Signaling.阿扎胞苷通过靶向 XPO1/eIF4E/c-MYC 信号与 XPO1 抑制剂塞利尼索协同杀伤急性髓系白血病。
Int J Mol Sci. 2023 Apr 6;24(7):6816. doi: 10.3390/ijms24076816.
5
Selinexor synergizes with azacitidine to eliminate myelodysplastic syndrome cells through p53 nuclear accumulation.塞来昔布通过 p53 核积累与阿扎胞苷协同消除骨髓增生异常综合征细胞。
Invest New Drugs. 2022 Aug;40(4):738-746. doi: 10.1007/s10637-022-01251-5. Epub 2022 May 16.
6
[Chinese guidelines for the diagnosis and treatment of adult acute myeloid leukemia (not APL) (2021)].《中国成人急性髓系白血病(非急性早幼粒细胞白血病)诊断与治疗指南(2021年版)》
Zhonghua Xue Ye Xue Za Zhi. 2021 Aug 14;42(8):617-623. doi: 10.3760/cma.j.issn.0253-2727.2021.08.001.
7
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Lancet Haematol. 2020 Aug;7(8):e566-e574. doi: 10.1016/S2352-3026(20)30209-X.
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Outcomes of relapsed or refractory acute myeloid leukemia after frontline hypomethylating agent and venetoclax regimens.一线使用去甲基化药物和维奈克拉方案治疗后复发或难治性急性髓系白血病的疗效
Haematologica. 2021 Mar 1;106(3):894-898. doi: 10.3324/haematol.2020.252569.