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高危慢性淋巴细胞白血病患者的一线治疗:网络荟萃分析。

First-line therapy for high-risk people with chronic lymphocytic leukemia: a network meta-analysis.

机构信息

Department of Health Policy and Informatics, Graduate School of Medicine, Institute of Science Tokyo, Tokyo, Japan.

Department of Medical Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

出版信息

Cochrane Database Syst Rev. 2024 Oct 30;10(10):CD015169. doi: 10.1002/14651858.CD015169.

DOI:10.1002/14651858.CD015169
Abstract

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: Primary objective: to assess the benefits and harms of currently recommended regimens as the first-line therapy in high-risk people with chronic lymphocytic leukemia, using network meta-analysis Secondary objectives: to assess whether the benefits and harms of the recommended regimens differ according to sex, Rai stage, or genetic mutation status to estimate the ranking of treatments for overall survival, progression-free survival, objective response rate, complete response rate, minimal residual disease, and serious adverse events to estimate the overall rate of adverse events and serious adverse events.

摘要

这是一篇 Cochrane 综述(干预措施)的方案。其目的如下:

主要目标

使用网络荟萃分析评估目前推荐的方案作为慢性淋巴细胞白血病高危人群一线治疗的疗效和安全性。

次要目标

评估推荐方案的疗效和安全性是否因性别、Rai 分期或基因突变状态而异,以估计总生存、无进展生存、客观缓解率、完全缓解率、微小残留病和严重不良事件的治疗排序。

估计不良事件和严重不良事件的总发生率。

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本文引用的文献

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Fixed-duration ibrutinib-venetoclax versus chlorambucil-obinutuzumab in previously untreated chronic lymphocytic leukaemia (GLOW): 4-year follow-up from a multicentre, open-label, randomised, phase 3 trial.固定疗程伊布替尼-维奈托克对比苯丁酸氮芥-奥滨尤妥珠单抗治疗初治慢性淋巴细胞白血病(GLOW):多中心、开放标签、随机、3 期临床试验的 4 年随访结果。
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Molecular-Biology-Driven Frontline Treatment for Chronic Lymphocytic Leukemia: A Network Meta-Analysis of Randomized Clinical Trials.基于分子生物学的慢性淋巴细胞白血病一线治疗:随机临床试验的网络荟萃分析。
Int J Mol Sci. 2023 Jun 9;24(12):9930. doi: 10.3390/ijms24129930.
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Zanubrutinib versus bendamustine and rituximab in untreated chronic lymphocytic leukaemia and small lymphocytic lymphoma (SEQUOIA): a randomised, controlled, phase 3 trial.
泽布替尼与苯达莫司汀和利妥昔单抗治疗初治慢性淋巴细胞白血病和小淋巴细胞淋巴瘤(SEQUOIA):一项随机、对照、3 期临床试验。
Lancet Oncol. 2022 Aug;23(8):1031-1043. doi: 10.1016/S1470-2045(22)00293-5. Epub 2022 Jul 7.
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First-line treatment of chronic lymphocytic leukemia with ibrutinib plus obinutuzumab chlorambucil plus obinutuzumab: final analysis of the randomized, phase III iLLUMINATE trial.伊布替尼联合奥滨尤妥珠单抗、苯丁酸氮芥联合奥滨尤妥珠单抗一线治疗慢性淋巴细胞白血病:随机、III 期 iLLUMINATE 试验的最终分析。
Haematologica. 2022 Sep 1;107(9):2108-2120. doi: 10.3324/haematol.2021.279012.
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
6
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Lancet Oncol. 2020 Sep;21(9):1188-1200. doi: 10.1016/S1470-2045(20)30443-5.
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Lancet. 2020 Apr 18;395(10232):1278-1291. doi: 10.1016/S0140-6736(20)30262-2.
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BMJ. 2020 Jan 16;368:l6890. doi: 10.1136/bmj.l6890.
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