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双特异性疗法的无缝导航:以协调为重点优化管理和门诊服务可及性

Seamless Navigation of Bispecific Therapies: Optimizing Management and Outpatient Access With a Focus on Coordination.

作者信息

Mahmoudjafari Zahra, Ali Amir, Davis James, Sandahl Tyler, Nachar Victoria, Mancini Robert

机构信息

From The University of Kansas Health System - Westwood Campus, Division of Hematologic Malignancies & Cellular Therapeutics, Westwood, Kansas.

University of Southern California - Pharmacy, Los Angeles, California.

出版信息

J Adv Pract Oncol. 2024 Sep 11:1-16. doi: 10.6004/jadpro.2024.15.8.15.

Abstract

Bispecific antibodies (BsAbs) have emerged as crucial therapeutic agents for patients with relapsed/refractory diffuse large B-cell lymphoma, multiple myeloma, and most recently, lung cancer. These therapies have demonstrated remarkable efficacy in clinical trials; however, multidisciplinary collaboration is essential to ensure optimal patient outcomes amid the operational complexities associated with BsAb therapy. As BsAbs are being prepared for broader adoption, clinicians and treatment centers must navigate operational challenges, including financial considerations, patient selection, caregiver involvement, and transitions of care. Centers must also be knowledgeable to manage toxicities such as cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome. We therefore convened a panel of academic and community practice pharmacists with experience using BsAbs in clinical trial and standard-of-care settings to provide comprehensive recommendations with a focus on successful onboarding and operationalization of BsAb therapies.

摘要

双特异性抗体(BsAbs)已成为复发/难治性弥漫性大B细胞淋巴瘤、多发性骨髓瘤以及最近肺癌患者的关键治疗药物。这些疗法在临床试验中已显示出显著疗效;然而,在与BsAb治疗相关的操作复杂性中,多学科协作对于确保患者获得最佳治疗结果至关重要。随着BsAbs准备更广泛地应用,临床医生和治疗中心必须应对操作挑战,包括财务考量、患者选择、护理人员参与以及护理过渡。中心还必须了解如何管理细胞因子释放综合征和免疫效应细胞相关神经毒性综合征等毒性反应。因此,我们召集了一组在临床试验和标准治疗环境中使用BsAbs有经验的学术和社区实践药剂师,以提供全面建议,重点是BsAb疗法的成功引入和实施。

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