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用于治疗慢性粒细胞白血病的博舒替尼:安全使用指南——播客

Bosutinib for the Treatment of CML-Using it Safely: a Podcast.

作者信息

Lipton Jeffrey H, Cortes Jorge E

机构信息

Princess Margaret Cancer Centre, Toronto, ON, Canada.

Division of Hematology and SCT, Georgia Cancer Centre, Augusta, GA, USA.

出版信息

Target Oncol. 2025 Mar;20(2):183-189. doi: 10.1007/s11523-024-01123-3. Epub 2025 Jan 17.

Abstract

Bosutinib is a second-generation tyrosine kinase inhibitor (TKI) approved for use in patients with newly diagnosed Philadelphia chromosome (Ph)-positive chronic phase (CP) chronic myeloid leukemia (CML), as well as Ph-positive CP, accelerated phase, or blast phase (with chemotherapy) CML resistant or intolerant to prior therapy. Clinical trials have shown bosutinib is effective as first-line therapy for patients with CML as well as in later lines of therapy after prior TKI failure. Bosutinib has an established safety profile; however, as with all TKIs approved for the treatment of CML, there are adverse events (AEs) that require management. The safety profile of bosutinib is characterized by gastrointestinal, hematological, hepatic, and skin toxicities. Many of these AEs can be managed with dose adjustment strategies. In this podcast, the authors summarize data from some recent bosutinib publications and discuss implications for optimizing bosutinib treatment of patients with CML. Podcast Video (MP4 210846 KB).

摘要

博舒替尼是一种第二代酪氨酸激酶抑制剂(TKI),被批准用于新诊断的费城染色体(Ph)阳性慢性期(CP)慢性髓性白血病(CML)患者,以及对先前治疗耐药或不耐受的Ph阳性CP、加速期或急变期(联合化疗)CML患者。临床试验表明,博舒替尼作为CML患者的一线治疗药物以及先前TKI治疗失败后的后续治疗均有效。博舒替尼具有已确定的安全性;然而,与所有批准用于治疗CML的TKI一样,存在需要管理的不良事件(AE)。博舒替尼的安全性特征为胃肠道、血液学、肝脏和皮肤毒性。这些AE中的许多可以通过剂量调整策略进行管理。在本播客中,作者总结了一些近期博舒替尼出版物的数据,并讨论了优化博舒替尼治疗CML患者的意义。播客视频(MP4 210846 KB)。

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