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急性髓系白血病的维持治疗:未来潜力如何?

Maintenance Therapy in AML: What Is the Future Potential?

作者信息

Goulart Hannah, Wei Andrew H, Kadia Tapan M

机构信息

Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Peter MacCallum Cancer Centre, Royal Melbourne Hospital and Walter, Eliza Hall Institute of Medical Research and University of Melbourne, Melbourne, Australia.

出版信息

Am J Hematol. 2025 Mar;100 Suppl 2:38-49. doi: 10.1002/ajh.27583.

Abstract

Over the last decade, there have been significant advancements in the treatment for patients with acute myeloid leukemia (AML) including the addition of novel, targeted agents to intensive or nonintensive chemotherapy regimens. However, despite this, the majority of patients will still ultimately relapse and long-term survival remains poor. While the use of maintenance therapy has emerged as a potential strategy to maintain more durable remissions and improve overall survival, the optimal use of these therapies has not yet been clearly defined. In this review, we provide a comprehensive overview of the evolution of maintenance strategies in AML and present a commentary on the future of maintenance therapy, including the pressing, unmet needs in this field.

摘要

在过去十年中,急性髓系白血病(AML)患者的治疗取得了重大进展,包括在强化或非强化化疗方案中添加新型靶向药物。然而,尽管如此,大多数患者最终仍会复发,长期生存率仍然很低。虽然维持治疗已成为维持更持久缓解和提高总生存率的潜在策略,但这些疗法的最佳使用尚未明确界定。在本综述中,我们全面概述了AML维持策略的演变,并对维持治疗的未来进行了评论,包括该领域迫切未满足的需求。

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