文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

社区医疗机构中滤泡性淋巴瘤患者莫苏奈妥珠单抗治疗的护理协调:来自晨阳研究调查人员的经验教训

Care Coordination for Mosunetuzumab Therapy in Patients With Follicular Lymphoma in Community Practices: Learnings From the MorningSun Study Investigators.

作者信息

Graff Tara, Flinn Ian, Sharman Jeff P, Liu Steven, Anz Bertrand M, Gandhi Mitul, Ayed Ayed, Zuniga Richard, Mansoor Abdul Hai, Cassoli Lourenia M, Wu Mei, Jani Prachi, Biondo Juliana M L, Lin Tony, Burke John M

机构信息

Mission Cancer and Blood, Des Moines, Iowa, USA.

Tennessee Oncology/OneOncology, Nashville, Tennessee, USA.

出版信息

Cancer Med. 2025 Jun;14(11):e70936. doi: 10.1002/cam4.70936.


DOI:10.1002/cam4.70936
PMID:40432369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12117195/
Abstract

BACKGROUND: Preliminary data from the MorningSun study have demonstrated that outpatient subcutaneous mosunetuzumab can be safely administered. AIMS: This publication describes how community centers in the MorningSun phase 2 study of outpatient subcutaneous mosunetuzumab in B-cell non-Hodgkin lymphomas prepared workflow and logistics (staff coordination, practice networks, and patient support) to monitor patients for cytokine release syndrome (CRS) and other toxicities. MATERIALS AND METHODS: Ten investigators at US community practice study sites (one rural, seven urban, and two rural/urban) were interviewed between January 12 and February 22, 2024. Interview transcripts were analyzed qualitatively to identify key themes. RESULTS: Prior to the study, 7/10 had limited/no experience administering bispecific antibodies for lymphoma. Regarding preparation before treatment, staff education was the most frequent need (7/10). All sites provided in-service training for staff involved with treatment administration. Most respondents (6/10) had multidisciplinary plans and agreed these eased logistical concerns. Out of hours, patients either called the triage team, a dedicated on-call number, the physician, or the emergency department. Most practices had preexisting relationships with hospitals for CRS management. All practices established methods for outpatient CRS monitoring; patient education and caregivers played important roles, and all respondents encouraged patients to use self-monitoring devices. Each community practice had different workflow and logistics based on their setting and infrastructure. CONCLUSION: Community practices can leverage other sites' experiences and adopt an individualized approach to implementing bispecific antibodies safely and efficiently. Designating a physician champion could provide a local resource to address staff questions and concerns.

摘要

背景:MorningSun研究的初步数据表明,门诊皮下注射莫苏奈妥珠单抗可以安全给药。 目的:本出版物描述了MorningSun 2期研究中社区中心在门诊皮下注射莫苏奈妥珠单抗治疗B细胞非霍奇金淋巴瘤时,如何准备工作流程和后勤保障(人员协调、实践网络和患者支持)以监测患者的细胞因子释放综合征(CRS)和其他毒性反应。 材料与方法:2024年1月12日至2月22日期间,对美国社区实践研究站点的10名研究人员(1名来自农村、7名来自城市、2名来自城乡结合部)进行了访谈。对访谈记录进行定性分析以确定关键主题。 结果:研究前,10名中有7名在淋巴瘤双特异性抗体给药方面经验有限/无经验。关于治疗前的准备,员工培训是最常见的需求(10名中有7名)。所有站点都为参与治疗给药的员工提供了在职培训。大多数受访者(10名中有6名)有多学科计划,并认为这些计划缓解了后勤方面的担忧。非工作时间,患者要么致电分诊团队、专用值班号码、医生或急诊科。大多数医疗机构与医院在CRS管理方面有预先建立的关系。所有医疗机构都建立了门诊CRS监测方法;患者教育和护理人员发挥了重要作用,所有受访者都鼓励患者使用自我监测设备。每个社区实践根据其环境和基础设施有不同的工作流程和后勤保障。 结论:社区实践可以借鉴其他站点的经验,采用个性化方法安全有效地实施双特异性抗体治疗。指定一名医生负责人可以提供当地资源,以解决员工的问题和担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/12117195/baa3c7199d94/CAM4-14-e70936-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/12117195/0f8f294fccca/CAM4-14-e70936-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/12117195/baa3c7199d94/CAM4-14-e70936-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/12117195/0f8f294fccca/CAM4-14-e70936-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/12117195/baa3c7199d94/CAM4-14-e70936-g001.jpg

相似文献

[1]
Care Coordination for Mosunetuzumab Therapy in Patients With Follicular Lymphoma in Community Practices: Learnings From the MorningSun Study Investigators.

Cancer Med. 2025-6

[2]
Efficacy and safety of mosunetuzumab monotherapy for Japanese patients with relapsed/refractory follicular lymphoma: FLMOON-1.

Int J Clin Oncol. 2025-2

[3]
Matching-adjusted indirect comparison from the Lymphoma Epidemiology of Outcomes Consortium for Real World Evidence (LEO CReWE) study to a clinical trial of mosunetuzumab in relapsed or refractory follicular lymphoma.

Haematologica. 2024-7-1

[4]
Mosunetuzumab Safety Profile in Patients With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma: Clinical Management Experience From a Pivotal Phase I/II Trial.

Clin Lymphoma Myeloma Leuk. 2024-4

[5]
Safety and efficacy of mosunetuzumab, a bispecific antibody, in patients with relapsed or refractory follicular lymphoma: a single-arm, multicentre, phase 2 study.

Lancet Oncol. 2022-8

[6]
Ethnic Sensitivity Assessment of Mosunetuzumab Pharmacokinetics and Pharmacodynamics in Chinese Patients With Relapsed or Refractory Follicular Lymphoma.

Clin Transl Sci. 2025-5

[7]
Mosunetuzumab for the treatment of follicular lymphoma.

Expert Opin Biol Ther. 2024-10

[8]
Matching-Adjusted Indirect Comparisons of Axicabtagene Ciloleucel to Mosunetuzumab for the Treatment of Relapsed/Refractory Follicular Lymphoma.

Transplant Cell Ther. 2024-9

[9]
Dose-escalation part of Phase I study of single-agent mosunetuzumab in Japanese patients with relapsed/refractory B-cell non-Hodgkin lymphoma.

Jpn J Clin Oncol. 2023-10-4

[10]
Long-term 3-year follow-up of mosunetuzumab in relapsed or refractory follicular lymphoma after ≥2 prior therapies.

Blood. 2025-2-13

本文引用的文献

[1]
Consensus recommendations on the management of toxicity associated with CD3×CD20 bispecific antibody therapy.

Blood. 2024-4-18

[2]
Mosunetuzumab Safety Profile in Patients With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma: Clinical Management Experience From a Pivotal Phase I/II Trial.

Clin Lymphoma Myeloma Leuk. 2024-4

[3]
Mosunetuzumab monotherapy is active and tolerable in patients with relapsed/refractory diffuse large B-cell lymphoma.

Blood Adv. 2023-9-12

[4]
Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial.

J Clin Oncol. 2023-4-20

[5]
Glofitamab for Relapsed or Refractory Diffuse Large B-Cell Lymphoma.

N Engl J Med. 2022-12-15

[6]
Bispecific antibodies for the treatment of B-cell lymphoma: promises, unknowns, and opportunities.

Blood. 2023-2-2

[7]
Chimeric antigen receptor T-cell therapy: Challenges and framework of outpatient administration.

EJHaem. 2021-11-19

[8]
Safety and efficacy of mosunetuzumab, a bispecific antibody, in patients with relapsed or refractory follicular lymphoma: a single-arm, multicentre, phase 2 study.

Lancet Oncol. 2022-8

[9]
Safety and feasibility of outpatient chimeric antigen receptor (CAR) T-cell therapy: experience from a tertiary care center.

Bone Marrow Transplant. 2022-6

[10]
Single-Agent Mosunetuzumab Shows Durable Complete Responses in Patients With Relapsed or Refractory B-Cell Lymphomas: Phase I Dose-Escalation Study.

J Clin Oncol. 2022-2-10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索