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吉妥珠单抗奥唑米星(GO)与3 + 7方案在适合新诊断的急性髓系白血病(AML)患者中的真实世界疗效和安全性。“普利亚血液网络”(REP)的一项回顾性多中心研究。

Real-World Efficacy and Safety of Gemtuzumab Ozogamycin (GO) and 3 + 7 regimen in fit newly diagnosed Acute Myeloid Leukemia (AML) patients. A Retrospective multicenter study of "Rete Ematologica Pugliese" (REP).

作者信息

Dargenio M, Buquicchio C, Pastore D, Aprile L, Ciuffreda L, Greco G, Delia M, Federico V, Fina M P, Seripa D, Matera R, Tarantini G, Maggi A, Melillo L, Pavone V, Musto P, Specchia G, Renzo N Di

机构信息

Hematology and Stem Cell Transplant Unit, "Vito Fazzi" Hospital, Lecce, Italy.

Hematology Unit, Dimiccoli Hospital, Barletta, Italy.

出版信息

Leuk Res Rep. 2025 Jun 28;24:100525. doi: 10.1016/j.lrr.2025.100525. eCollection 2025.

DOI:10.1016/j.lrr.2025.100525
PMID:40688045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12271813/
Abstract

Gemtuzumab Ozogamicin, a monoclonal antibody targeting CD33, linked to calicheamicin, is approved in combination with "3 + 7″ for the treatment of patients with de novo CD33 positive AML. The aim of study was to evaluate the outcome of patients receiving 3 + 7 plus GO as front-line therapy outside clinical trials. Between March 2020 and February 2023, 34 consecutive fit CD33+ AML patients, median age 54.5 years (range, 25-75) were treated. This study confirms the efficacy and toxicity data reported in clinical trials, highlighting the feasibility of GO based chemotherapy also in patients older than 60 years and as a bridge to allo-HSCT.

摘要

吉妥珠单抗奥唑米星是一种靶向CD33的单克隆抗体,与卡奇霉素连接,被批准与“3 + 7”方案联合用于治疗初治CD33阳性急性髓系白血病(AML)患者。本研究的目的是评估在临床试验之外接受“3 + 7”方案加吉妥珠单抗奥唑米星作为一线治疗的患者的结局。在2020年3月至2023年2月期间,连续治疗了34例适合的CD33 + AML患者,中位年龄54.5岁(范围25 - 75岁)。本研究证实了临床试验中报告的疗效和毒性数据,突出了基于吉妥珠单抗奥唑米星的化疗在60岁以上患者中的可行性,以及作为异基因造血干细胞移植(allo - HSCT)桥梁的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/13a328896713/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/d47721a3994b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/65c8c19841f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/12c6bfee4e6a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/13a328896713/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/d47721a3994b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/65c8c19841f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/12c6bfee4e6a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ac/12271813/13a328896713/gr4.jpg

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本文引用的文献

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Limited efficacy of 3 + 7 plus gemtuzumab ozogamycin in newly diagnosed fit intermediate genetic risk acute myeloid leukemia patients.在新诊断的适合的中危遗传学风险急性髓系白血病患者中,3+7方案联合吉妥珠单抗奥唑米星疗效有限。
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Gemtuzumab ozogamicin plus standard induction hemotherapy improves outcomes of newly diagnosed intermediate cytogenetic risk acute myeloid leukemia.吉妥珠单抗奥唑米星联合标准诱导化疗可改善新诊断的中等细胞遗传学风险急性髓系白血病的治疗效果。
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伴有或不伴有吉妥珠单抗奥唑米星的强化化疗治疗 NPM1 突变型急性髓系白血病(AMLSG 09-09):一项随机、开放标签、多中心、3 期临床试验。
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