Rain J D, Billotey C
Service de Médecine Nucléaire, Hôpital Saint-Louis, Paris, France.
Pathol Biol (Paris). 1998 May;46(5):341-5.
Radioimmunotherapy offers an exciting new therapeutic modalities for patients with recurrent hematologic malignancies or resistant to conventional chemotherapy. Clinical trials involving hematologic malignancies have produced more impressive results than these involving solid tumors. In recurrent non Hodgkin's lymphoma Seattle trials have demonstrated objective responses in 90% of patients, complete responses in 85% of patients, a progression free survival of 62%, and an overall survival of 93% with a median follow-up of 2 years. In recurrent acute myelogenous leukemia, or myelodysplasia treated with radiolabeled antibodies, total body irradiation, and high dose chemotherapy 67% of patients remain disease free with a median follow-up of 33 months.
放射免疫疗法为复发性血液系统恶性肿瘤患者或对传统化疗耐药的患者提供了一种令人兴奋的新治疗方式。涉及血液系统恶性肿瘤的临床试验所产生的结果比涉及实体瘤的试验更为显著。在复发性非霍奇金淋巴瘤的西雅图试验中,90%的患者出现客观缓解,85%的患者完全缓解,无进展生存期为62%,总生存期为93%,中位随访时间为2年。在用放射性标记抗体、全身照射和高剂量化疗治疗的复发性急性髓性白血病或骨髓发育异常中,67%的患者在中位随访33个月时仍无疾病。