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三类别难治性多发性骨髓瘤的临床管理:当前策略和新兴疗法的综述

英文原题:Clinical Management of Triple-Class Refractory Multiple Myeloma: A Review of Current Strategies and Emerging Therapies.

查看英文原题

Clinical Management of Triple-Class Refractory Multiple Myeloma: A Review of Current Strategies and Emerging Therapies.

PubMed 2022/06/23(内容时间) Curr Oncol Q2 · IF 3.6(JCR 2025)

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中文摘要

多发性骨髓瘤的初始治疗已取得重大进展,但绝大多数患者最终仍会复发并导致死亡。需要新的治疗策略和模式来治疗复发骨髓瘤,特别是在免疫调节剂、蛋白酶体抑制剂和抗CD38单克隆抗体治疗期间或治疗后不久出现疾病进展所定义的三重难治状态下。在本文中,我们综述了三重难治性骨髓瘤治疗中近期有前景的进展,包括双特异性抗体和T细胞衔接器、嵌合抗原受体细胞疗法,以及具有新作用机制的化疗药物。

展开英文摘要原文

Major progress has been made in the upfront treatment of multiple myeloma, but the disease ultimately relapses and leads to death in the vast majority of those afflicted. New treatment strategies and modalities are necessary to treat myeloma in relapse, particularly in cases of triple-refractory status defined by disease progression during or shortly after treatment with immunomodulatory agents, proteasome inhibitors, and anti-CD38 monoclonal antibody therapy.

In this manuscript, we review recent promising developments in the treatment of triple-class refractory myeloma including bispecific antibodies and T cell engagers, chimeric antigen receptor cellular therapies, as well as chemotherapeutics with novel mechanisms of action.

论文信息

作者
Stalker ME、Mark TM
第一作者单位
School of Medicine, University of Colorado, Aurora, CO 80045, USA.United States
通讯作者单位
Department of Medicine, Division of Hematology, University of Colorado, Aurora, CO 80045, USA.United States
文献类型
综述
期刊
Current oncology (Toronto, Ont.)2022 Jun 23
原文标识
PubMed 35877215 · DOI 10.3390/curroncol29070355