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基于 Selinexor 的方案用于既往接受过抗 B 细胞成熟抗原治疗的多发性骨髓瘤患者

英文原题:Selinexor-based regimens in patients with multiple myeloma after prior anti-B-cell maturation antigen treatment.

查看英文原题

Selinexor-based regimens in patients with multiple myeloma after prior anti-B-cell maturation antigen treatment.

PubMed 2022/09/30(内容时间) EJHaem Q4 · IF 1.3(JCR 2025)

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中文摘要

在既往接受过治疗的多发性骨髓瘤中,尤其是抗B细胞成熟抗原(BCMA)治疗后的治疗序贯缺乏共识。早期关于selinexor(X)方案的报道显示,在早期治疗中以及抗BCMA靶向CAR-T 细胞治疗后具有显著疗效。在此,我们呈现了11例重度经治患者的数据,这些患者主要接受了BCMA-抗体药物偶联物治疗。我们观察到,含X方案效力强,可实现持久缓解,与患者既往抗BCMA治疗相比,总体缓解率和临床获益率以及中位无进展生存期在数值上更高,尽管其在治疗过程中使用得更晚。在一个未满足需求不断演变的领域,这些数据再次证实了在更广泛的抗BCMA治疗后基于X方案的疗效。

展开英文摘要原文

There is a lack of consensus on therapy sequencing in previously treated multiple myeloma, particularly after anti-B-cell maturation antigen (BCMA) therapy. Earlier reports on selinexor (X) regimens demonstrated considerable efficacy in early treatment, and after anti-BCMA-targeted chimeric antigen receptor-T cell therapy.

Here, we present data from 11 heavily pretreated patients who predominantly received BCMA-antibody-drug conjugate therapy.

We observe that X-containing regimens are potent and achieve durable responses with numerically higher overall response and clinical benefit rates, as well as median progression free survival compared to patients' prior anti-BCMA therapies, despite being used later in the treatment course. In an area of evolving unmet need, these data reaffirm the efficacy of X-based regimens following broader anti-BCMA therapy.

论文信息

作者
Baljevic M、Gasparetto C、Schiller GJ、Tuchman SA、Callander NS、Lentzsch S、Monge J、Kotb R
第一作者单位
Vanderbilt-Ingram Cancer Center Vanderbilt University Medical Center Nashville Tennessee USA.United States
通讯作者单位
Wilmot Cancer Institute University of Rochester Medical Center Rochester New York USA.United States
期刊
EJHaem2022 Nov
原文标识
PubMed 36467792 · DOI 10.1002/jha2.572