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Axicabtagene Ciloleucel 治疗滤泡性淋巴瘤:临床实用性、患者选择与已报告结局的当前观点

英文原题:Axicabtagene Ciloleucel in the Management of Follicular Lymphoma: Current Perspectives on Clinical Utility, Patient Selection and Reported Outcomes.

查看英文原题

Axicabtagene Ciloleucel in the Management of Follicular Lymphoma: Current Perspectives on Clinical Utility, Patient Selection and Reported Outcomes.

PubMed 2023/04/19(内容时间) Cancer Manag Res Q3 · IF 2.6(JCR 2025)

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中文摘要

Axicabtagene ciloleucel(axi-cel)是一种自体抗CD19CAR-T 细胞疗法(CAR-T),已在B细胞非霍奇金淋巴瘤中显示出疗效。即使在存在高风险特征(早期复发、重度预处理患者和巨块型疾病)的情况下,它在复发/难治性滤泡性淋巴瘤(FL)中也显示出高疗效。R/R滤泡性淋巴瘤的治疗选择无法提供长期缓解,尤其是在三线治疗中。Axi-cel在ZUMA-5研究中针对R/R FL进行了研究,该研究显示出高缓解率和持久缓解。Axi-cel与预期但可管理的毒性相关。长期随访可能有助于了解FL的潜在治愈可能性。Axi-cel应成为R/R FL二线以后标准治疗选择的一部分。

展开英文摘要原文

Axicabtagene ciloleucel (axi-cel) is an autologous anti-CD19 chimeric antigen receptor T-cell therapy (CAR-T) that has shown efficacy in B-cell non-Hodgkin's lymphoma. It has shown high efficacy in relapsed/refractory follicular lymphoma (FL) even in the presence of high risk features (early relapse, heavily pretreated patients and bulky disease).

Treatment options for R/R follicular lymphoma do not offer long-term remissions, especially in the third-line setting. Axi-cel was studied in R/R FL in the ZUMA-5 study, which showed high response rates with durable remissions. Axi-cel was associated with anticipated but manageable toxicities. Long-term follow up may be able to inform the potential for cure of FL. Axi-cel should be part of the standard of care options for R/R FL beyond second line.

论文信息

作者
Mohty R、Kharfan-Dabaja MA、Chavez JC
第一作者单位
Department of Blood and Marrow Transplantation and Cellular Therapy, Moffitt Cancer Center, Tampa, FL, USA.United States
通讯作者单位
Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL, USA.United States
文献类型
综述
期刊
Cancer management and research2023
原文标识
PubMed 37155519 · DOI 10.2147/CMAR.S368588