不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:New Insights into First-Line Therapy in Diffuse Large B-Cell Lymphoma: Are We Improving Outcomes?
New Insights into First-Line Therapy in Diffuse Large B-Cell Lymphoma: Are We Improving Outcomes?
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弥漫大B细胞淋巴瘤(DLBCL)是最常见的淋巴瘤亚型,包含生物学和临床特征各异的异质性患者亚群。利妥昔单抗、环磷酰胺、多柔比星、长春新碱和泼尼松联合方案(R-CHOP)一直是标准初始治疗,可使超过60%的晚期患者获得持久缓解。过去二十年来,多种旨在提高该方案疗效的尝试收效有限。近期淋巴瘤治疗领域涌现出多种新型疗法并显示良好结果,包括小分子药物、新型单克隆抗体、抗体药物偶联物(ADC)、双特异性抗体(BsAb)和嵌合抗原受体(CAR)T细胞疗法。本文综述DLBCL治疗策略的近期进展及其对患者初始治疗管理的潜在影响。
Diffuse large B-cell lymphoma (DLBCL) is the most prevalent subtype of lymphoma, comprising heterogeneous patient subgroups with distinctive biological and clinical characteristics. The R-CHOP combination (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) has been the standard initial treatment, yielding prolonged remissions in over 60% of patients with advanced-stage disease. Several attempts to enhance the outcomes of this regimen over the last two decades have shown limited success.
Various novel therapeutic approaches have recently emerged in lymphoma, demonstrating promising results. These include small molecules, novel monoclonal antibodies, antibody-drug conjugates (ADC), bispecific antibodies (BsAbs), and chimeric antigen receptor (CAR) T-cell therapy. This review explores recent advancements in therapeutic strategies for DLBCL and their potential impact on the initial management of DLBCL patients.
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