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:T-cell-based therapies for treating relapsed or refractory mantle cell lymphoma.
T-cell-based therapies for treating relapsed or refractory mantle cell lymphoma.
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尽管诸如Bruton酪氨酸激酶和BCL2抑制剂等靶向治疗已从根本上改变了套细胞淋巴瘤(MCL)的治疗格局,但并非所有患者对这些疗法均有应答,且缓解持续时间有限,甚至可能转瞬即逝,尤其是在高危MCL中。随着患者经历后续多线治疗,临床病程的特征表现为缓解时间缩短、疾病频繁加速进展以及生存结局有限。近年来,随着嵌合抗原受体修饰T细胞和双特异性T细胞衔接抗体正在被研究并应用于患者临床实践,MCL对新型免疫疗法的敏感性正逐渐被认识,并取得了良好结果。然而,这些药物在常规实践中的作用仍存在关键问题有待阐明。在本综述中,我们讨论了这些药物的当前格局,审视了我们将其纳入实践的方法,并思考了为改善患者结局最终必须解决的未解问题。
While targeted therapies such as Bruton's tyrosine kinase and BCL2 inhibitors have fundamentally changed the treatment of mantle cell lymphoma (MCL), not all patients respond to these therapies, and responses are finite and can be fleeting, especially with high-risk MCL.
As patients progress through successive therapies, the clinical course is characterized by shortening response times,1 frequent disease acceleration, and limited survival outcomes. Recently, the sensitivity of MCL to novel immune-based therapies is being realized with favorable results, as chimeric antigen receptor-modified T cells and bispecific T-cell-engaging antibodies are being investigated and implemented into practice for patients.
However, critical issues remain to understand the role of these agents in routine practice. In this review, we discuss the current landscape regarding these agents, examine our approach to incorporating them into practice, and consider unanswered questions that we must ultimately address to improve outcomes for patients.
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