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超越最高分级:利用患者生成的数据为血液系统恶性肿瘤治疗的耐受性提供信息

英文原题:Beyond maximum grade: using patient-generated data to inform tolerability of treatments for haematological malignancies.

查看英文原题

Beyond maximum grade: using patient-generated data to inform tolerability of treatments for haematological malignancies.

PubMed 2025/06/01(内容时间) Lancet Haematol Q1 · IF 20.4(JCR 2025)

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中文摘要

将患者生成的数据纳入药物开发对于评估治疗的耐受性至关重要,尤其是在血液系统恶性肿瘤患者中,其中一些患者接受高强度、短疗程治疗,另一些则需长期承受持续数月至数年的慢性治疗。随着新型疗法如口服靶向药物和免疫疗法(包括CAR-T 细胞疗法和双特异性抗体)在不同血液系统恶性肿瘤中的日益广泛应用,需要利用患者生成数据(包括患者报告结局PRO)的新型毒性评估技术,以全面评估短期和长期副作用。在本系列的第二篇文章中,我们描述了PRO在临床试验中实施的进展,并概述了患者生成数据使用的未来方向,包括早期试验中的PRO实施、血液学试验中基于PRO的新型终点,以及反映血液系统恶性肿瘤治疗进展的更新PRO测量方法。

展开英文摘要原文

Incorporating patient-generated data into drug development is crucial for assessing the tolerability of treatments, particularly in patients with haematological malignancies, some of whom receive high-intensity, short-duration treatments and others who endure chronic therapies for months to years at a time. With increasing use of novel therapies such as oral targeted agents and immunotherapy, including chimeric antigen receptor T-cell therapy and bispecific antibodies across different haematological malignancies, new types of toxicity assessment techniques that harness patient-generated data, including patient-reported outcomes (PROs) are required to fully evaluate short-term and long-term side-effects.

In this second paper in this Series, we describe progress in PRO implementation in clinical trials and outline future directions for use of patient-generated data, including PRO implementation in early-phase trials, novel PRO-based endpoints in haematology trials, and updated PRO measures that reflect treatment advances across haematological malignancies.

论文信息

作者
Bhatnagar V、Dueck AC、Efficace F、Kluetz P、Minasian L、Velikova G、Drew C、Thanarajasingam G
单位
United States Food and Drug Administration, Silver Spring, MD, USA. Electronic address: Vishal.Bhatnagar@fda.hhs.gov.United States
文献类型
综述
期刊
The Lancet. Haematology2025 Jun
原文标识
PubMed 40447354 · DOI 10.1016/S2352-3026(25)00036-5