← 返回

SOHO 最新进展与后续问题|老年急性淋巴细胞白血病:低剂量化疗与免疫治疗联合方案

英文原题:SOHO State of the Art Updates and Next Questions|Elderly Acute Lymphoblastic Leukemia: Low-dose chemotherapy and Immunotherapy combinations.

查看英文原题

SOHO State of the Art Updates and Next Questions|Elderly Acute Lymphoblastic Leukemia: Low-dose chemotherapy and Immunotherapy combinations.

PubMed 2025/06/06(内容时间) Clin Lymphoma Myeloma Leuk Q1 · IF 4.1(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

老年急性淋巴细胞白血病(ALL)患者的治疗存在未满足的医疗需求,因为目前抗ALL化疗仅能使少数患者获得长期生存。本文讨论了这些患者近期的管理,包括当前方法和未来方向,因为为难治/复发性ALL开发的新型药物现正被纳入一线治疗,并取得了非常有希望的结果。本文将依次讨论费城染色体(Ph)阴性ALL、Ph+ ALL,最后是T-ALL。相应地,将讨论使用无化疗方法和新药的策略,如inotuzumab ozogamicin、blinatumomab、venetoclax、酪氨酸激酶抑制剂和CAR-T 细胞。

展开英文摘要原文

There is an unmet medical need for the treatment of elderly patients with acute lymphoblastic leukemia (ALL), as only a minority of them achieves long-term survival with current anti-ALL chemotherapy.

Here, the recent management of these patients is discussed, including current approaches and future directions, as novel agents developed for refractory/relapsed ALL are now being incorporated into front-line therapies with very promising results. The manuscript will sequentially consider Philadelphia chromosome (Ph) negative ALL, then Ph+ and finally T-ALL. Accordingly, novel strategies using chemo-free approaches and new drugs such as inotuzumab ozogamicin, blinatumomab, venetoclax, tyrosine kinase inhibitors and CAR T-cells will be discussed.

论文信息

作者
Moyer P、Fourmont AM、Freiman L、Rousselot P、Chevallier P
第一作者单位
Hematology Department, Nantes University Hospital, Nantes, France.France
通讯作者单位
Hematology Department, Nantes University Hospital, Nantes, France; CRCI2NA, INSERM UMR 1307 & CNRS UMR 6075, IRS_UN, University of Nantes, France. Electronic address: patrice.chevallier@chu-nantes.fr.France
文献类型
综述
期刊
Clinical lymphoma, myeloma & leukemia2025 Nov
原文标识
PubMed 40579283 · DOI 10.1016/j.clml.2025.06.001