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:Efficacy and safety of zanubrutinib combined with age-adapted bendamustine and rituximab followed by zanubrutinib maintenance therapy in elderly patients with mantle cell lymphoma: a retrospective analysis.
Efficacy and safety of zanubrutinib combined with age-adapted bendamustine and rituximab followed by zanubrutinib maintenance therapy in elderly patients with mantle cell lymphoma: a retrospective analysis.
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我们回顾性评估了泽布替尼联合年龄调整的苯达莫司汀和利妥昔单抗后续泽布替尼维持治疗在23例老年套细胞淋巴瘤(MCL)患者中的疗效和安全性。患者接受该方案六个诱导周期,随后接受泽布替尼维持治疗2年。诱导后,完全缓解率为73.9%,总缓解率为91.3%。24个月无进展生存率为75.4%,总生存率为90.7%。诱导后88%的患者达到不可检测的微小残留病(uMRD),维持治疗期间增至94%。CD4 + T细胞和NK细胞计数在诱导后降至最低点,但在12个月时恢复。泽布替尼联合年龄调整的苯达莫司汀和利妥昔单抗,后续泽布替尼维持治疗,是老年MCL患者一种有效且可行的方案,为临床实践提供了一种潜在的治疗选择。
We retrospectively evaluated the efficacy and safety of zanubrutinib combined with age-adapted bendamustine and rituximab followed by zanubrutinib maintenance in 23 elderly patients with mantle cell lymphoma (MCL). Patients received six induction cycles of this regimen, followed by zanubrutinib maintenance for 2 years. After induction, the complete response rate was 73. 9% and the overall response rate was 91. 3%. The 24-month progression-free survival rate was 75.
4% and the overall survival rate was 90. 7%. Undetectable minimal residual disease (uMRD) was achieved in 88% of patients after induction and increased to 94% during maintenance. CD4 + T cell and NK cell counts declined to nadir post-induction but recovered by 12 months. Zanubrutinib combined with age-adapted bendamustine and rituximab, followed by zanubrutinib maintenance, is an active and feasible regimen for elderly patients with MCL, offering a potential treatment option in clinical practice.
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