首页|Blinatumomab治疗不同年龄段新诊断急性B淋巴细胞白血病的研究进展

Blinatumomab治疗不同年龄段新诊断急性B淋巴细胞白血病的研究进展

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近年来,鉴于Blinatumomab在治疗难治/复发性(relapsed/refractory,R/R)急性B淋巴细胞白血病(B cell-acute lympho-blastic leukemia,B-ALL)及微小残留病变(minimal residual disease,MRD)阳性 B-ALL中的良好效果,各国学者对其在B-ALL早期治疗中的作用开展了广泛研究,Blinatumomab作为儿童B-ALL患者巩固治疗或强化化疗的替代治疗有堪比标准化疗的疗效;其作为早期巩固治疗或联合化疗/靶向治疗,可显著改善成人B-ALL患者预后,尤其是Blinatumomab联用第 3代酪氨酸激酶抑制剂(tyrosine kinase inhibitors,TKIs),可减少费城染色体阳性(philadelphia chromosome-positive,Ph+)B-ALL患者对异基因造血干细胞移植(allogeneic hematopoietic stem cell transplantation,allo-HSCT)的依赖;对于老年患者,Blinatumomab较化疗更为温和、安全及有效;KMT2A重排婴儿B-ALL尚无有效疗法,现有研究初步证实,Blinatumomab有望在此类患者的治疗中取得突破进展.本文对Blinatumomab在新诊断B-ALL中的研究进展进行综述.
Research progress on the treatment of newly diagnosed B cell-acute lymphocytic leuk-emia in different age groups with Blinatumomab
In recent years,interest in exploring the potential of Blinatumomab for treatment of B-cell acute lymphoblastic leukemia(B-ALL)at earlier stages has grown.This is because Blinatumomab has shown promising results in the management of refractory/relapsed(R/R)B-ALL and minimal residual disease(MRD).Blinatumomab has shown comparable efficacy to that of conventional chemotherapy as an altern-ative to consolidation or intensive chemotherapy in pediatric B-ALL patients.Moreover,its use as consolidation therapy or in combination with chemotherapy/targeted therapy,especially in combination with third-generation tyrosine kinase inhibitors(TKIs),shows significant promise for improving prognosis for adult B-ALL patients.This may potentially reduce reliance on allogeneic hematopoietic stem cell trans-plantation(allo-HSCT)in Philadelphia chromosome-positive(Ph+)B-ALL patients.Moreover,Blinatumomab is safer,gentler,and more effect-ive than chemotherapy for older adult patients.Effective therapy options are not yet available for infants with KMT2A rearrangement B-ALL;however,preliminary research indicates that Blinatumomab may offer a breakthrough for this subgroup.In this article,we review progress in investigations of Blinatumomab use in newly diagnosed B-ALL patients.

Blinatumomabacute lymphoblastic leukemia(ALL)immunotherapy

李雪源、周卢琨、冯四洲

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天津医科大学,细胞生态海河实验室(天津市 300070)

东南大学附属中大医院血液科

中国医学科学院血液病医院(中国医学科学院血液学研究所),实验血液学国家重点实验室,国家血液系统疾病临床医学研究中心

贝林妥欧单抗 急性淋巴细胞白血病 免疫治疗

天津市科技计划中国医科院医学与健康科技创新工程项目中国医科院医学与健康科技创新工程项目细胞生态海河实验室创新基金南京市卫生科技发展专项

21JCZDJC011702021-I2M-C&T-B-0802021-I2M-1-01722HHXBSS00036YKK21273

2024

中国肿瘤临床
中国抗癌协会

中国肿瘤临床

CSTPCD北大核心
影响因子:1.32
ISSN:1000-8179
年,卷(期):2024.51(5)
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