ASH东方谈|黄海雯教授剖析非霍奇金淋巴瘤最新治疗策略——CMOP±R方案、联合新药与移植选择。II期临床研究以米托蒽醌脂质体替代多柔比星组成 CMOP±R 方案一线治疗非霍奇金淋巴瘤,心脏毒副反应小且疗效不劣于 R-CHOP 方案。
参考来源:1.M. Hertzberg, M. Kalac, C. Y. Cheah, et al. PHASE 1 STUDY OF JNJ-67856633, A FIRST-IN-HUMAN MALT1 INHIBITOR, IN RELAPSED/REFRACTORY B-CELL NON-HODGKIN LYMPHOMA AND CHRONIC LYMPHOCYTIC LEUKEMIA . 2023 ICML. Abstract 088.
淋巴瘤是常见的恶性肿瘤之一,也是近年来发病率较高的肿瘤之一,目前在中国的发病率约为6.68/10万,每年约有10万名新发淋巴瘤患者。 越来越多的市民了解到,淋巴结遍布全身,因此每每听见“淋巴癌”这一血液恶性肿瘤即色变。“目前,它的发病率在我国男性中位列第7,在女性中位列第8。
结外NK/T细胞淋巴瘤是一种少见的侵袭性非霍奇金淋巴瘤,起源于NK细胞和T淋巴细胞,侵袭性强、病程进展快且预后较差。参考来源:Y. Huang, et al. 2022ESMO. Abstract #625MO.
维泊妥珠单抗是全球首个靶向CD79b的ADC,近期第65届美国血液学会年会上公布了一项Ⅱ期研究拓展队列的主要分析结果,显示维泊妥珠单抗联合1:1结构的靶向CD20/CD3双抗Mosunetuzumab治疗复发/难治性LBCL和R/R MCL展现出持久缓解和可控安全性。
Martin Dreyling is Professor of Medicine and head of the lymphoma programme in the Department of Medicine III, LMU Hospital, Munich. He studied at the Universities of Düsseldorf, Giessen, Tübingen and Würzburg, and completed his clinical training at the Universities of Bonn, Münster, Göttingen and Munich. In addition, he was visiting scientist at the University of Chicago.
最常见的亚型,如外周T细胞淋巴瘤非特指型、血管免疫母细胞性T细胞淋巴瘤和ALK阴性ALCL,其进展期患者常见一线治疗是基于环磷酰胺、多柔比星、长春新碱、泼尼松联合或不联合依托泊苷的诱导治疗,在≤65岁的患者中予以高剂量化疗和自体造血干细胞移植巩固治疗。
参考文献:Yan Gao, Yizhen Liu, Yafei Wang, et al. Bendamustine in the treatment of patients with indolent non‐Hodgkin lymphoma refractory or relapse to rituximab treatment: An open‐label, single‐agent, multicenter study in China. Cancer. 2023 Feb 15. doi: 10.1002/cncr.34544.