Lancet Oncol:套细胞淋巴瘤患者不妨试试来那度胺

2016-02-16 MedSci MedSci原创

 作为一种免疫调节药物,来那度胺有着抗肿瘤和抗增生的活性,许多研究表明其对于治疗复发性或者难治性的套细胞淋巴瘤有着活性。研究人员进行了一项试验来检验来那度胺相对单药物治疗复发性或难治性套细胞淋巴瘤的最好的研究人员的选择的有效性和安全性。 这是一项随机的临床二期试验。受试者均是套细胞淋巴瘤患者,年龄在18岁及以上,在12个国家的67个诊所和医疗中心接受治疗,他们均是复发了1-3次

作为一种免疫调节药物,来那度胺有着抗肿瘤和抗增生的活性,许多研究表明其对于治疗复发性或者难治性的套细胞淋巴瘤有着活性。研究人员进行了一项试验来检验来那度胺相对单药物治疗复发性或难治性套细胞淋巴瘤的最好的研究人员的选择的有效性和安全性。

这是一项随机的临床二期试验。受试者均是套细胞淋巴瘤患者,年龄在18岁及以上,在12个国家的67个诊所和医疗中心接受治疗,他们均是复发了1-3次,东部合作肿瘤集团体能状态打分在0-2之间,至少有益处可测量的损伤,并且不适合接受大剂量化疗或者干细胞移植。使用一种中心式的交互语音应答系统,受试者被随机分成两组(2:1),服用来那度胺(口服25mg,每28天中前21天服用)直到出现进展性疾病或者不耐受,或者受试者服用研究者的选择,使用利妥昔单抗、吉西他滨、氟达拉滨、苯丁酸氮芥或者阿糖胞苷。随机化是根据从诊断起的时间进行分级的。共有254人参与此项研究。经过中位时间为15.9个月的随访,来那度胺显著性延长了无进展生存时间。主要的不良反应是中性粒细胞减少,患者感染、血小板减少、贫血等风险没有增加。

此项研究表明,对于无法接受大剂量化疗或干细胞移植的复发性或难治性套细胞淋巴瘤患者来说,使用来那度胺或许是一种更好的选择。

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    2016-12-03 minlingfeng
  2. [GetPortalCommentsPageByObjectIdResponse(id=1864756, encodeId=592f1864e569a, content=<a href='/topic/show?id=16ce133504e' target=_blank style='color:#2F92EE;'>#Oncol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13350, encryptionId=16ce133504e, topicName=Oncol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b63894, createdName=minlingfeng, createdTime=Sat Dec 03 09:38:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89141, encodeId=49108914170, content=套细胞淋巴瘤诊断和治疗新进展,给患者提供了新的治疗方案,其他治疗方案仍需进一步研究!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160516/IMG5739CFE7F40967394.jpg, createdBy=c8001723204, createdName=aduah520, createdTime=Thu Jun 09 21:01:00 CST 2016, time=2016-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1828405, encodeId=3d0f1828405f9, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Jun 21 15:38:00 CST 2016, time=2016-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1702385, encodeId=a8131e02385b3, content=<a href='/topic/show?id=ddc9e795159' target=_blank style='color:#2F92EE;'>#细胞淋巴瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77951, encryptionId=ddc9e795159, topicName=细胞淋巴瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=201630414353, createdName=marlenexl, createdTime=Sun Dec 04 13:38:00 CST 2016, time=2016-12-04, status=1, ipAttribution=)]
    2016-06-09 aduah520

    套细胞淋巴瘤诊断和治疗新进展,给患者提供了新的治疗方案,其他治疗方案仍需进一步研究!

    0

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    2016-06-21 howi
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