CPX-351联合gemtuzumab ozogamicin治疗复发/难治性急性髓性白血病:加州大学血液恶性肿瘤协会的一项试验

IF 2.2 4区 医学 Q3 HEMATOLOGY
Caspian Oliai, Sunmin Park, Lloyd E Damon, Brian A Jonas, Deepa Jeyakumar, Matthew J Wieduwilt, Aaron C Logan, Bradley Callas, Chris A Hannigan, Daria L Gaut, Gary J Schiller
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引用次数: 0

摘要

在这项多中心Ib期临床试验中,我们研究了CPX-351联合吉妥珠单抗ozogamicin (GO)治疗复发/难治性急性髓性白血病(AML)的疗效。队列A接受CPX-351加单剂氧化石墨烯,而队列B接受两剂氧化石墨烯。13名参与者接受了研究性治疗。剂量限制性毒性(dlt)发生在每个队列中一名参与者,不良事件可控。无肝窦梗阻性综合征病例。在12名可评估的参与者中,4名达到完全缓解(CR),其中3名可测量的残留疾病呈阴性。应答者恢复造血功能的中位时间为37天。CPX-351与氧化石墨烯是可行的,具有可接受的毒性和骨髓恢复动力学。需要在更大的患者队列中进一步评估该方案对复发/难治性AML的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CPX-351 plus gemtuzumab ozogamicin for relapsed/refractory acute myelogenous leukemia: a University of California Hematologic Malignancies Consortium trial.

In this multicenter phase Ib trial, we investigated the combination of CPX-351 and gemtuzumab ozogamicin (GO) in relapsed/refractory acute myeloid leukemia (AML). Cohort A received CPX-351 plus a single dose of GO, while cohort B received two doses of GO. Thirteen participants received investigational treatment. Dose-limiting toxicities (DLTs) occurred in one participant in each cohort, with manageable adverse events. No cases of hepatic sinusoidal obstructive syndrome occurred. Out of 12 evaluable participants, four achieved complete remission (CR), three of whom were negative for measurable residual disease. The median time to recovery of hematopoiesis for responders was 37 days. CPX-351 with GO was feasible with acceptable toxicity and marrow recovery kinetics. Further evaluation in a larger patient cohort is necessary to assess the efficacy of this regimen in relapsed/refractory AML.

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来源期刊
Leukemia & Lymphoma
Leukemia & Lymphoma 医学-血液学
CiteScore
4.10
自引率
3.80%
发文量
384
审稿时长
1.8 months
期刊介绍: Leukemia & Lymphoma in its fourth decade continues to provide an international forum for publication of high quality clinical, translational, and basic science research, and original observations relating to all aspects of hematological malignancies. The scope ranges from clinical and clinico-pathological investigations to fundamental research in disease biology, mechanisms of action of novel agents, development of combination chemotherapy, pharmacology and pharmacogenomics as well as ethics and epidemiology. Submissions of unique clinical observations or confirmatory studies are considered and published as Letters to the Editor
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