新药能治愈急性髓性白血病吗?

Q4 Medicine
R. Gale
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引用次数: 0

摘要

有许多新的治疗方法被批准用于治疗急性髓性白血病(AML),包括常规药物和靶向药物,以及免疫疗法。大多数改善多种结果,包括无事件和无复发生存和生存。然而,大多数效应量很小,2年后的失败率很高。基于上述数据,我得出以下结论:(1)许多新的AML疗法针对特定的AML亚型;(2)在可以接受任何一种治疗的患者中,没有一种治疗比强化放化疗更好;(3)对谁能接受强化治疗或谁不能接受强化治疗存在分歧;(4)若干新药审批存在重大问题;(5)阿扎胞苷和venetoclax可能成为无法接受强化治疗的老年AML患者的新护理标准;(6)新药受到欢迎,但对大多数AML患者的长期生存没有太大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Will new drugs cure acute myeloid leukaemia?
There are many new therapies approved to treat acute myeloid leukaemia (AML) including conventional and targeted drugs, and immune therapy. Most improve diverse outcomes including eventand relapse-free survivals and survival. However, most effect sizes are small and failure rates by 2 years are high. Based on the data reviewed above I conclude: (1) many new AML therapies target specific AML sub-types; (2) none are proved better than intensive radiochemotherapy in persons who could receive either therapy; (3) there is disagreement defining who can or cannot receive intensive therapy; (4) there are important problems with several new drug approvals; (5) azacitidine and venetoclax may be the new standard-of-care in elderly persons with AML judged unable to receive intensive therapy; and (6) new drugs are welcome but have not had a big impact on long-term survival of most people with AML.
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来源期刊
Cellular Therapy and Transplantation
Cellular Therapy and Transplantation Medicine-Transplantation
CiteScore
0.60
自引率
0.00%
发文量
31
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