{"title":"新药能治愈急性髓性白血病吗?","authors":"R. Gale","doi":"10.18620/ctt-1866-8836-2021-10-3-4-4-7","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":39111,"journal":{"name":"Cellular Therapy and Transplantation","volume":"39 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Will new drugs cure acute myeloid leukaemia?\",\"authors\":\"R. Gale\",\"doi\":\"10.18620/ctt-1866-8836-2021-10-3-4-4-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":39111,\"journal\":{\"name\":\"Cellular Therapy and Transplantation\",\"volume\":\"39 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-01-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cellular Therapy and Transplantation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18620/ctt-1866-8836-2021-10-3-4-4-7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cellular Therapy and Transplantation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18620/ctt-1866-8836-2021-10-3-4-4-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
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.