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首页> 外文期刊>Journal of the advanced practitioner in oncology >Minimal Residual Disease in Chronic Lymphocytic Leukemia: Highlights From SOHO 2020
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Minimal Residual Disease in Chronic Lymphocytic Leukemia: Highlights From SOHO 2020

机译:慢性淋巴细胞白血病中的最小残留疾病:Soho 2020的亮点

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摘要

Minimal residual disease (MRD) detection in chronic lymphocytic leukemia (CLL) is evolving as an important concept in patient treatment algorithms due to the availability of drug combinations capable of inducing complete responses (CR). Such achievement raises the concept of time-limited therapy in an incurable disease outside of bone marrow transplant. While ibrutinib (Imbruvica), a Bruton tyrosine kinase inhibitor (BTKi), has improved progression-free survival (PFS) and overall survival (OS), including in patients with poor prognostic features, CRs are rare, with deeper responses improving over time. Therefore, ibrutinib is maintained until disease progression or intolerance.
机译:由于能够诱导完全应答(CR)的药物组合的可用性,慢性淋巴细胞白血病(CLL)的微小残留病(MRD)检测正在成为患者治疗算法中的一个重要概念。这一成就提出了在骨髓移植之外对一种不治之症进行限时治疗的概念。虽然布鲁顿酪氨酸激酶抑制剂(BTKi)伊布替尼(Imbruvica)改善了无进展生存率(PFS)和总生存率(OS),包括预后不良的患者,但CRs很少见,随着时间的推移,更深层次的反应会改善。因此,伊布替尼一直维持到疾病进展或不耐受。

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