BCR/ABL-Positive Chronic Myeloid Leukemia in Children: Current Treatment Approach.

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-03-01 Epub Date: 2024-02-10 DOI:10.1007/s11912-024-01502-z
Jenna M Menger, Ryan S Sathianathen, Kathleen M Sakamoto, Nobuko Hijiya
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Abstract

Purpose of review: The purpose of this review is to summarize the most updated treatment recommendations for pediatric CML, and to discuss current areas of investigation.

Recent findings: There is new phase 1 data to support the safety of the non-ATP competitive tyrosine kinase inhibitor (TKI) asciminib in the pediatric cohort. Ongoing studies are investigating the role of treatment-free remission in children. Chronic phase CML in children is managed with lifelong TKI therapy; however, evidence of deeper remissions sustained with second-generation TKIs may permit shorter treatment courses. Use of more specific TKIs may mitigate some of the side effects specific to the pediatric cohort. Children with advanced phase CML should achieve a complete hematologic remission with use of a second-generation TKI prior to transplant to achieve the best outcome.

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儿童 BCR/ABL 阳性慢性粒细胞白血病:当前的治疗方法。
综述目的:本综述旨在总结小儿慢性骨髓性白血病的最新治疗建议,并讨论当前的研究领域:有新的一期数据支持非ATP竞争性酪氨酸激酶抑制剂(TKI)阿西米尼在儿童群体中的安全性。正在进行的研究正在调查无治疗缓解在儿童中的作用。儿童慢性期 CML 需终身接受 TKI 治疗;不过,有证据表明,第二代 TKI 可维持更深层次的缓解,这可能会缩短治疗疗程。使用更具特异性的 TKIs 可减轻儿童群体特有的一些副作用。晚期 CML 患儿应在移植前使用第二代 TKI 达到完全血液学缓解,以获得最佳治疗效果。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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