Long-Term Survival with Ibrutinib Therapy in Elderly Patients with Newly Diagnosed Primary Central Nervous System Lymphoma

J. Kuhlman, Muhamad Alhaj Moustafa, Liuyan Jiang, Jing Wang, Vivek Gupta, H. Tun
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引用次数: 1

Abstract

Abstract Primary central nervous system lymphoma (PCNSL) carries a dismal prognosis in elderly patients above 70 years of age with a median overall survival of 6 months. Novel therapeutic agents are urgently needed to improve survival outcomes in this age group. We describe the clinical presentation, diagnostic workup, and treatment outcome in two 80-year-old patients diagnosed with PCNSL who were treated with ibrutinib therapy. Both patients remain in complete remission following treatment with ibrutinib therapy. One patient is currently 4 years and the other is 2 years and 9 months from the time of initial diagnosis. We suggest that ibrutinib therapy has significant therapeutic activity against PCNSL in the newly diagnosed setting and should be evaluated in a clinical trial as part of front-line therapy, especially in elderly patients.
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伊鲁替尼治疗老年新诊断原发性中枢神经系统淋巴瘤患者的长期生存率
原发性中枢神经系统淋巴瘤(PCNSL)在70岁以上的老年患者中预后不佳,中位总生存期为6个月。迫切需要新的治疗药物来改善这一年龄组的生存结果。我们描述了两名接受依鲁替尼治疗的80岁PCNSL患者的临床表现、诊断检查和治疗结果。在伊鲁替尼治疗后,两名患者仍处于完全缓解期。1例患者目前为4年,另1例为2年零9个月。我们建议伊鲁替尼治疗在新诊断的PCNSL中具有显著的治疗活性,应该在临床试验中作为一线治疗的一部分进行评估,特别是在老年患者中。
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来源期刊
自引率
7.10%
发文量
16
审稿时长
16 weeks
期刊介绍: Blood and Lymphatic Cancer: Targets and Therapy is an international, peer reviewed, open access journal focusing on blood and lymphatic cancer research, identification of therapeutic targets, and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for the cancer patient. Specific topics covered in the journal include: Epidemiology, detection and screening Cellular research and biomarkers Identification of biotargets and agents with novel mechanisms of action Optimal clinical use of existing anticancer agents, including combination therapies Radiation, surgery, bone marrow transplantation Palliative care Patient adherence, quality of life, satisfaction Health economic evaluations.
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