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Dietary patterns among individuals with plasma cell disorders- opportunities for targeted interventions. 浆细胞疾病患者的饮食模式——进行针对性干预的机会
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-27 DOI: 10.1038/s41408-026-01468-0
Kadiatou Traore,Francesca Castro,Andriy Derkach,Elan Gorshein,Edith Serrano,Alankrita Taneja,Jorge Arturo Hurtado Martínez,Alexander M Lesokhin,Ana M Sahagun Sanchez Aldana,Patricia Alejandra Flores Pérez,Saad Z Usmani,Jenifer M Ahlstrom,Torin Block,Jay R Hydren,Cynthia A Thomson,Urvi A Shah
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引用次数: 0
Impact of clinical surveillance on myeloma-related complications in patients with precursor plasma cell disorders. 临床监测对前体浆细胞疾病患者骨髓瘤相关并发症的影响
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-26 DOI: 10.1038/s41408-026-01463-5
Edward Koo,Sarah Albert,Benjamin Patrick,Meriem Henia,Yona Rhiwi,Christopher McCudden,Victor Jimenez Zepeda,Irwindeep Sandhu,Michael Chu,Hira Mian,Alissa Visram
{"title":"Impact of clinical surveillance on myeloma-related complications in patients with precursor plasma cell disorders.","authors":"Edward Koo,Sarah Albert,Benjamin Patrick,Meriem Henia,Yona Rhiwi,Christopher McCudden,Victor Jimenez Zepeda,Irwindeep Sandhu,Michael Chu,Hira Mian,Alissa Visram","doi":"10.1038/s41408-026-01463-5","DOIUrl":"https://doi.org/10.1038/s41408-026-01463-5","url":null,"abstract":"","PeriodicalId":8989,"journal":{"name":"Blood Cancer Journal","volume":"105 1","pages":""},"PeriodicalIF":12.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low-dose CD7 chimeric antigen receptor T cells for relapsed/refractory T-cell lymphomas: a single-arm, open-label, phase Ia/Ib study. 低剂量CD7嵌合抗原受体T细胞治疗复发/难治性T细胞淋巴瘤:一项单臂、开放标签、Ia/Ib期研究
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-26 DOI: 10.1038/s41408-026-01476-0
Fan Yang,Rui Liu,Zhonghua Fu,Yuelu Guo,Lixia Ma,Miaomiao Cao,Biping Deng,Alex H Chang,Haifeng Wu,Shilin Gan,Chen Chen,Xiaoyan Ke,Kai Hu
{"title":"Low-dose CD7 chimeric antigen receptor T cells for relapsed/refractory T-cell lymphomas: a single-arm, open-label, phase Ia/Ib study.","authors":"Fan Yang,Rui Liu,Zhonghua Fu,Yuelu Guo,Lixia Ma,Miaomiao Cao,Biping Deng,Alex H Chang,Haifeng Wu,Shilin Gan,Chen Chen,Xiaoyan Ke,Kai Hu","doi":"10.1038/s41408-026-01476-0","DOIUrl":"https://doi.org/10.1038/s41408-026-01476-0","url":null,"abstract":"","PeriodicalId":8989,"journal":{"name":"Blood Cancer Journal","volume":"310 1","pages":""},"PeriodicalIF":12.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linvoseltamab versus real-world International Myeloma Working Group standard-of-care in triple-class exposed relapsed/refractory multiple myeloma Linvoseltamab与现实世界国际骨髓瘤工作组标准治疗三级暴露复发/难治性多发性骨髓瘤的比较
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-25 DOI: 10.1038/s41408-026-01466-2
Shaji Kumar, Sundar Jagannath, Katja C. Weisel, Laura Rosiñol, Xavier Leleu, Meletios-Athanasios Dimopoulos, Efstathios Kastritis, David S. Siegel, Jorge Monge, Juan Du, Javier de la Rubia, Pedro Asensi Cantó, Jae Hoon Lee, María-Victoria Mateos, Borja Puertas, Alessandro Gozzetti, Dominik Dytfeld, Enrique M. Ocio, Joan Blade, Shuji Ozaki, Meral Beksac, Fernando Escalante, Madhu Nagaraj, Rafla Hassan, Nicolle Bonar, Paul Spin, Mostafa Shokoohi, Muhaimen Siddiqui, Di Wang, Kevin Hou, Michael E. D. West, Christian Hampp, Jeannette Green, Olivier Humblet, Alexander Breskin, James Harnett, Wenzhen Ge, Rachel E. Sobel, Jessica J. Jalbert, Glenn S. Kroog, Karen Rodriguez Lorenc, Qiufei Ma, Brian G. M. Durie
LINKER-MM1 (NCT03761108) is a Phase 1/2 study of linvoseltamab, a human BCMA×CD3 bispecific antibody for patients with relapsed/refractory multiple myeloma (RRMM) who are triple-class exposed (TCE) with ≥ 3 prior lines of therapy (3L+), or triple-class refractory (TCR). To contextualize efficacy data from LINKER-MM1, the Phase 2 linvoseltamab 200 mg cohort (N = 105) was compared with an international external control arm (ECA) comprising 203 patients from participating International Myeloma Working Group sites who met LINKER-MM1 eligibility criteria based on chart reviews. The ECA reflected real-world standard-of-care (RW SOC). An independent data review committee assessed data relevance, quality, and cohort comparability, while a separate independent central review committee evaluated response data. Inverse probability of treatment weighting was used to balance baseline characteristics between the linvoseltamab arm and the ECA. Linvoseltamab had a higher objective response rate (weighted odds ratio 3.0 [95% confidence interval (CI): 1.9–4.1]) and longer median progression-free survival (weighted hazard ratio [wHR] 0.33 [95% CI: 0.28–0.40]), time to next treatment (wHR 0.34 [95% CI: 0.29–0.44]), and overall survival (wHR 0.72 [95% CI: 0.58–0.98]) than RW SOC. These findings highlight linvoseltamab’s potential as an effective treatment for 3L+ and TCE/TCR RRMM.
LINKER-MM1 (NCT03761108)是一项linvoseltamab的1/2期研究,linvoseltamab是一种人类BCMA×CD3双特异性抗体,用于复发/难治性多发性骨髓瘤(RRMM)三级暴露(TCE)患者,既往治疗≥3条线(3L+),或三级难治性(TCR)。为了将LINKER-MM1的疗效数据纳入背景,将linvoseltamab 200 mg 2期队列(N = 105)与国际外部对照组(ECA)进行比较,ECA包括来自国际骨髓瘤工作组的203名患者,这些患者符合LINKER-MM1的资格标准。ECA反映了现实世界的护理标准(RW SOC)。一个独立的数据审查委员会评估数据的相关性、质量和队列可比性,而一个独立的中央审查委员会评估应答数据。使用治疗加权逆概率来平衡linvoseltamab组和ECA组之间的基线特征。与RW SOC相比,Linvoseltamab具有更高的客观缓解率(加权优势比3.0[95%可信区间(CI): 1.9-4.1]),更长的中位无进展生存期(加权风险比[wHR] 0.33 [95% CI: 0.28-0.40]),到下一次治疗的时间(wHR 0.34 [95% CI: 0.29-0.44])和总生存期(wHR 0.72 [95% CI: 0.58-0.98])。这些发现强调了linvoseltamab作为3L+和TCE/TCR RRMM有效治疗的潜力。
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引用次数: 0
Imatinib outcomes in chronic myeloid leukemia across diverse health care settings: a systematic review and meta-analysis. 伊马替尼治疗慢性髓系白血病的疗效:一项系统综述和荟萃分析。
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-23 DOI: 10.1038/s41408-026-01485-z
Marisol Miranda-Galvis,Joshua Wilson,Yazmin Reategui-Almonacid,Lily Johnston,Allison O Taylor,Ramses Sadek,Kellen Tjioe,Jorge E Cortes
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引用次数: 0
Prognosis and treatment of plasmablastic lymphoma in the United States: a multicenter retrospective study 美国浆母细胞淋巴瘤的预后和治疗:一项多中心回顾性研究
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-23 DOI: 10.1038/s41408-026-01457-3
Matthew Hamby, Brian L. Egleston, Zachary A. K. Frosch, Raphael E. Steiner, Ariela Noy, Veronica Carvajal, Emeline R. Chong, Seda S. Tolu, Gaston Jean-Louis, Jennifer E. Amengual, Romil Patel, Sairah Ahmed, John Sharp, Timothy Voorhees, Robert Baiocchi, Andres Ramirez-Gamero, Jorge J. Castillo, Emily Hamburger, Christopher Dittus, Imran A. Nizamuddin, Neha Mehta-Shah, Nyein Nyein Thaw Dar, Jose Sandoval-Sus, Alexandra E. Rojek, Peter A. Riedell, Niloufer Khan, Alexey Danilov, Vinod Solipuram, Paul G. Rubinstein, Anthony Ariotti, Gita Suneja, Alexander Vartanov, Charles Milrod, Adam J. Olszewski, Gordon Smilnak, Emily Ayers, Sahaj Desai, Joanna M. Rhodes, Gabriella Magarelli, Tatyana Feldman, Meredith Pellon, David M. Aboulafia, William Bae, Carlos Galvez, Vineel Bhatlapenumarthi, Mehdi Hamadani, Stefan K. Barta
Plasmablastic lymphoma (PBL) is a rare, aggressive AIDS-related lymphoma observed in patients with immunosuppressed states as well as in immunocompetent individuals. We sought to determine survival outcomes, prognostic factors, and optimal treatment regimens in a large, contemporary cohort of patients with PBL in the United States. We performed a multicenter, retrospective cohort study, including 344 patients diagnosed with PBL between 2005 and 2022. Patients were stratified into cohorts according to underlying immune status. Survival outcomes were calculated using Kaplan–Meier statistics, with cohort-specific survival outcomes adjusted using propensity score-based weighting. Factors associated with outcomes were assessed via multivariable models using multiple imputation. The median age at diagnosis was 53 years, most patients were male (n = 270), and many had HIV (n = 164). The median OS was 5.0 years, with a median PFS of 1.4 years. Patients living with HIV had the best outcomes, whereas patients with prior organ transplantation had the worst outcomes. Use of higher intensity chemotherapy regimens and use of a proteasome inhibitor in the frontline setting did not show survival benefit. While there was no clear optimal treatment approach in the frontline setting, the median OS of 5.0 years is dramatically improved compared with historical controls.
浆母细胞淋巴瘤(PBL)是一种罕见的、侵袭性的艾滋病相关淋巴瘤,在免疫抑制状态的患者和免疫正常的个体中都可以观察到。我们试图确定美国当代PBL患者的生存结果、预后因素和最佳治疗方案。我们进行了一项多中心、回顾性队列研究,包括2005年至2022年间诊断为PBL的344例患者。根据潜在的免疫状态将患者分层成队列。使用Kaplan-Meier统计计算生存结果,使用基于倾向评分的加权调整特定队列的生存结果。与结果相关的因素通过使用多重输入的多变量模型进行评估。诊断时的中位年龄为53岁,大多数患者为男性(n = 270),许多患者携带艾滋病毒(n = 164)。中位OS为5.0年,中位PFS为1.4年。携带HIV病毒的患者预后最好,而先前接受过器官移植的患者预后最差。在一线使用高强度化疗方案和使用蛋白酶体抑制剂并没有显示出生存益处。虽然在一线环境中没有明确的最佳治疗方法,但与历史对照相比,5.0年的中位OS显着改善。
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引用次数: 0
Efficacy of stem cell boost (SCB) for chimeric antigen receptor-T cell therapy (CAR-T)-related hematologic toxicity in patients with relapsed/refractory multiple myeloma (RRMM)-real world experience from the US multiple myeloma immunotherapy consortium. 干细胞增强(SCB)对复发/难治性多发性骨髓瘤(RRMM)患者嵌合抗原受体- t细胞治疗(CAR-T)相关血液学毒性的疗效-来自美国多发性骨髓瘤免疫治疗联盟的真实世界经验
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-20 DOI: 10.1038/s41408-026-01469-z
Cindy Varga,Myra Robinson,James A Davis,Hamza Hashmi,Thomas G Martin,Anupama Kumar,Douglas W Sborov,Charlotte B Wagner,Doris K Hansen,Omar Castaneda Puglianini,Leyla Shune,Evgeunia Bhurtel,Aimaz Afrough,Larry D Anderson,Binod Dhakal,Megan M Herr,Shambavi Richard,Alex Lieberman-Cribbin,Daniel Sherbenou,Peter A Forsberg,Sneha Purvey,Jack Khouri,Yi Lin,Surbhi Sidana,Krina K Patel,Mehmet Kocoglu,Shonali Midha,Christopher J Ferreri
Prolonged cytopenias are a well-recognized complication following CAR-T therapy. Autologous SCB offers a potential strategy to promote fast hematologic recovery. We conducted a retrospective multi-institutional comparing outcomes of SCB versus supportive care alone in patients with prolonged cytopenias after CAR-T infusion. Patients were included if they received SCB within 1 year following commercial CAR-T between 6/2021 and 3/2024. To identify matched controls, we reviewed 590 CAR-T recipients and selected patients with ANC and platelet thresholds representing the 75th percentile of cytopenia severity in the SCB cohort. Hematologic recovery in the SCB cohort was assessed using CIBMTR engraftment criteria. For the non-SCB (nSCB) group, cell counts were analyzed cross-sectionally at day 60 and 90 post-CAR-T and compared to the SCB cohort with Kruskal-Wallis tests. Progression-free survival (PFS) and overall survival (OS) were evaluated using Kaplan-Meier methods. Of 590 patients, 91 patients (15.4%) developed prolonged cytopenias, 39 of whom received SCB. Median CD34+ cell dose was 2.9 million/kg (range: 1.8-23.6) administered at a median of 53 days post-CAR-T (range 24-265). All but one patient (97.4%) in the SCB group achieved hematologic recovery, with median time to recovery of 24 days (range 9-87). No new toxicities attributable to SCB were observed. On day 90 post CAR-T infusion, SCB patients had higher median Hb (10.6 vs. 8.7g/dL, p = 0.002), and platelet counts (135 vs. 35K/L (p < 0.001). After a median follow-up period of 12.6 months in the SCB cohort and 11.6 months in the nSCB arm, the mPFS was 11.0 months and 8.2 months, respectively. Median OS was not reached vs. 12.3 months in the SCB vs. nSCB groups, respectively. Overall, SCB lead to rapid and successful hematologic outcomes in nearly all patients. Compared to matched controls, Hb and platelets were significantly improved by day 90 post-CAR-T infusion.
延长的细胞减少症是CAR-T治疗后公认的并发症。自体SCB提供了一种潜在的策略来促进血液系统的快速恢复。我们进行了一项回顾性的多机构比较,在CAR-T输注后长期细胞减少的患者中,SCB与单独支持治疗的结果。如果患者在2021年6月至2024年3月之间的商业CAR-T后一年内接受了SCB,则纳入患者。为了确定匹配的对照,我们回顾了590名CAR-T受体,并选择了SCB队列中ANC和血小板阈值代表细胞减少严重程度第75百分位的患者。使用CIBMTR移植标准评估SCB队列的血液学恢复情况。对于非SCB (nSCB)组,在car - t后第60天和第90天对细胞计数进行横断面分析,并使用Kruskal-Wallis测试与SCB队列进行比较。采用Kaplan-Meier法评估无进展生存期(PFS)和总生存期(OS)。在590例患者中,91例患者(15.4%)出现了延长的细胞减少,其中39例接受了SCB治疗。car - t后53天(24-265天)中位CD34+细胞剂量为290万/kg(范围:1.8-23.6)。SCB组除1例(97.4%)患者外,其余患者均实现血液学恢复,平均恢复时间为24天(范围9-87天)。未观察到可归因于SCB的新毒性。CAR-T输注后第90天,SCB患者的中位Hb(10.6比8.7g/dL, p = 0.002)和血小板计数(135比35K/L, p < 0.001)较高。SCB组和非SCB组的中位随访期分别为12.6个月和11.6个月,mPFS分别为11.0个月和8.2个月。中位生存期未达到,而SCB组和nSCB组分别为12.3个月。总的来说,几乎所有患者的SCB都能快速而成功地完成血液学治疗。与匹配的对照组相比,car - t输注后第90天Hb和血小板显著改善。
{"title":"Efficacy of stem cell boost (SCB) for chimeric antigen receptor-T cell therapy (CAR-T)-related hematologic toxicity in patients with relapsed/refractory multiple myeloma (RRMM)-real world experience from the US multiple myeloma immunotherapy consortium.","authors":"Cindy Varga,Myra Robinson,James A Davis,Hamza Hashmi,Thomas G Martin,Anupama Kumar,Douglas W Sborov,Charlotte B Wagner,Doris K Hansen,Omar Castaneda Puglianini,Leyla Shune,Evgeunia Bhurtel,Aimaz Afrough,Larry D Anderson,Binod Dhakal,Megan M Herr,Shambavi Richard,Alex Lieberman-Cribbin,Daniel Sherbenou,Peter A Forsberg,Sneha Purvey,Jack Khouri,Yi Lin,Surbhi Sidana,Krina K Patel,Mehmet Kocoglu,Shonali Midha,Christopher J Ferreri","doi":"10.1038/s41408-026-01469-z","DOIUrl":"https://doi.org/10.1038/s41408-026-01469-z","url":null,"abstract":"Prolonged cytopenias are a well-recognized complication following CAR-T therapy. Autologous SCB offers a potential strategy to promote fast hematologic recovery. We conducted a retrospective multi-institutional comparing outcomes of SCB versus supportive care alone in patients with prolonged cytopenias after CAR-T infusion. Patients were included if they received SCB within 1 year following commercial CAR-T between 6/2021 and 3/2024. To identify matched controls, we reviewed 590 CAR-T recipients and selected patients with ANC and platelet thresholds representing the 75th percentile of cytopenia severity in the SCB cohort. Hematologic recovery in the SCB cohort was assessed using CIBMTR engraftment criteria. For the non-SCB (nSCB) group, cell counts were analyzed cross-sectionally at day 60 and 90 post-CAR-T and compared to the SCB cohort with Kruskal-Wallis tests. Progression-free survival (PFS) and overall survival (OS) were evaluated using Kaplan-Meier methods. Of 590 patients, 91 patients (15.4%) developed prolonged cytopenias, 39 of whom received SCB. Median CD34+ cell dose was 2.9 million/kg (range: 1.8-23.6) administered at a median of 53 days post-CAR-T (range 24-265). All but one patient (97.4%) in the SCB group achieved hematologic recovery, with median time to recovery of 24 days (range 9-87). No new toxicities attributable to SCB were observed. On day 90 post CAR-T infusion, SCB patients had higher median Hb (10.6 vs. 8.7g/dL, p = 0.002), and platelet counts (135 vs. 35K/L (p < 0.001). After a median follow-up period of 12.6 months in the SCB cohort and 11.6 months in the nSCB arm, the mPFS was 11.0 months and 8.2 months, respectively. Median OS was not reached vs. 12.3 months in the SCB vs. nSCB groups, respectively. Overall, SCB lead to rapid and successful hematologic outcomes in nearly all patients. Compared to matched controls, Hb and platelets were significantly improved by day 90 post-CAR-T infusion.","PeriodicalId":8989,"journal":{"name":"Blood Cancer Journal","volume":"52 1","pages":""},"PeriodicalIF":12.8,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of short-course blinatumomab in patients with relapsed/refractory or MRD-positive B-cell acute lymphoblastic leukemia. 短期blinatumumab治疗复发/难治性或mrd阳性b细胞急性淋巴细胞白血病的疗效和安全性
IF 11.6 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-19 DOI: 10.1038/s41408-026-01460-8
Ge Liu, Yile Zhou, Yinjun Lou, Hao Ai, Liping Mao, Qian Wang, Hongfei Wu, Hongyan Tong, Xudong Wei, Jie Jin, Huafeng Wang, Qingsong Yin
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引用次数: 0
Imatinib and nilotinib are equally successful in achieving therapy-free remission. 伊马替尼和尼洛替尼在实现无治疗缓解方面同样成功。
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-17 DOI: 10.1038/s41408-026-01462-6
Fang Cheng,Yu Wang,Yunfan Yang,Xin Du,Yu Zhu,Jianyu Weng,Na Xu,Jian Huang,Zhenfang Liu,Hongbo Ren,Huifang Zhao,Huanling Zhu,Qian Jiang,Yanli Zhang,Weiming Li
{"title":"Imatinib and nilotinib are equally successful in achieving therapy-free remission.","authors":"Fang Cheng,Yu Wang,Yunfan Yang,Xin Du,Yu Zhu,Jianyu Weng,Na Xu,Jian Huang,Zhenfang Liu,Hongbo Ren,Huifang Zhao,Huanling Zhu,Qian Jiang,Yanli Zhang,Weiming Li","doi":"10.1038/s41408-026-01462-6","DOIUrl":"https://doi.org/10.1038/s41408-026-01462-6","url":null,"abstract":"","PeriodicalId":8989,"journal":{"name":"Blood Cancer Journal","volume":"233 1","pages":""},"PeriodicalIF":12.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147465173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phase 2 multicenter maintenance study of golidocitinib, A JAK1 selective inhibitor, in patients with peripheral T cell lymphomas after first-line systemic therapy (JACKPOT26) JAK1选择性抑制剂golidocitinib在一线全身治疗后外周血T细胞淋巴瘤患者中的2期多中心维持研究(JACKPOT26)
IF 12.8 1区 医学 Q1 HEMATOLOGY Pub Date : 2026-03-17 DOI: 10.1038/s41408-026-01452-8
Juying Wei, Qingqing Cai, Liling Zhang, Liqun Zou, Zengjun Li, Keshu Zhou, Huijing Wu, Lihua Qiu, Liping Su, Kaiyang Ding, Hui Zhou, Li Yu, Fei Li, Wenyu Li, Li’e Lin, Qing Xiao, Erhua Wang, Hongmei Jing, Meifang Zheng, Hongyu Zhang, Yuhuan Gao, Da Gao, Lijia Chen, Jie Jin
Patients with peripheral T cell lymphoma (PTCL) who achieved tumor response with first-line standard therapy were at high risk of disease relapse. We explored golidocitinib (150 mg once daily) as maintenance therapy for this group of patients (JACKPOT26, NCT06511869). This study included two cohorts: patients achieving a complete response (Cohort 1 (CR), N = 30) and a partial response (Cohort 2 (PR), N = 18) during induction stage. All enrolled patients were transplant ineligible or did not have a transplant plan. All dosed patients were included in the efficacy and safety analysis. In Cohort 1, the 24-month disease free survival (DFS) rate was 74.2% with golidocitinib treatment. In nodal subtypes (AITL, NOS, ALK- ALCL), the 24-month DFS rate was 62.7%. In Cohort 2, median progression free survival (PFS) was 17.4 months, and 24-month PFS rate was 48.6%. Nine out of 18 patients with initial PR achieved complete response, leading to a complete response rate of 50.0%, and median duration of response of 23.9 months. The most common ≥grade 3 treatment-related treatment-emergent adverse events (TRAEs) were hematological adverse events in nature, including neutrophil count decreased (47.9%), white blood cell count decreased (31.3%), lymphocyte count decreased (14.6%) and leukopenia (12.5%). The majority of these TRAEs were reversible and clinically manageable. TRAEs leading to treatment interruption and discontinuation occurred in 60.4% and 10% of patients, respectively. No TRAEs leading to fatal outcomes were reported. This study suggests the potential of golidocitinib as maintenance therapy for patients with PTCL.
外周T细胞淋巴瘤(PTCL)患者通过一线标准治疗达到肿瘤缓解后,疾病复发的风险很高。我们探索将golidocitinib (150mg,每日一次)作为该组患者的维持治疗(JACKPOT26, NCT06511869)。本研究包括两个队列:在诱导期达到完全缓解的患者(队列1 (CR), N = 30)和部分缓解的患者(队列2 (PR), N = 18)。所有入组患者均为不适合移植或没有移植计划的患者。所有给药患者均纳入疗效和安全性分析。在队列1中,接受高利多替尼治疗的24个月无病生存率(DFS)为74.2%。在淋巴结亚型(AITL, NOS, ALK- ALCL)中,24个月的DFS率为62.7%。在队列2中,中位无进展生存期(PFS)为17.4个月,24个月PFS率为48.6%。18例初始PR患者中有9例达到完全缓解,完全缓解率为50.0%,中位缓解持续时间为23.9个月。最常见的≥3级治疗相关不良事件(TRAEs)是血液学不良事件,包括中性粒细胞计数减少(47.9%)、白细胞计数减少(31.3%)、淋巴细胞计数减少(14.6%)和白细胞减少(12.5%)。这些trae大多数是可逆的,临床上是可控的。导致治疗中断和停药的trae分别发生在60.4%和10%的患者中。未见TRAEs导致致命结果的报道。本研究提示高利多替尼作为PTCL患者维持治疗的潜力。
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引用次数: 0
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Blood Cancer Journal
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