Robert Galamaga, Stephanie Johnston, Cassaundra Acosta
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引用次数: 0
摘要
化疗诱发血小板减少症(CIT)的治疗极具挑战性,常常导致化疗延迟、剂量减少和治疗中断。随机试验支持促血小板生成素受体激动剂在 CIT 治疗中的潜在疗效和安全性。阿伐曲波帕(AVA)的Ⅲ期试验表明,CIT实体瘤患者的血小板计数(PC)有所增加。为了补充这些研究结果,本文介绍了六例实体瘤 CIT 患者的系列病例。这些病例的结果支持 AVA 在改善 PC 和减少 CIT 对肿瘤治疗的影响方面的临床益处,使治疗得以继续,而无需减少剂量或中断治疗。
Avatrombopag for the treatment of patients with chemotherapy-induced thrombocytopenia: A case series.
Management of chemotherapy-induced thrombocytopenia (CIT) is challenging, often resulting in chemotherapy treatment delays, dose reduction, and treatment interruption. Randomized trials support the potential efficacy and safety of thrombopoietin receptor agonists in CIT management. A phase III trial of avatrombopag (AVA) demonstrated increased platelet counts (PC) in patients with solid tumours experiencing CIT. To complement those findings, this case series of six patients with solid tumours and CIT is presented. Results from these cases support the clinical benefit of AVA in improving PC and reducing the impact of CIT on tumour treatment, allowing continued therapy without dose reduction or treatment interruption.
期刊介绍:
The British Journal of Haematology publishes original research papers in clinical, laboratory and experimental haematology. The Journal also features annotations, reviews, short reports, images in haematology and Letters to the Editor.