套细胞淋巴瘤患者移植后的治疗选择:文献综述

Q4 Pharmacology, Toxicology and Pharmaceutics European Journal of Oncology Pharmacy Pub Date : 2018-10-01 DOI:10.1097/OP9.0000000000000006
E. Cowley, Thomas McFarlane
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引用次数: 0

摘要

摘要:套细胞淋巴瘤是一种罕见的B细胞淋巴瘤亚型,其预后较差,通常难以治疗。自体干细胞移植(ASCT)已被证明可以提高生存率,但不被认为是有效的。根据目前ASCT失败患者的指导方针,目前没有具体的首选治疗方案。我们进行了一次系统的范围界定审查,以检查这一背景下的现有文献。共筛选了3045条记录,产生了40篇全文文章,其中12篇包含在结果中。Ibrutinib和venetoclax似乎在ASCT后产生了最高的有效率和无进展生存期,然而,关于ASCT后患者复发/难治性套细胞淋巴瘤治疗方案的实际疗效,文献中存在严重空白,这方面需要更多的随机对照临床试验。
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Treatment options for patients with mantle cell lymphoma post-transplantation: A scoping review of the literature
Abstract Mantle cell lymphoma is a rare subtype of B-cell lymphoma which carries with it a poor prognosis and is typically refractory to treatment. Autologous stem cell transplant (ASCT) has been shown to improve survival, but is not considered curative. There is currently no specific preferred regimen of treatment according to current guidelines for patients who fail ASCT. We undertook a systematic scoping review to examine the existing literature in this setting. A total of 3045 records were screened, yielding 40 full-text articles, 12 of which were included in the results. Ibrutinib and venetoclax appeared to produce the highest response rates and length of progression-free survival post-ASCT, however, there are serious gaps in the literature regarding what is actually known about the efficacy of treatment regiments for relapsed/refractory mantle cell lymphoma in post-ASCT patients and more randomized, controlled clinical trials are needed in this area.
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