Brentuximab vedotin治疗12例复发性或难治性霍奇金淋巴瘤
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Brentuximab vedotin for treatment of relapsed or refractory Hodgkin’s lymphoma: report of 12 cases
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    摘要:

    目的 观察新型靶向治疗药Brentuximab vedotin治疗复发性或难治性霍奇金淋巴瘤(HL)的临床疗效和不良反应。方法 选取我院住院治疗的12例复发性或难治性HL患者,经病理及免疫组化证实为CD30抗原阳性的HL。所有病例均接受过二线或三线方案化疗,化疗中位数13个疗程。7例曾接受自体干细胞移植,其中2例行自体干细胞移植后因复发接受异基因干细胞移植。给药方法:Brentuximab vedotin单药剂量1.2~1.8mg/kg,静脉滴注,每21天给药1次。患者共接受2~16个疗程,治疗中位数4个疗程。结果 完全缓解2例(17%),部分缓解7例(58%),稳定2例(17%),进展死亡1例(8%)。主要不良反应有乏力、白细胞减少、发热、脱发、转氨酶增高、恶心、末梢神经炎、疼痛等,患者均可耐受。结论 Brentuximab vedotin治疗复发或难治性HL具有良好的临床疗效,不良反应轻微,患者多能耐受。

    Abstract:

    Objective To determine the efficiency and adverse reaction of the new targeted drug—Brentuximab vedotin, in treatment of patients with relapsed or refractory Hodgkin’s lymphoma(HL). Methods Twelve patients with relapsed or refractory CD30 antigen-positive HL confirmed by pathology and immunohistochemistry treated in our hospital were enrolled in this study. All patients had received the second- or third-line chemotherapy regimens, with median 13 courses of chemotherapy. Seven patients had been treated with autologous stem cell transplantation, among which, 2 cases also underwent allogeneic stem cell transplantation because of relapse after autologous stem cell transplantation. Brentuximab vedotin was given at a dose of 1.2 to 1.8mg/kg, via intravenous injection, for a treatment phase of 21d. Patients received 2 to 16 treatment courses, with a median number of 4 courses. Results Complete remission was achieved in 2 cases(17%), partial remission in 7 cases(58%). Two out of 12 cases(17%) reached a stable condition, and 1 case died(8%). Main adverse reactions included fatigue, leukocyte reduction, fever, hair loss, elevated transaminases, nausea, peripheral neuritis, pain, etc. All of them were tolerated by this cohort of patients. Conclusion Brentuximab vedotin has good clinical efficacy in relapsed or refractory HL and has mild adverse reactions, which is tolerable for the patients.

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曹志刚, 彭朝津, 王志红, 刘 默, 周宏伟, 靖 彧, 杨清明*. Brentuximab vedotin治疗12例复发性或难治性霍奇金淋巴瘤[J].中华老年多器官疾病杂志,2013,12(10):736~740

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  • 在线发布日期: 2013-11-06
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