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苯达莫司汀在淋巴肿瘤中的应用进展 被引量:4

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摘要 苯达莫司汀(Bendamustine)是一种兼具烷化剂和抗代谢作用的细胞毒药物,该药在多种血液系统肿瘤和实体瘤中显示了良好疗效.临床以及体外实验显示,其与烷化剂等少有交叉耐药.苯达莫司汀单药或联合利妥昔单抗目前已经成为CLL初治以及复发患者的一线治疗方案.对于利妥昔单抗复发耐药的患者,其总反应率90%~92%,完全缓解率55%~60%.该药耐受性良好,不良反应主要为可逆性骨髓抑制.然而目前仍存在若干亟待解决的问题,如苯达莫司汀最佳治疗剂量以及疗程、该药对于中重度肝肾功能不全患者的影响、该药治疗对于干细胞运输以及采集的影响、与继发性MDS之间的关系等.
出处 《国际输血及血液学杂志》 CAS 2011年第1期24-27,共4页 International Journal of Blood Transfusion and Hematology
基金 国家科技支撑计划项目(2008BA161B01),天津市科技支撑计划项目(09ZCGYSF01000)
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参考文献19

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同被引文献70

  • 1Schrijvers D, Vermorken JB. Phase I studies with bendamustine: an update. Semin Oncol, 2002, 29(4 Suppl 13) : 15-18.
  • 2Bremer K. High rates of long-lasting remissions after 5-day bendamustine chemotherapy cycles in pre-treated low-grade non- Hodgkin's-lymphomas. J Cancer Res Clin Oncol, 2002, 128 : 603- 609.
  • 3Kahl BS, Bartlett NL, Leonard JP, et al. Bendamustine is effective therapy in patients with rituximab-refractory, indolent B-cell non- Hodgkin lymphoma: results from a Multicenter Study. Cancer, 2010, 116: 106-114.
  • 4Ohmachi K, Ando K, Ogura M, et al. Multicenter phase II study of bendamustine for relapsed or refractory indolent B-cell non-Hodgkin lymphoma and mantle cell lymphoma. Cancer Sci, 2010, 101 : 2059- 2064.
  • 5Robinson KS, Williams ME, van der Jagt RH, et al. Phase U multieenter study of bendamustine plus rituximab in patients with relapsed indolent B-cell and mantle cell non-Hodgkin's lymphoma. J Clin Oncol, 2008, 26: 4473-4479.
  • 6Ogura M, Ando K, Taniwaki M, et al. Feasibility and pharmacokinetic study of bendamustine hydrochloride in combination with rituximab in relapsed or refractory aggressive B cell non- Hodgkin's lymphoma. Cancer Sci, 2011, 102: 1687-1692.
  • 7Weide R, Hess G, Kappler H, et al. High anti-lymphoma activity of bendamustine/mitoxantrone/rituximab in rituximab pretreated relapsed or refractory indolent lymphomas and mantle cell lymphomas. A multicenter phase II study of the German Low Grade Lymphoma Study Group (GLSG). Leuk Lymphoma, 2007, 48: 1299-1306.
  • 8Visani G, Malerba L, Stefani PM, et al. BeEAM (bendamustine, etoposide, cytarabine, melphalan) before autologous stem cell transplantation is safe and effective for resistant/relapsed lymphoma patients. Blood, 2011, 118 : 3419-3425.
  • 9Heider A, Niederle N. Efficacy and toxicity of bendamustine in patients with relapsed low-grade non-Hodgkin's lymphomas. Anticancer Drugs, 2001, 12: 725-729.
  • 10Knauf WU, Lissichkov T, Aldaoud A, et al. Phase 111 randomized study of bendamustine compared with chlorambucil in previously untreated patients with chronic lymphocytic leukemia. J Clin Oncol, 2009, 27: 4378-4384.

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