关键词: T-cell acute lymphoblastic leukemia anti-programmed cell death protein 1 case report chemo-free maintenance therapy histone deacetylase inhibitor literature review

来  源:   DOI:10.3389/fphar.2023.1051305   PDF(Pubmed)

Abstract:
Maintenance therapy in adult T-cell acute lymphoblastic leukemia (T-ALL) is the longest phase but with limited option. The classic drugs used in the maintenance phase such as 6-mercaptopurine, methotrexate, corticosteroid and vincristine have potentially serious toxicities. Optimizing therapy in the modern age, chemo-free maintenance therapy regimens for patients with T-ALL may dramatically improve the maintenance therapeutic landscape. We report here the combination of Anti-programmed cell death protein 1 antibody and histone deacetylase inhibitor as chemo-free maintenance treatment in a T-ALL patient with literature review, thus providing a unique perspective in addition to valuable information which may inform novel therapeutic approaches.
摘要:
成人T细胞急性淋巴细胞白血病(T-ALL)的维持治疗是最长的阶段,但选择有限。在维持阶段使用的经典药物,如6-巯基嘌呤,甲氨蝶呤,皮质类固醇和长春新碱具有潜在的严重毒性。在现代优化治疗,T-ALL患者的无化疗维持治疗方案可显著改善维持治疗前景.我们在此报告抗程序性细胞死亡蛋白1抗体和组蛋白去乙酰化酶抑制剂的组合作为T-ALL患者的无化疗维持治疗,并进行文献综述。因此,除了有价值的信息之外,还提供了一个独特的视角,这些信息可能会为新的治疗方法提供信息。
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