Blood:体外光化学疗法(ECP)可明显改善Sezary综合征和真菌红皮病患者预后

2019-09-02 MedSci MedSci原创

目前已证实体外光化学疗法(ECP)对Sezary综合征(SS)和真菌红皮病(MF)患者具有治疗作用。为了检验ECP在现代新型治疗方法中的有效性,Crystal Gao等人对其医院65例确诊为SS或伴有血液受累的红皮性MF患者进行了回顾性分析。研究结点是以总体存活率(OS)和下一次治疗时间(TTNT)来评估患者的预后。

中心点:

体外光化学疗法可延长Sezary综合征/红皮真菌病患者的生存期、改善疾病控制。

Sezary综合征/红皮真菌病患者应尽早开始ECP治疗,最好在1-3线时。

摘要:

目前已证实体外光化学疗法(ECP)对Sezary综合征(SS)和真菌红皮病(MF)患者具有治疗作用。为了检验ECP在现代新型治疗方法中的有效性,Crystal Gao等人对其医院65例确诊为SS或伴有血液受累的红皮性MF患者进行了回顾性分析。研究结点是以总体存活率(OS)和下一次治疗时间(TTNT)来评估患者的预后。

诊断后的中位随访时间为48个月(范围1-225个月),预测的中位OS为120个月。大多数(88%)患者在第1-3线治疗时开始采用ECP,作为单一疗法或与其他全身药物联合使用。与以下药物相比,ECP单一疗法的TTNT明显延长:干扰素(p=0.0067)、组蛋白去乙酰化酶抑制剂(p=0.0003)、新型免疫治疗药物(p=0.0028)、低剂量甲氨蝶呤和化疗。特别是早早开始ECP治疗(第1-3线时),TTNT的时间可长达47个月。

本研究结果支持采用ECP治疗SS/红皮性MF,提示ECP应尽早被考虑用于治疗这些患者。

原始出处:

Crystal Gao, et al.Prolonged survival with the early use of a novel extracorporeal photopheresis regimen in patients with Sézary Syndrome.Blood 2019 :blood.2019000765; doi: https://doi.org/10.1182/blood.2019000765

本文系梅斯医学(MedSci)原创编译,转载需授权!

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    2019-10-14 wodejia-dayu
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    2019-09-04 zhaojie88
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