Personalizing initial therapy in acute myeloid leukemia: incorporating novel agents into clinical practice

被引:10
作者
DeStefano, Christin B. [2 ,3 ]
Hourigan, Christopher S. [1 ]
机构
[1] NHLBI, Lab Myeloid Malignancies, NIH, 10 CRC,Room 5-5130,10 Ctr Dr, Bethesda, MD 20814 USA
[2] NIH, Lab Myeloid Malignancies, Bldg 10, Bethesda, MD 20892 USA
[3] MedStar Washington Canc Inst, Dept Hematol, Washington, DC USA
基金
美国国家卫生研究院;
关键词
acute myeloid leukemia; novel agents; personalized therapy; ISOCITRATE DEHYDROGENASE MUTATIONS; GEMTUZUMAB OZOGAMICIN; OLDER PATIENTS; MYELODYSPLASTIC SYNDROME; INDUCTION CHEMOTHERAPY; INTENSIVE CHEMOTHERAPY; FLT3; DAUNORUBICIN; RESISTANCE; AML;
D O I
10.1177/2040620718761778
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
While the past decade has seen a revolution in understanding of the genetic and molecular etiology of the disease, in clinical practice, initial therapy for acute myeloid leukemia (AML) patients has been a relatively straightforward choice between intensive combination cytotoxic induction therapy as used for decades or less-intensive hypomethylating therapy. The year 2017, however, witnessed US Food and Drug Administration approvals of midostaurin, enasidenib, gemtuzumab ozogamicin and CPX-351 for AML patients, with many other promising agents currently in clinical trials. This review discusses these options, highlights unanswered questions regarding optimal combinations and proposes some suggested approaches for the personalization of initial therapy for AML patients.
引用
收藏
页码:109 / 121
页数:13
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