Maintenance therapy for FLT3-ITD-mutated acute myeloid leukemia

被引:51
作者
Burchert, Andreas [1 ,2 ]
机构
[1] Philipps Univ Marburg, Dept Internal Med Hematol Oncol & Immunol, Marburg, Germany
[2] Univ Hosp Giessen & Marburg, Campus Marburg, Marburg, Germany
关键词
INTERNAL TANDEM DUPLICATION; KINASE INHIBITOR; CELL TRANSPLANTATION; MIDOSTAURIN PKC412; FLT3; INHIBITORS; STEM-CELLS; SORAFENIB; MUTATIONS; CHEMOTHERAPY; TARGET;
D O I
10.3324/haematol.2019.240747
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
FLT3-ITD is a constitutively activated variant of the FLT3 tyrosine kinase receptor. Its expression in acute myeloid leukemia (AML) is associated with a poor prognosis. Due to this, the development of tyrosine kinase inhibitors (TKI) blocking FLT3-ITD became a rational therapeutic concept. This review describes key milestones in the clinical development of different FLT3-specific TKI with a particular focus on FLT3-TKI maintenance therapy in remission after allogeneic hematopoietic stem cell transplantation (HCT). Recent evidence from randomized trials using sorafenib in FLT3-ITD mutat ed AML provided a proof of concept that targeted post-HCT maintenance therapy could become a new treatment paradigm in AML.
引用
收藏
页码:664 / 670
页数:7
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