Venclyxto(venetoclax)治疗慢性淋巴细胞性白血病:已获NICE支持

2020-11-11 Allan MedSci原创

美国国立卫生研究院(NICE)建议将AbbVie的Venclyxto(venetoclax)用作慢性淋巴细胞性白血病(CLL)的常规治疗方法。

B细胞淋巴瘤2(BCL-2)可以抑制由多种细胞毒因素所引起的细胞死亡。BCL-2的过度表达能增强所观察细胞对大多数细胞毒素的抵抗性。这一发现使人们认识到凋亡的各种信号转导途径有一个共同的通路或交汇点,而该通路或交汇点受BCL-2调节。

NICE建议将AbbVie的Venclyxto(venetoclax)用作慢性淋巴细胞性白血病(CLL)的常规治疗方法。口服B细胞淋巴瘤2(BCL-2)抑制剂Venclyxto(venetoclax)已被证明与罗氏Gazyvaro(obinutuzumab)联用可用于尚未接受过治疗的CLL患者。

NICE已推荐Venclyxto联合Gazyvaro用于具有del(17p)/ TP53突变的CLL患者和没有del(17p)/ TP53突变的CLL患者,这些患者不适合使用环磷酰胺和利妥昔单抗(FCR)或苯达莫司汀和利妥昔单抗(BR)。除了这种适应症外,NICE还建议将Veclyxto组合疗法用于无del(17p)/ TP53突变且适用FCR或BR的患者。

III期CLL14试验证实,在未经治疗的CLL患者中,Venclyxto联合Gazyvaro组的三年PFS率估计值为81.9%,而接受常用化学免疫疗法苯丁酸氮芥-奥比纽妥单抗(ClbG)的患者的三年PFS率为49.5%。

 

原始出处:

http://www.pharmatimes.com/news/viivs_long-acting_hiv_drug_beats_standard_of_care_in_prevention_study_1356736

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    2021-01-25 canlab
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    2020-11-13 fusion
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