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中国医药导刊 ›› 2024, Vol. 26 ›› Issue (6): 570-575.

• 临床医药 • 上一篇    下一篇

小剂量地西他滨联合伊布替尼治疗复发/难治性弥漫大B细胞淋巴瘤的疗效和安全性观察

姚书娜, 严正, 赵爽, 王海英, 褚俊峰, 徐原林, 张九阳, 张培培, 刘艳艳, 姚志华*   

  1. 郑州大学附属肿瘤医院(河南省肿瘤医院)淋巴综合内科,河南 郑州 450008
  • 收稿日期:2023-06-14 修回日期:2024-05-15 出版日期:2024-06-28 发布日期:2024-06-28
  • 基金资助:

    河南省医学科技攻关计划项目(201702251)

Efficacy and Safety of Low-Dose Decitabine Combined with Ibrutinib in the Treatment of Relapsed/Refractory Diffuse Large B-Cell Lymphoma

  1. General Department of the Lymphatic Medicine the Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital
    Henan Zhengzhou 450008, China
  • Received:2023-06-14 Revised:2024-05-15 Online:2024-06-28 Published:2024-06-28

摘要:

目的:观察小剂量地西他滨联合伊布替尼治疗复发/难治性弥漫大B细胞淋巴瘤的疗效和安全性。方法:回顾性收集20194月至20206月于我院应用地西他滨联合伊布替尼治疗的复发/难治性弥漫大B细胞淋巴瘤患者的临床资料(包括患者一般资料、病理诊断、治疗经过、毒副作用及生存情况),评价其疗效和不良反应。结果:共12例患者接受该方案治疗。完全缓解3例,部分缓解1例,疾病稳定1例,疾病进展7例,客观有效率33.33%4/12)。疾病控制率41.67%5/12)。中位无事件生存时间为1.5个月,中位总生存时间为5个月。1例患者获得完全缓解后进行自体干细胞移植巩固治疗并保持完全缓解。在不良反应方面,级血液学毒性发生率25.00%3/12),非血液学毒性主要表现为级乏力、皮疹,级肺部感染约33.33%4/12),无心脏毒性发生。结论:小剂量地西他滨联合伊布替尼用于复发/难治性弥漫大B细胞淋巴瘤的有效性尚可,干细胞的动员不受影响,安全性可耐受。

 

关键词: 地西他滨, 伊布替尼, 复发/难治性, 弥漫大B细胞淋巴瘤

Abstract:

Objective: To observe the efficacy and safety of low-dose decitabine combined with ibrutinib in the treatment of relapsed/refractory diffuse large B-cell lymphoma.Methods: The clinical data including general information pathological diagnosis treatment course toxicity and survival of patients with relapsed/refractory diffuse large B-cell lymphoma treated with decitabine combined with ibrutinib in our hospital from April 2019 to June 2020 were retrospectively collected to evaluate the efficacy and adverse reactions.Results: A total of 12 patients were included. 3 cases were achieved complete response1 case was partial response1 case was stable disease and 7 case were progressive disease. The objective response rate was 33.33% 4/12. The disease control rate was 41.67% 5/12. The median event free survival time was 1.5 months and the median overall survival time was 5 months. 1 case underwent autologous stem cell transplantation after achieving complete response and keep complete response. In terms of adverse reactions the incidence of grade ⅢⅣ haematological toxicity was 25.00% 3/12), and non-haematological toxicity mainly manifests as grade ⅠⅡ fatigue and rash. Grade ⅠⅡ pulmonary infections was about 33.33% 4/12), and no cardiotoxicity occrred.Conclusion: Low-dose decitabine combined with ibrutinib is effective in the treatment of relapsed/refractory diffuse large B-cell lymphoma with no impact on stem cell mobilisation and the safety profile is tolerable.


Key words: Decitabine , Ibrutinib , Relapsed/Refractory , Diffuse large B-cell lymphoma

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