Real-world experience with selinexor-containing chemotherapy-free or low-dose chemotherapy regimens for patients with relapsed/refractory acute myeloid leukemia and myeloid sarcoma
نویسندگان
چکیده
Introduction: Treatment of relapsed or refractory acute myeloid leukemia (R/R AML) and sarcoma (MS) has presented challenges for decades. Studies on selinexor in combination with various standard intensive chemotherapy regimens the treatment R/R AML have demonstrated promising results. This study aimed to evaluate efficacy safety chemotherapy-free low-dose MS patients. Methods: Ten patients who received at Tongji Hospital from October 2021 August 2022 were included this study. The primary endpoint was overall response rate (ORR) secondary endpoints complete remission (CR), CR incomplete hematological recovery (CRi), partial (PR), transplantation rate, safety. Results: All evaluable response, achieving four (40.0%) CRi two (20.0%) a total CR/CRi 60.0%. ORR 80.0% when PR included. Five (50.0%) underwent allogeneic hematopoietic stem cell (allo-HSCT) after selinexor-containing regimens. At end follow-up, seven (70.0%) alive, three died transplant-related complications disease progression. most frequently reported nonhematologic adverse events (AEs) grade 1 2 asymptomatic hyponatremia. Conclusion: are feasible tolerable provide an opportunity receive transplantation.
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ژورنال
عنوان ژورنال: Frontiers in Pharmacology
سال: 2023
ISSN: ['1663-9812']
DOI: https://doi.org/10.3389/fphar.2023.1217701