单位:[1]Department of Hematology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,People's Republic of China.内科学系血液内科华中科技大学同济医学院附属同济医院[2]Cancer Biology Research Center (Key Laboratory of the Ministry of Education),Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,People's Republic of China.肿瘤生物医学中心华中科技大学同济医学院附属同济医院
Studies on dasatinib-based low-intensity induction regimens and post-remission strategies are limited in China. Therefore, we conducted a single-center phase 2 trial in newly diagnosed adult patients with Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) to establish the efficacy and safety of this treatment approach.Patients received one month of dasatinib plus low-intensity chemotherapy and two months of dasatinib monotherapy for induction, followed by a single course of high-dose methotrexate for consolidation. Subsequently, they underwent allogeneic hematopoietic stem cell transplantation (allo-HSCT) or tyrosine kinase inhibitor (TKI)-based treatment for maintenance therapy between October 2015 and August 2022.Twenty-two patients were enrolled. Median age was 45 years (range, 20-71). The rates of major and complete molecular responses in the third month were 18.2% and 40.9% respectively. With a median follow-up of 15 months (range, 5-89), the estimated 3-year disease-free survival (DFS) and overall survival (OS) were 52.4% and 73.2%, respectively. The TKI-based cohort had a significantly poorer DFS (p = 0.014) and OS (p = 0.008) than the allo-HSCT cohort.Our results suggest that dasatinib-based low-intensity chemotherapy is safe and effective as an induction strategy in the Chinese population. Allo-HSCT plays a crucial role in the long-term outcomes of patients with Ph+ ALL.The trial was registered at ClinicalTrials.gov as NCT02690922.
基金:
This work was supported by the National Natural Science Foundation of China [Grant
Nos. 81873430, 81974414 and 81772788] and Natural Science Foundation of Hubei
Province (General Program) [Grant No. 2020CFB432].
第一作者单位:[1]Department of Hematology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,People's Republic of China.
通讯作者:
推荐引用方式(GB/T 7714):
Peng Yizhou,Huang Jinjin,Yin Jin,et al.Frontline combination of dasatinib and low-intensity chemotherapy in adults with de novo Philadelphia chromosome-positive acute lymphoblastic leukemia[J].Expert Review Of Hematology.2024,doi:10.1080/17474086.2024.2343885.
APA:
Peng Yizhou,Huang Jinjin,Yin Jin,Meng Fankai,Cao Yang...&Hong Zhenya.(2024).Frontline combination of dasatinib and low-intensity chemotherapy in adults with de novo Philadelphia chromosome-positive acute lymphoblastic leukemia.Expert Review Of Hematology,,
MLA:
Peng Yizhou,et al."Frontline combination of dasatinib and low-intensity chemotherapy in adults with de novo Philadelphia chromosome-positive acute lymphoblastic leukemia".Expert Review Of Hematology .(2024)