文章摘要
孔德胜赵红丽董敏孙国勋施婺丹洪珞珈△.雷利度胺治疗难治复发急性粒细胞白血病临床观察[J].,2012,12(23):4493-4495
雷利度胺治疗难治复发急性粒细胞白血病临床观察
Clinical Observation of Lenalidomide Treat Relapsed or Refractory AcuteMyeloblastic Leukemia
  
DOI:
中文关键词: 雷利度胺;难治复发  急性粒细胞白血病;治疗
英文关键词: Lenalidomide  Relapsed or Refractory  Acute Myeloblastic Leukemia  Treat
基金项目:黑龙江省留学人员归国基金(LC08C24)
作者单位
孔德胜赵红丽董敏孙国勋施婺丹洪珞珈△ 哈尔滨医科大学附属第四医院血液科 
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中文摘要:
      目的:观察雷利度胺治疗难治复发急性粒细胞白血病的疗效及不良反应。方法:给予雷利度胺单药治疗,雷利度胺50mg/d, 口服给药,连续给药21 天,28 天为一个疗程。结果:应用雷利度胺4(2~6)个疗程,5 例有效,2 例获得完全缓解,2 例部分缓解, 1 例因疾病迅速进展死亡退出试验。不良反应主要为疲乏4 例,中性粒细胞减少性发热3 例,中粒细胞减少4 例,血小板减少1 例,贫血1 例。结论:应用雷利度胺治疗难治复发白血病有效,不良反应轻微且易于耐受。
英文摘要:
      Objective: To observe toxicities and efficacy in patients relapsed or refractory acute myeloblastic leukemia with lenalidomide. Methods: Lenalidomide was given orally at doses of 50mg daily on days 1 through 21 of 28-day cycles. Results: Six Patients were given a median of four prior therapies (range, two to six therapies), five patients with AML responded. Two of 6 patients achieved complete remission (CR), two of 6 patients achieved partial remission (PR), one of 6 patients achieved Peripheral blood improvement,One patient had disease progression death. Toxicities of lenalidomide were Fatigue (4/6), febrile neutropenia (3/6), neutropenia (4/6), thrombocytopenia(1/6), anemia(1/6). Conclusions: Lenalidomide has significant activity in relapsed or refractory acute myeloblastic leukemia patients and the toxicities was active with relatively low toxicity in patients with relapsed/refractory AML.
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