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Targeting BTK with Ibrutinib in Relapsed or Refractory Mantle-Cell Lymphoma
Ist Teil von
The New England journal of medicine, 2013-08, Vol.369 (6), p.507-516
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2013
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Mantle-cell lymphoma is often refractory to treatment, especially in response to second-line therapy. Inhibition of the Bruton's tyrosine kinase with ibrutinib produced responses in two thirds of patients in a phase 2 study; 21% of patients had a complete response.
Mantle-cell lymphoma is a distinct subtype of non-Hodgkin's lymphoma that has an aggressive clinical course and a poor prognosis.
1
Current frontline combination chemotherapies
2
and intensive chemoimmunotherapy followed by stem-cell transplantation have improved the outcome for patients with this disease.
3
,
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Although these regimens have high initial response rates, most patients eventually have a relapse and die from mantle-cell lymphoma. More effective agents are needed.
Constitutive activation of B-cell receptor signaling appears to be essential for the survival and proliferation of malignant B cells, an observation that has led to the design of inhibitors of B-cell receptor–associated kinases.
3
–
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Bruton's tyrosine . . .