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NEJM: 格列卫(Imatinib)对于慢性粒细胞白血病(CML)十年长期疗效及副作用的报导

2017-03-10 Leo.C MedSci原创

对于伊马替尼长达十年的研究证明其治疗慢性粒细胞白血病的可靠疗效,同时证明长期使用伊马替尼并没有与任何不可接受的毒素积累和由此产生的副作用有任何的联系。

伊马替尼(Imatinib),商品名:格列卫,是一种特异性的酪氨酸激酶抑制剂,用于治疗慢性粒细胞白血病。已知的使用伊马替尼的副作用包括:水肿、消化道流血,抑制骨髓细胞,肝脏及心脏问题。 在这一期的NEJM杂志中,作者Andreas Hochhaus医生及其同事报导了他们对于使用伊马替尼治疗慢性粒细胞白血病(chronic myelogenous leukemia,CML)的一项长达10年的跟踪报导。

在参加这项研究的病人中,半数的病人的跟踪时间都超过十年以上。研究人员随机性的选择慢性粒细胞白血病病人给予伊马替尼作为治疗药物。在这十年期间,有48.3%的接受伊马替尼治疗的病人完成了这项十年的跟踪调查。而在这些病人在中,总体有83.3%的存活率。研究人员并有发现高发且一致的由于伊马替尼所产生的副作用。少有的一些副作用也大多数只是在用药的第一年间发生。

这项对于伊马替尼长达十年的研究证明其治疗慢性粒细胞白血病的可靠疗效,同时证明长期使用伊马替尼并没有与任何不可接受的毒素积累和由此产生的副作用有任何的联系。

原始出处:
Andreas Hochhaus, M.D., Richard A. Larson, M.D., François Guilhot, M.D. et al. Long-Term Outcomes of Imatinib Treatment for Chronic Myeloid Leukemia. N Engl J Med 2017; 376:917-927March 9, 2017DOI: 10.1056/NEJMoa1609324

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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28761705280, createdName=cuiyejia, createdTime=Sat Mar 11 08:46:36 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179007, encodeId=c2e61e9007cd, content=总感觉作者说的不专业, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170216/IMG58A54DD2EA62B7570.jpg, createdBy=1c342020326, createdName=鹧鸪天猫, createdTime=Sat Mar 11 07:17:21 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=178897, encodeId=ead91e8897ba, content=很好的学习资料,感谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-12 wangbingxhy
  5. 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  6. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28761705280, createdName=cuiyejia, createdTime=Sat Mar 11 08:46:36 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179007, encodeId=c2e61e9007cd, content=总感觉作者说的不专业, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170216/IMG58A54DD2EA62B7570.jpg, createdBy=1c342020326, createdName=鹧鸪天猫, createdTime=Sat Mar 11 07:17:21 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=178897, encodeId=ead91e8897ba, content=很好的学习资料,感谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-11 knowheart

    这项对于伊马替尼长达十年的研究证明其治疗慢性粒细胞白血病的可靠疗效

    0

  7. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-11 1e10c84am36(暂无匿称)

    文章真好,值得分享

    0

  8. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28761705280, createdName=cuiyejia, createdTime=Sat Mar 11 08:46:36 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179007, encodeId=c2e61e9007cd, content=总感觉作者说的不专业, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170216/IMG58A54DD2EA62B7570.jpg, createdBy=1c342020326, createdName=鹧鸪天猫, createdTime=Sat Mar 11 07:17:21 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=178897, encodeId=ead91e8897ba, content=很好的学习资料,感谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-11 cuiyejia

    太好,谢谢分享

    0

  9. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28761705280, createdName=cuiyejia, createdTime=Sat Mar 11 08:46:36 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179007, encodeId=c2e61e9007cd, content=总感觉作者说的不专业, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170216/IMG58A54DD2EA62B7570.jpg, createdBy=1c342020326, createdName=鹧鸪天猫, createdTime=Sat Mar 11 07:17:21 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=178897, encodeId=ead91e8897ba, content=很好的学习资料,感谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-11 鹧鸪天猫

    总感觉作者说的不专业

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28761705280, createdName=cuiyejia, createdTime=Sat Mar 11 08:46:36 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179007, encodeId=c2e61e9007cd, content=总感觉作者说的不专业, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170216/IMG58A54DD2EA62B7570.jpg, createdBy=1c342020326, createdName=鹧鸪天猫, createdTime=Sat Mar 11 07:17:21 CST 2017, time=2017-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=178897, encodeId=ead91e8897ba, content=很好的学习资料,感谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161026/IMG58107C0F82E499574.jpg, createdBy=00e81970035, createdName=1e15b6fem30(暂无匿称), createdTime=Fri Mar 10 17:30:45 CST 2017, time=2017-03-10, status=1, ipAttribution=)]
    2017-03-10 1e15b6fem30(暂无匿称)

    很好的学习资料,感谢。

    0

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