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Postavení venetoclaxu v léčbě pacientů s chronickou lymfocytární leukemií
[Role of venetoclax in the treatment of patients with chronic lymphocytic leukemia]
Jana Zuchnická
Language Czech Country Czech Republic
- Keywords
- venetoclax,
- MeSH
- Leukemia, Lymphocytic, Chronic, B-Cell * drug therapy genetics MeSH
- Genes, bcl-1 physiology drug effects MeSH
- Genes, bcl-2 physiology drug effects MeSH
- Humans MeSH
- Antineoplastic Agents, Immunological MeSH
- Antineoplastic Combined Chemotherapy Protocols classification MeSH
- Rituximab pharmacology therapeutic use MeSH
- Aged MeSH
- Tumor Lysis Syndrome MeSH
- Insurance, Health, Reimbursement MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
Immunotherapy is the new hope for longer survival for patients with small cell lung cancer. So far, it has only been given in trials, but 2022 has become a breakthrough year. In comprehensive cancer centers, these patients have a chance of receiving reimbursed treatment with durvalumab (with chemotherapy). Our case report focuses on the appropriateness of patient selection for this treatment, as long-term experience outside clinical trials is still limited.
Several years ago, a major change occurred in the treatment of chronic lymphocytic leukemia. New molecules - B-cell receptor inhibitors and inhibitors of antiapoptotic protein Bcl-2 - have entered common clinical practice. These oral agents are gradually replacing conventional immunochemotherapy. Venetoclax is currently the only approved Bcl-2 protein inhibitor in the Czech Republic. It can be administered in monotherapy in patients after treatment failure with B-cell receptor inhibitors or in combination with anti-CD20 monoclonal antibody in both primary and relapse treatment. A major advantage of venetoclax is the potential to achieve deep remission, including undetectable minimal residual disease.
Role of venetoclax in the treatment of patients with chronic lymphocytic leukemia
Literatura
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- $a Immunotherapy is the new hope for longer survival for patients with small cell lung cancer. So far, it has only been given in trials, but 2022 has become a breakthrough year. In comprehensive cancer centers, these patients have a chance of receiving reimbursed treatment with durvalumab (with chemotherapy). Our case report focuses on the appropriateness of patient selection for this treatment, as long-term experience outside clinical trials is still limited.
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