血液国际谈丨Arnaud Pigneux教授:法国创新白血病组织(FILO)AML治疗成果分享——洛莫司汀与雄激素疗法的创新实践

健康   2024-11-01 18:25   北京  


编者按


近日,中国医师协会第十一届中法血液学学术会议在天津顺利召开,吸引到数百名国内外血液学领域的权威专家和学者齐聚一堂。会议期间,《肿瘤瞭望-血液时讯》特邀法国波尔多大学Haut-Leveque医院Arnaud Pigneux教授畅谈法国创新白血病组织(FILO)的创新实践成果。现将精粹整理成文,以飨读者。

《肿瘤瞭望-血液时讯》:


FILO在推动白血病治疗创新方面有哪些具体案例或成果可以分享?这些创新如何改善了患者的预后和生活质量?

Arnaud Pigneux教授:在过去数年间,FILO研究团队致力于优化急性髓系白血病(AML)患者的预后管理,主要通过两大策略实现了显著进展。首要策略是在诱导化疗方案中创新性地引入了第三种药物——洛莫司汀(Lomustine,CCNU)。这一举措显著提升了患者的总体生存率及完全缓解率,为AML治疗开辟了新的路径。


另一项重要进展则聚焦于采用持续性雄激素疗法,具体药物为诺乙雄龙(Norethandrolone)。尽管遗憾的是,目前该药物尚未实现大规模生产,限制了其临床应用的广泛性,但研究团队正积极投身于诺乙雄龙的新一轮生产筹备中,以期克服这一瓶颈。推动此类维持性治疗方案的深入发展至关重要。鉴于此,我们应在AML治疗领域内加大药物研发的投入力度,特别是针对那些具有潜在疗效的新药及创新疗法进行深入研究与探索。

(上下滑动查看英文原文)

Oncology Frontier-Hematology Frontier:What specific cases or achievements can you share about FILO's contributions to innovative leukemia treatments? How have these innovations improved patient outcomes and quality of life?

Professor Arnaud Pigneux:The federal group in the past years has improved the outcome of the ML patients in two ways. The first was by adding a third drug to induction chemotherapy, this drug is lomustine or CCNU and it permits to improve the survival and the complete remission for patients.

The second way was that, I think we improve the result was by adding androgen therapy for maintenance. The name of the drug was neither var nor is on the road. Unfortunately, it's not produced for the wide and we tried to have a new production of this drug. It is very important to hurry up maintenance. I think we have to input some more drugs in this part of treatment.


《肿瘤瞭望-血液时讯》:


面对白血病治疗领域的挑战,比如耐药性问题,FILO采取了哪些策略来应对?这些策略的有效性如何?

Arnaud Pigneux教授:当前,我们正致力于作为欧洲联合研究组织,针对AML这一复杂且多样化的疾病谱系展开深入研究。鉴于AML的异质性及其多种潜在的治疗靶点,我们已携手HOVON与AMLSG等组织,旨在共同探索并开发针对FLT3及IDH等关键靶点的靶向治疗策略。此外,我们并未止步于已知靶点的研究,而是同步开拓针对其他新兴靶点的创新途径,特别是聚焦于Menin抑制剂等前沿药物的研发上。


展望未来,我们满怀期待地展望与欧洲及其他国家的科研机构及医疗机构建立更加紧密的合作关系。通过共享资源、交流成果,我们坚信能够加速AML治疗领域的科学进步,为患者提供更为个性化、高效且安全的治疗方案,共同推动全球血液肿瘤学研究的蓬勃发展。

(上下滑动查看英文原文)

Oncology Frontier-Hematology Frontier:What strategies has FILO adopted to address challenges in leukemia treatment, such as drug resistance? How effective have these strategies been?

Professor Arnaud Pigneux:Nowadays, we tried to work as a European group, because as you know, ML is now a multiple disease with the targeted therapies we can use. So we have worked with the HOVON and AMLSG group for targeted therapy against the FLT3 and IDH. And we are searching for new strategies for other target like Menin inhibitors. In the future, maybe other countries in Europe.


《肿瘤瞭望-血液时讯》:


展望未来,FILO有哪些新的计划或研究方向?您认为未来白血病治疗领域可能会迎来哪些重大突破?

Arnaud Pigneux教授:在审视当前医疗领域尚未充分满足的需求时,我深感最为迫切的是为体质欠佳的患者群体开发适宜的治疗方案。特别是针对AML这一疾病,其患者主体多为高龄人士,年龄常超过70岁,这一特定人群在治疗方案的选择上面临着严峻挑战。鉴于其身体情况,传统的大剂量化疗及造血干细胞移植往往难以作为首选或可行的治疗手段。鉴于此,我们亟须探索并实践一种创新的治疗路径,即通过整合新型药物与先进的免疫治疗策略,以期在保障患者生活质量的同时,有效提升治疗效果。


综上所述,我们应将研究重心聚焦于开发针对老年AML患者的个性化、低毒性治疗方案,通过不断优化药物组合与免疫治疗方案,为患者带来更为安全、有效的治疗选择,从而满足这一未被充分满足的医疗需求。

(上下滑动查看英文原文)

Oncology Frontier-Hematology Frontier:Looking ahead, what new initiatives or research directions does FILO have in mind? What major breakthroughs do you foresee in the field of leukemia treatment in the future?

Professor Arnaud Pigneux:I think the most important unmet need will be for unfit patient because most of the patients with AML are elderly, even more than 70 years, we cannot use for them intensive chemotherapy most of the time and allograft. So we have to improve this part of the treatment by combining new drugs and finding new way by immunotherapy to add some new insight for AIL. Thank you.


专家简介


Arnaud Pigneux 教授

法国波尔多大学Haut-Leveque医院
临床血液学和细胞治疗系


(来源:《肿瘤瞭望–血液时讯》编辑部)




声 明

凡署名原创的文章版权属《肿瘤瞭望》所有,欢迎分享、转载。本文仅供医疗卫生专业人士了解最新医药资讯参考使用,不代表本平台观点。该等信息不能以任何方式取代专业的医疗指导,也不应被视为诊疗建议,如果该信息被用于资讯以外的目的,本站及作者不承担相关责任。


ioncology
《肿瘤瞭望》于2014年初创刊,由著名肿瘤科专家徐兵河院士担任总编辑,以“同步传真国际肿瘤进展”为办刊宗旨,以循证医学理念为指导思想,采用全媒体组合报道模式,致力于为国内广大肿瘤临床、教研人员搭建一座与国际接轨的桥梁。
 最新文章