陈曦, 杨海燕. 伊布替尼的常见不良反应及临床应对策略[J]. 中国肿瘤临床, 2019, 46(14): 750-754. DOI: 10.3969/j.issn.1000-8179.2019.14.951
引用本文: 陈曦, 杨海燕. 伊布替尼的常见不良反应及临床应对策略[J]. 中国肿瘤临床, 2019, 46(14): 750-754. DOI: 10.3969/j.issn.1000-8179.2019.14.951
Chen Xi, Yang Haiyan. Clinical management of common adverse effects of ibrutinib[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2019, 46(14): 750-754. DOI: 10.3969/j.issn.1000-8179.2019.14.951
Citation: Chen Xi, Yang Haiyan. Clinical management of common adverse effects of ibrutinib[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2019, 46(14): 750-754. DOI: 10.3969/j.issn.1000-8179.2019.14.951

伊布替尼的常见不良反应及临床应对策略

Clinical management of common adverse effects of ibrutinib

  • 摘要: 伊布替尼作为第一代布鲁顿酪氨酸激酶(Bruton's tyrosine kinase,BTK)抑制剂,为治疗慢性淋巴细胞白血病/小淋巴细胞淋巴瘤(chronic lymphocytic leukemia/small lymphocytic lymphoma,CLL/SLL)、复发的套细胞淋巴瘤(mantle cell lymphoma,MCL)等在内的B细胞淋巴瘤有效率高、安全性好的口服小分子靶向药物。自伊布替尼在国内上市以来,越来越多的中国患者从中获益,但随着使用例数增多和时间延长,临床上面临着更多与既往化疗药物相比出现的特殊不良反应,如出血、房颤、腹泻和关节痛等。因伊布替尼作用机制的独特性,在处理不良反应时亦需关注药物相互作用。本文总结相关文献中伊布替尼不良反应的处理策略,旨在为临床提供参考。

     

    Abstract: As a first generation Bruton's tyrosine kinase inhibitor, ibrutinib is an oral small molecule targeted drug that has been proven to exhibit high efficacy and good safety in the treatment of B-cell lymphomas, including chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL) and mantle cell lymphoma (MCL). Since ibrutinib first became available in China, increasing numbers of Chinese patients have benefited from it; however, with the increase in the number of patients, clinicians are faced with more adverse events, such as bleeding, atrial fibrillation, diarrhea, joint pain, among others, than traditional chemotherapeutic drugs. Because of the unique mechanism of action of ibrutinib, it is also necessary to pay attention to drug interactions when dealing with these adverse events. This review comprehensively summarizes the treatment strategies for ibrutinib adverse events in the literature and hopes to provide a reference for clinicians.

     

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