{"id":40952,"date":"2026-07-10T14:03:14","date_gmt":"2026-07-10T06:03:14","guid":{"rendered":"https:\/\/www.hkioc.com.hk\/?p=40952"},"modified":"2026-07-10T14:03:51","modified_gmt":"2026-07-10T06:03:51","slug":"%e3%80%8anejm%e3%80%8b%e5%8d%81%e5%b9%b4%e9%9a%8f%e8%ae%bf%ef%bc%81%e6%8f%ad%e7%a4%ba-car-t-%e7%bb%86%e8%83%9e%e7%96%97%e6%b3%95%e7%9a%84%e9%95%bf%e6%9c%9f%e6%95%88%e6%9e%9c","status":"publish","type":"post","link":"https:\/\/www.hkioc.com.hk\/zh-hans\/%e3%80%8anejm%e3%80%8b%e5%8d%81%e5%b9%b4%e9%9a%8f%e8%ae%bf%ef%bc%81%e6%8f%ad%e7%a4%ba-car-t-%e7%bb%86%e8%83%9e%e7%96%97%e6%b3%95%e7%9a%84%e9%95%bf%e6%9c%9f%e6%95%88%e6%9e%9c\/","title":{"rendered":"\u300aNEJM\u300b\u5341\u5e74\u968f\u8bbf\uff01\u63ed\u793a CAR-T \u7ec6\u80de\u7597\u6cd5\u7684\u957f\u671f\u6548\u679c"},"content":{"rendered":"\n<p>CD19 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2025\u5e7410\u67081\u65e5\uff0c\u6574\u4f53\u968f\u8bbf\u533a\u95f47.9\uff5e11.5\u5e74\uff0c\u4e2d\u4f4d\u968f\u8bbf\u65f6\u957f10.1\u5e74\uff1b\u91c7\u7528 Kaplan-Meier \u751f\u5b58\u5206\u6790\u6cd5\u8bc4\u4f30\u751f\u5b58\u7ec8\u70b9\uff0c\u4ee5 Aalen-Johansen \u7ade\u4e89\u98ce\u9669\u6a21\u578b\u6821\u6b63\u975e\u80bf\u7624\u6b7b\u4ea1\u5bf9\u7597\u6548\u7ec8\u70b9\u7684\u5e72\u6270\u3002<\/p>\n\n\n\n<p><strong>2. \u53d7\u8bd5\u8005\u57fa\u7ebf\u60c5\u51b5<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u6700\u7ec8\u7eb3\u516538\u4f8b\u53ef\u8bc4\u4f30\u590d\u53d1\/\u96be\u6cbb\u6027B\u7ec6\u80de\u975e\u970d\u5947\u91d1\u6dcb\u5df4\u7624\u53d7\u8bd5\u8005\uff0c\u75c5\u7406\u4e9a\u578b\u5206\u5c42\uff1a\u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff08LBCL\uff0924\u4f8b\u3001\u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\uff08FL\uff0914\u4f8b\u3002\u53d7\u8bd5\u8005\u4e2d\u4f4d\u65e2\u5f80\u7cfb\u7edf\u6cbb\u7597\u7ebf\u6570\u4e3a4\u7ebf\uff0c\u8d85\u534a\u6570\u53d7\u8bd5\u8005\u65e2\u5f80\u63a5\u53d7\u81ea\u4f53\u9020\u8840\u5e72\u7ec6\u80de\u79fb\u690d\uff0c\u5747\u5c5e\u4e8e\u5e38\u89c4\u5316\u7597\u3001\u633d\u6551\u9776\u5411\u6cbb\u7597\u5931\u8d25\u7684\u9ad8\u5ea6\u96be\u6cbb\u75c5\u4f8b\uff0c\u5165\u7ec4\u4eba\u7fa4\u4ee5\u6b27\u7f8e\u767d\u79cd\u4eba\u7fa4\u4e3a\u4e3b\u3002<\/p>\n\n\n\n<p><strong>3. \u6807\u51c6\u5316\u5e72\u9884\u65b9\u6848<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u5168\u90e8\u53d7\u8bd5\u8005\u4ec5\u63a5\u53d7\u5355\u6b21\u81ea\u4f53 tisagenlecleucel \u7ec6\u80de\u8f93\u6ce8\uff0c\u9884\u5904\u7406\u65b9\u6848\u7edf\u4e00\u91c7\u7528\u6c1f\u8fbe\u62c9\u6ee8\u8054\u5408\u73af\u78f7\u9170\u80fa\u6dcb\u5df4\u7ec6\u80de\u6e05\u9664\u5316\u7597\uff1b\u7ec6\u80de\u8f93\u6ce8\u5b8c\u6210\u540e\uff0c\u53d7\u8bd5\u8005\u672a\u63a5\u53d7\u5de9\u56fa\u5316\u7597\u3001\u9776\u5411\u7ef4\u6301\u6cbb\u7597\uff0c\u4ea6\u672a\u8fdb\u884c CAR-T \u4e8c\u6b21\u7ec6\u80de\u8f93\u6ce8\u3002\u8be5CAR-T\u4ea7\u54c1\u4f9d\u6258\u6162\u75c5\u6bd2\u8f7d\u4f53\u4fee\u9970\u81ea\u4f53T\u7ec6\u80de\uff0c\u5b9a\u5411\u8868\u8fbeCD19\u6297\u539f\u8bc6\u522b\u53d7\u4f53\u4e0e4-1BB \u5171\u523a\u6fc0\u4fe1\u53f7\u57df\u3002<\/p>\n\n\n\n<p><strong>4. \u9884\u8bbe\u7814\u7a76\u7ec8\u70b9<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u2460 <strong>\u4e3b\u8981\u7ec8\u70b9\uff1a<\/strong>\u65e0\u6dcb\u5df4\u7624\u751f\u5b58\u671f\uff08LFS\uff09\uff0c\u5b9a\u4e49\u4e3a\u7ec6\u80de\u8f93\u6ce8\u81f3\u6dcb\u5df4\u7624\u590d\u53d1\u3001\u6dcb\u5df4\u7624\u7279\u5f02\u6027\u6b7b\u4ea1\u7684\u65f6\u95f4\u95f4\u9694\uff1b<\/p>\n\n\n\n<p>\u2461 <strong>\u6b21\u8981\u7ec8\u70b9\uff1a<\/strong>\u65e0\u8fdb\u5c55\u751f\u5b58\u671f\uff08PFS\uff09\u3001\u603b\u751f\u5b58\u671f\uff08OS\uff09\u3001\u975e\u590d\u53d1\u76f8\u5173\u6b7b\u4ea1\u7d2f\u79ef\u53d1\u751f\u7387\u3001\u7b2c\u4e8c\u539f\u53d1\u6076\u6027\u80bf\u7624\u53d1\u751f\u98ce\u9669\u3001\u5916\u5468\u8840 CAR \u8f6c\u57fa\u56e0\u7ec6\u80de\u5b58\u7eed\u6c34\u5e73\u3001\u4f53\u6db2\u514d\u75ab\u91cd\u5efa\u72b6\u6001\u3002<\/p>\n\n\n\n<p><strong>\u4e8c<strong>. <\/strong>\u957f\u671f\u6297\u80bf\u7624\u7597\u6548\u5ba2\u89c2\u6570\u636e<\/strong><\/p>\n\n\n\n<p><strong>1. \u80bf\u7624\u590d\u53d1\u65f6\u95f4\u5206\u5e03\u89c4\u5f8b<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u7ec4\u522b\u5185\u6240\u6709\u6dcb\u5df4\u7624\u590d\u53d1\u4e8b\u4ef6\u5747\u53d1\u751f\u4e8e\u7ec6\u80de\u8f93\u6ce8\u6cbb\u7597\u540e5.4\u5e74\u4ee5\u5185\uff1b<strong>\u81ea5.4\u5e74\u968f\u8bbf\u8282\u70b9\u81f3\u6700\u957f11.5\u5e74\u89c2\u5bdf\u7ec8\u70b9\uff0c\u65e0\u65b0\u589e\u80bf\u7624\u590d\u53d1\u75c5\u4f8b\u3002<\/strong>\u5176\u4e2d\u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\u672b\u6b21\u590d\u53d1\u53d1\u751f\u4e8e\u8f93\u6ce8\u540e2.7\u5e74\uff0c\u60f0\u6027\u75c5\u7406\u4e9a\u578b\u7684\u8fdc\u671f\u590d\u53d1\u7ec8\u6b62\u7a97\u53e3\u671f\u66f4\u65e9\uff0c\u63d0\u793a\u8fbe\u5230\u65e9\u671f\u6301\u7eed\u7f13\u89e3\u540e\uff0c\u80bf\u7624\u518d\u6fc0\u6d3b\u98ce\u9669\u663e\u8457\u4e0b\u964d\u3002<\/p>\n\n\n\n<p><strong>2. \u5341\u5e74\u751f\u5b58\u7ec8\u70b9\u91cf\u5316\u7ed3\u679c\uff08\u9644\u5e26 95% \u7f6e\u4fe1\u533a\u95f4\uff09<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u25b6 <strong>\u65e0\u6dcb\u5df4\u7624\u751f\u5b58\u7387\uff08LFS\uff09<\/strong><\/p>\n\n\n\n<p>\u2022 \u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff1a32%\uff0895% CI\uff1a14%\uff5e51%\uff09<\/p>\n\n\n\n<p>\u2022 \u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\uff1a47%\uff0895% CI\uff1a20%\uff5e71%\uff09<\/p>\n\n\n\n<p>\u25b6 <strong>\u65e0\u8fdb\u5c55\u751f\u5b58\u7387\uff08PFS\uff09<\/strong><\/p>\n\n\n\n<p>\u2022 \u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff1a17%\uff0895% CI\uff1a5%\uff5e34%\uff09<\/p>\n\n\n\n<p>\u2022 \u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\uff1a29%\uff0895% CI\uff1a9%\uff5e52%\uff09<\/p>\n\n\n\n<p>\u25b6 <strong>\u603b\u751f\u5b58\u7387\uff08OS\uff09<\/strong><\/p>\n\n\n\n<p>\u2022 \u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff1a17%\uff0895% CI\uff1a5%\uff5e34%\uff09<\/p>\n\n\n\n<p>\u2022 \u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\uff1a50%\uff0895% CI\uff1a23%\uff5e72%\uff09<\/p>\n\n\n\n<p>\u6570\u636e\u63d0\u793a\uff0c\u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\u63a5\u53d7\u8be5\u6b3eCAR-T\u6cbb\u7597\u540e\u7684\u957f\u671f\u751f\u5b58\u83b7\u76ca\u4f18\u4e8e\u5f25\u6f2b\u5927B\u7ec6\u80de\u6dcb\u5df4\u7624\uff0c\u5355\u6b21\u7ec6\u80de\u6cbb\u7597\u53ef\u4f7f\u8fd1\u534a\u6570\u6ee4\u6ce1\u6027\u6dcb\u5df4\u7624\u60a3\u8005\u7ef4\u6301\u5341\u5e74\u65e0\u80bf\u7624\u8d1f\u8377\u72b6\u6001\u3002<\/p>\n\n\n\n<p><strong>3\u3001\u957f\u671f\u5e94\u7b54\u76f8\u5173\u751f\u7269\u5b66\u7279\u5f81<\/strong><\/p>\n\n\n\n<p>\u2460 \u5b9e\u73b0\u5341\u5e74\u6301\u7eed\u7f13\u89e3\u7684\u53d7\u8bd5\u8005\uff0c\u5916\u5468\u8840\u53ef\u7a33\u5b9a\u68c0\u51fa\u529f\u80fd\u6027CAR\u8f6c\u57fa\u56e0\u7ec6\u80de\uff0cCAR-T\u7ec6\u80de\u4f53\u5185\u957f\u671f\u5b58\u7eed\u662f\u7ef4\u6301\u6301\u7eed\u6027\u6297\u80bf\u7624\u6548\u5e94\u7684\u6838\u5fc3\u57fa\u7840\uff1b<\/p>\n\n\n\n<p>\u2461 \u957f\u671f\u5e94\u7b54\u4eba\u7fa4\u4e2d\uff0c44%\u53d7\u8bd5\u8005\u5b58\u5728\u6301\u7eed\u6027B\u7ec6\u80de\u518d\u751f\u969c\u788d\uff0cCD19\u9633\u6027\u6210\u719fB\u7ec6\u80de\u6301\u7eed\u53d7\u6291\uff0c\u8be5\u4f53\u5f81\u53ef\u4f5c\u4e3aCAR-T\u7ec6\u80de\u6301\u7eed\u6d3b\u5316\u3001\u8fdc\u671f\u5e94\u7b54\u7a33\u5b9a\u7684\u65e0\u521b\u53c2\u8003\u6807\u5fd7\u7269\uff1b<\/p>\n\n\n\n<p>\u2462 \u6cbb\u7597\u65e9\u671f\u8fbe\u5230\u5f71\u50cf\u5b66\u5b8c\u5168\u7f13\u89e3\uff08CR\uff09\uff0c\u662f\u72ec\u7acb\u6b63\u5411\u9884\u6d4b\u5341\u5e74\u957f\u671f\u751f\u5b58\u7684\u4e34\u5e8a\u6307\u6807\u3002<\/p>\n\n\n\n<p><strong>\u4e09<strong>. <\/strong>\u5341\u5e74\u8fdc\u671f\u5b89\u5168\u6027\u4e0e\u514d\u75ab\u8fdc\u671f\u72b6\u6001\u8bc4\u4f30<\/strong><\/p>\n\n\n\n<p><strong>1. 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