不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Tafasitamab for the treatment of patients with diffuse large B-cell lymphoma.
Tafasitamab for the treatment of patients with diffuse large B-cell lymphoma.
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复发/难治性(R/R)弥漫性大B细胞淋巴瘤(DLBCL)患者需要额外的治疗,尤其是那些不适合或对高剂量细胞毒性化疗和干细胞移植无反应的患者。在过去几年中,已有几种新疗法被开发并获批用于这些患者,其中特别相关的是靶向CD19的疗法。Tafasitamab是一种靶向CD19的人源化单克隆抗体,其修饰的结晶片段(Fc)区域经过工程改造,对Fcγ受体(FcγR)具有更高亲和力,从而通过NK 细胞和巨噬细胞增强细胞毒性(抗体依赖性细胞介导的细胞毒作用和抗体依赖性细胞介导的吞噬作用)。在本产品综述中,我们将讨论其作用机制、安全性特征以及临床试验的疗效结果,这些结果促成了其与来那度胺联合获批用于不适合高剂量化疗和自体移植的R/R DLBCL患者。
Patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) require additional treatments, especially those not eligible or not responding to high dose cytotoxic chemotherapy and stem cell transplantation. Over the last few years, several new treatments have been developed and approved for these patients, among them of particular relevance are those targeting CD19.
Tafasitamab is a humanized monoclonal antibody targeting CD19, composed of a modified fragment crystallizable (Fc) region engineered with higher affinity for Fc gamma receptors (FcγR) receptors, leading to increased cytotoxicity through natural killer cells and macrophages (antibody-dependent cellular cytotoxicity and antibody-dependent cell-mediated phagocytosis).
In this product review, we will discuss its mechanism of action, safety profile and efficacy results from clinical trials that led to its approval in combination with lenalidomide for patients with R/R DLBCL ineligible for high-dose chemotherapy and autologous transplantation.
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