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试验观察:双特异性抗体治疗复发/难治性大 B 细胞淋巴瘤

英文原题:Trial watch: bispecific antibodies for the treatment of relapsed or refractory large B-cell lymphoma.

查看英文原题

Trial watch: bispecific antibodies for the treatment of relapsed or refractory large B-cell lymphoma.

PubMed 2024/03/03(内容时间) Oncoimmunology Q1 · IF 6.2(JCR 2025)

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中文摘要

免疫治疗塑造了弥漫性大B细胞淋巴瘤(DLBCL)的治疗方法,利妥昔单抗使复发性和初治患者的结局均取得了显著改善。近年来,CAR-T 细胞等突破性免疫疗法已进入复发/难治性(R/R)DLBCL的治疗领域,并在多个国家获得监管批准。利用患者自身T细胞对抗癌症的概念通过双特异性抗体(BsAbs)的开发得到进一步探索,这是一类设计为同时靶向两种不同抗原的工程化抗体产品。这些新型药物在重度预处理的B细胞非霍奇金淋巴瘤患者中显示出令人印象深刻的单药活性和可控的毒性。在这篇综述中,我们提供了关于R/R DLBCL患者中最近完成或正在进行的BsAbs试验的最新概述,包括单药结果、新兴联合治疗数据以及新型构建体。

展开英文摘要原文

Immunotherapy has shaped the treatment approach to diffuse large B-cell lymphoma (DLBCL), with rituximab leading to remarkable improvements in outcomes for both relapsed and treatment-naïve patients. Recently, groundbreaking immunotherapies like chimeric antigen receptor T-cells have entered the treatment arena for relapsed/refractory (R/R) DLBCL and gained regulatory approval in several countries.

The concept of harnessing a patient's own T-cells to combat cancer has been further explored through the development of bispecific antibodies (BsAbs), a class of engineered antibody products designed to simultaneously target two different antigens.

These novel drugs have demonstrated impressive single-agent activity and manageable toxicity in patients with heavily pretreated B-cell non-Hodgkin lymphoma. In this review, we provide an up-to-date overview of recently completed or ongoing BsAbs trials in patients with R/R DLBCL, including single-agent results, emerging combination data, and novel constructs.

论文信息

作者
Cassanello G、Luna de Abia A、Falchi L
第一作者单位
Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, USA.United States
通讯作者单位
Department of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Center, New York, USA.United States
文献类型
综述 · 非美国政府资助研究
期刊
Oncoimmunology2024
原文标识
PubMed 38445082 · DOI 10.1080/2162402X.2024.2321648