Mohd Ahmed Bassam, Mohd Omar B, Alabdallat Yasmeen J, Al Dwairy Salem Yousef, Ghannam Reem A, Hanaqtah Balqees M, Albakri Khaled A
Medicine, Faculty of Medicine, The Hashemite University, P.O.Box 330127, Zarqa, 13133, Jordan.
Department of Special Surgery, Faculty of Medicine, The Hashemite University, P.O.Box 330127, Zarqa, 13133, Jordan.
J Res Med Sci. 2023 Sep 29;28:71. doi: 10.4103/jrms.jrms_727_22. eCollection 2023.
Dinutuximab, which is a monoclonal antibody targeting GD2 expressed in neuroblasts, improves survival when included in the therapy regimen. This article reviews the importance of dinutuximab in managing neuroblastoma (NB). Dinutuximab targets high levels of GD2 expression in NB cells, thus increasing event-free survival when used in the maintenance therapy of high-risk patients with NB. Although several collaborative studies have set the standard of care for maintenance therapy, the long-term follow-up and continuous evaluation of the use of antibodies and the co-administration of other pharmacological or immunomodulatory drugs remain to be studied. Trials have shown that the use of dinutuximab for maintenance therapy can prolong the time before the first relapse and improve overall survival. However, there is uncertainty in the function of cytokines co-administered with dinutuximab, which may lead to increased toxicity without additional benefits. Recent studies on relapsed and refractory NB have shown the potential efficacy of dinutuximab. Further research is required to properly incorporate Dinutuximab in current treatment modalities.
地努图希单抗是一种靶向神经母细胞中表达的GD2的单克隆抗体,当纳入治疗方案时可提高生存率。本文综述了地努图希单抗在治疗神经母细胞瘤(NB)中的重要性。地努图希单抗靶向NB细胞中高水平表达的GD2,因此在高危NB患者的维持治疗中使用时可提高无事件生存率。尽管多项合作研究设定了维持治疗的护理标准,但抗体使用的长期随访和持续评估以及其他药理学或免疫调节药物的联合使用仍有待研究。试验表明,使用地努图希单抗进行维持治疗可延长首次复发前的时间并提高总生存率。然而,与地努图希单抗联合使用的细胞因子的功能尚不确定,这可能导致毒性增加而无额外益处。最近关于复发和难治性NB的研究显示了地努图希单抗的潜在疗效。需要进一步研究以将地努图希单抗合理纳入当前的治疗模式。