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试验观察:双特异性抗体治疗复发或难治性大 B 细胞淋巴瘤。

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

机构信息

Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, USA.

Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.

出版信息

Oncoimmunology. 2024 Mar 3;13(1):2321648. doi: 10.1080/2162402X.2024.2321648. eCollection 2024.

Abstract

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.

摘要

免疫疗法已经改变了弥漫性大 B 细胞淋巴瘤(DLBCL)的治疗方法,利妥昔单抗使复发和初治患者的疗效都得到了显著改善。最近,嵌合抗原受体 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。通过开发双特异性抗体(BsAbs)进一步探索了利用患者自身 T 细胞来对抗癌症的概念,BsAbs 是一类设计用于同时靶向两种不同抗原的工程抗体产品。这些新型药物在经过大量预处理的 B 细胞非霍奇金淋巴瘤患者中表现出了令人印象深刻的单药活性和可管理的毒性。在这篇综述中,我们提供了最近完成或正在进行的 R/R DLBCL 患者 BsAbs 试验的最新概述,包括单药结果、新出现的联合数据和新型构建体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ce7/10913711/e560ddd663b7/KONI_A_2321648_F0001_OC.jpg

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