Müller A M, Rawluk J, Thierry V, Brink I, Engelhardt M
Medizinische Universitätsklinik, Abteilung Innere Medizin I, Hämatologie/Onkologie, Universitätsklinikum Freiburg.
Dtsch Med Wochenschr. 2005 Dec 2;130(48):2783-8. doi: 10.1055/s-2005-922073.
Non-Hodgkin s lymphoma (NHL) includes a group of malignant lymphoproliferative disorders, that particularly occur in the elderly and have an continuously increasing incidence. Because of the age distribution new treatment options with low toxicity and minor side effects - apart from "conventional" therapies like standard or high dose chemotherapy - are needed. Within these novel therapeutic modalities the use of the monoclonal antibody rituximab has been widely established. Other monoclonal antibodies, such as the anti-CD52-antibody alemtuzumab, are available for the treatment of chronic lymphatic leukemia (CLL) and T-cell-lymphomas and are being tested in clinical trials. Furthermore the option of combining targeted therapies, in which antibodies are used with radiotherapy, has led to the development of radio-immunotherapies that are now becoming available for clinical use. Current results in the treatment of advanced indolent lymphomas are promising, and their use in high-grade lymphoma and as first-line therapy is under investigation. This article summarizes the application of these novel immunotherapies and reviews the results of recent clinical trials, with particular emphasis on indications and practical aspects in everyday clinical life.
非霍奇金淋巴瘤(NHL)包括一组恶性淋巴增殖性疾病,尤其好发于老年人,且发病率持续上升。鉴于其年龄分布情况,除了标准或高剂量化疗等“传统”疗法外,还需要低毒性、轻微副作用的新治疗方案。在这些新型治疗方式中,单克隆抗体利妥昔单抗的应用已广泛确立。其他单克隆抗体,如抗CD52抗体阿仑单抗,可用于治疗慢性淋巴细胞白血病(CLL)和T细胞淋巴瘤,目前正在临床试验中进行测试。此外,将靶向治疗(使用抗体)与放疗相结合的选择,已促成放射免疫疗法的发展,目前该疗法正可供临床使用。晚期惰性淋巴瘤的当前治疗结果很有前景,其在高级别淋巴瘤中的应用以及作为一线治疗的应用正在研究中。本文总结了这些新型免疫疗法的应用,并回顾了近期临床试验的结果,特别强调了日常临床中的适应症和实际应用方面。