Vose Julie M
Section of Oncology/Hematology, University of Nebraska Medical Center, Omaha, NE 681980-7680, USA.
Hematol Oncol. 2006 Jun;24(2):47-55. doi: 10.1002/hon.770.
The efficacy of immunotherapeutic strategies for the treatment of lymphoid malignancies has been demonstrated in recent years. In patients with B-cell lymphomas, particularly indolent lymphoma, the use of passive immunotherapy, such as the anti-CD20 monoclonal antibody rituximab, has made an impressive impact on patient outcome. Personalized immunotherapy, a method that triggers the immune system to mount a response against tumor cells, has shown promising results in early clinical trials in hematologic malignancies. This therapeutic modality appears safe, with the most common adverse events being transient, local reactions at the site of injection. Furthermore, personalized immunotherapy has the potential to generate immunologic memory, which could provide prolonged remission. Currently, 3 large phase III studies are evaluating the efficacy and safety of personalized immunotherapy in patients with follicular lymphoma. It is hoped that the results of these studies will lead to the incorporation of this promising approach into the standard treatment of patients with lymphoma.
近年来,免疫治疗策略在治疗淋巴系统恶性肿瘤方面的疗效已得到证实。在B细胞淋巴瘤患者中,尤其是惰性淋巴瘤患者,使用被动免疫疗法,如抗CD20单克隆抗体利妥昔单抗,已对患者的治疗结果产生了令人瞩目的影响。个性化免疫疗法是一种激发免疫系统对肿瘤细胞产生反应的方法,在血液系统恶性肿瘤的早期临床试验中已显示出有前景的结果。这种治疗方式似乎是安全的,最常见的不良事件是注射部位的短暂局部反应。此外,个性化免疫疗法有产生免疫记忆的潜力,这可能会带来长期缓解。目前,3项大型III期研究正在评估个性化免疫疗法在滤泡性淋巴瘤患者中的疗效和安全性。希望这些研究结果将促使这种有前景的方法纳入淋巴瘤患者的标准治疗中。