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针对CD37的研究性疗法用于治疗B细胞淋巴瘤。

Investigational therapies targeting CD37 for the treatment of B-cell lymphoid malignancies.

作者信息

Witkowska Magdalena, Smolewski Piotr, Robak Tadeusz

机构信息

a Department of Experimental Hematology , Medical University of Lodz , Lodz , Poland.

b Department of Hematology , Medical University of Lodz , Lodz , Poland.

出版信息

Expert Opin Investig Drugs. 2018 Feb;27(2):171-177. doi: 10.1080/13543784.2018.1427730. Epub 2018 Jan 15.

Abstract

INTRODUCTION

While chemotherapy still remains a cornerstone of oncologic therapy, immunotherapy with monoclonal antibodies has steadily improved the treatment strategy for several hematologic malignancies. New treatment options need to be developed for relapsed and refractory non-Hodgkin lymphoma (NHL) patients. Currently, novel agents targeting specific molecules on the surface of lymphoma cells, such as anti-CD37 antibodies, are under considerable investigation. Here we report on anti-CD37 targeting for the treatment of patients with B-cell NHL.

AREAS COVERED

CD37 seems to be the perfect therapeutic target in patients with NHL. The CD37 antigen is abundantly expressed in B-cells, but is absent on normal stem cells and plasma cells. It is hoped that anti-CD37 monoclonal antibodies will increase the efficacy and reduce toxicity in patients with both newly diagnosed and relapsed and refractory disease. Recent clinical trials have shown promising outcomes for these agents, administered both as monotherapy and in combination with standard chemotherapeutics.

EXPERT OPINION

The development of new therapeutic options might help to avoid cytotoxic chemotherapy entirely in some clinical settings. This article presents the latest state of the art on the new treatment strategies in NHL patients. It also discusses recently approved agents and available clinical trial data.

摘要

引言

虽然化疗仍是肿瘤治疗的基石,但单克隆抗体免疫疗法已稳步改善了多种血液系统恶性肿瘤的治疗策略。对于复发和难治性非霍奇金淋巴瘤(NHL)患者,需要开发新的治疗选择。目前,针对淋巴瘤细胞表面特定分子的新型药物,如抗CD37抗体,正在进行大量研究。在此,我们报告抗CD37靶向治疗B细胞NHL患者的情况。

涵盖领域

CD37似乎是NHL患者理想的治疗靶点。CD37抗原在B细胞中大量表达,但在正常干细胞和浆细胞中不存在。希望抗CD37单克隆抗体能提高新诊断、复发和难治性疾病患者的疗效并降低毒性。近期临床试验表明,这些药物作为单药治疗或与标准化疗联合使用都有令人鼓舞的结果。

专家观点

新治疗选择的开发可能有助于在某些临床环境中完全避免细胞毒性化疗。本文介绍了NHL患者新治疗策略的最新进展。还讨论了最近获批的药物和可用的临床试验数据。

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