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淋巴瘤免疫疗法的新进展。

New developments in immunotherapy for lymphoma.

作者信息

Heyman Benjamin, Yang Yiping

机构信息

Division of Hematologic Malignancies and Cellular Therapy, Department of Medicine.

Department of Immunology, Duke University, Durham, North Carolina 27710, USA.

出版信息

Cancer Biol Med. 2018 Aug;15(3):189-209. doi: 10.20892/j.issn.2095-3941.2018.0037.

Abstract

The development of immunotherapies for lymphoma has undergone a revolutionary evolution over the past decades. Since the advent of rituximab as the first successful immunotherapy for B-cell non-Hodgkin lymphoma over two decades ago, a plethora of new immunotherapeutic approaches to treat lymphoma has ensued. Four of the most exciting classes of immunotherapies include: chimeric antigen receptor T-cells, bispecific antibodies, immune checkpoint inhibitors, and vaccines. However, with addition of these novel therapies the appropriate timing of treatment, optimal patient population, duration of therapy, toxicity, and cost must be considered. In this review, we describe the most-promising immunotherapeutic approaches for the treatment of lymphoma in clinical development, specifically focusing on clinical trials performed to date and strategies for improvement.

摘要

在过去几十年中,淋巴瘤免疫疗法经历了革命性的发展。自二十多年前利妥昔单抗作为首个成功用于治疗B细胞非霍奇金淋巴瘤的免疫疗法问世以来,涌现出了大量治疗淋巴瘤的新免疫疗法。四类最令人兴奋的免疫疗法包括:嵌合抗原受体T细胞、双特异性抗体、免疫检查点抑制剂和疫苗。然而,随着这些新疗法的加入,必须考虑治疗的合适时机、最佳患者群体、治疗持续时间、毒性和成本。在本综述中,我们描述了临床开发中治疗淋巴瘤最有前景的免疫疗法,特别关注迄今为止进行的临床试验以及改进策略。

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