Tavarozzi Rita, Zacchi Giulia, Pietrasanta Daniela, Catania Gioacchino, Castellino Alessia, Monaco Federico, Gandolfo Carolina, Rivela Paolo, Sofia Antonella, Schiena Noemi, Bertassello Claudia, Limberti Giulia, Zallio Francesco, Zanni Manuela, Ladetto Marco
Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.
Division of Hematology, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Cancers (Basel). 2023 Nov 13;15(22):5397. doi: 10.3390/cancers15225397.
We are currently witnessing a dramatic shift in our approach to the treatment of B-cell non-Hodgkin lymphoma (B-NHL). In the evolving clinical landscape, novel treatments for this clinically heterogeneous disease span a wide range of interventions, encompassing targeted agents, cell therapy approaches, and novel monoclonal antibodies (NMABs). Among these, the latter are likely to exert the most profound impact due to their distinctive high efficacy and versatile applicability. NMABs represent a heterogeneous group of agents, including naked antibodies, immunotoxins, and T-cell-engaging molecules. In recent times, several NMABs have either gained regulatory approval or are on the verge of introduction into clinical practice, addressing multiple therapeutic indications and treatment regimens. Their anticipated impact is expected to be broad, initially in the context of relapsed/refractory (R/R) disease and subsequently extending to early treatment lines. The scope of this review is to provide a comprehensive overview of the biological characteristics, clinical properties, efficacy, and toxicity profiles of NMABs that have recently been introduced or are nearing integration into clinical practice.
我们目前正目睹在B细胞非霍奇金淋巴瘤(B-NHL)治疗方法上的巨大转变。在不断演变的临床格局中,针对这种临床异质性疾病的新型治疗方法涵盖了广泛的干预措施,包括靶向药物、细胞治疗方法和新型单克隆抗体(NMABs)。其中,后者因其独特的高疗效和广泛的适用性,可能会产生最深远的影响。NMABs代表了一组异质性药物,包括裸抗体、免疫毒素和T细胞接合分子。近年来,几种NMABs已获得监管批准或即将引入临床实践,涉及多种治疗适应症和治疗方案。它们预期的影响将是广泛的,最初是在复发/难治性(R/R)疾病的背景下,随后扩展到早期治疗线。本综述的范围是全面概述最近已引入或即将纳入临床实践的NMABs的生物学特性、临床特性、疗效和毒性特征。
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