Clinic of Medical Oncology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
Institute of Oncology Research, Bellinzona, Switzerland.
Hum Vaccin Immunother. 2024 Dec 31;20(1):2309701. doi: 10.1080/21645515.2024.2309701. Epub 2024 Feb 1.
Patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) require additional treatments, especially those not eligible or not responding to high dose cytotoxic chemotherapy and stem cell transplantation. Over the last few years, several new treatments have been developed and approved for these patients, among them of particular relevance are those targeting CD19. Tafasitamab is a humanized monoclonal antibody targeting CD19, composed of a modified fragment crystallizable (Fc) region engineered with higher affinity for Fc gamma receptors (FcγR) receptors, leading to increased cytotoxicity through natural killer cells and macrophages (antibody-dependent cellular cytotoxicity and antibody-dependent cell-mediated phagocytosis). In this product review, we will discuss its mechanism of action, safety profile and efficacy results from clinical trials that led to its approval in combination with lenalidomide for patients with R/R DLBCL ineligible for high-dose chemotherapy and autologous transplantation.
对于复发或难治性(R/R)弥漫性大 B 细胞淋巴瘤(DLBCL)患者需要额外的治疗,尤其是那些不适合接受大剂量细胞毒性化疗和干细胞移植或对其无反应的患者。在过去几年中,已经开发并批准了几种新的治疗方法用于这些患者,其中特别相关的是那些针对 CD19 的治疗方法。Tafasitamab 是一种针对 CD19 的人源化单克隆抗体,由经过工程改造的具有更高亲和力的 Fc 片段组成,从而与 FcγR 受体结合,通过自然杀伤细胞和巨噬细胞(抗体依赖性细胞毒性和抗体依赖性细胞吞噬作用)来提高细胞毒性。在本产品回顾中,我们将讨论其作用机制、安全性概况和临床试验的疗效结果,这些结果导致其与来那度胺联合用于不适合接受大剂量化疗和自体移植的 R/R DLBCL 患者。