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用于治疗复发B细胞非霍奇金淋巴瘤的新型双特异性T细胞衔接器:当前认知与治疗考量

Novel Bispecific T-Cell Engagers for the Treatment of Relapsed B Cell Non-Hodgkin Lymphomas: Current Knowledge and Treatment Considerations.

作者信息

Varon Ben, Horowitz Netanel A, Khatib Hazim

机构信息

Department of Hematology and Bone Marrow Transplantation, Rambam Healthcare Campus, Haifa 3109601, Israel.

Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3109601, Israel.

出版信息

Patient Prefer Adherence. 2024 Oct 26;18:2159-2167. doi: 10.2147/PPA.S485838. eCollection 2024.


DOI:10.2147/PPA.S485838
PMID:39479221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523922/
Abstract

This article provides an overview of the novel treatments focusing on the class of bispecific T cell engagers (BiTEs) for the treatment of diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL), the two most prevalent subtypes of B cell non-Hodgkin lymphomas (B-NHL). After a brief outline of these diseases, the difficulties in the management of relapsed or refractory (R/R) disease are highlighted. There are currently 4 main BiTEs showing promise in treating R/R B-NHL-glofitamab, epcoritamab, mosunetuzumab, and odronextamab. Although the rational of their mechanism of action is similar, there are significant differences in their respective clinical trial design, reported outcomes, and the final FDA approvals. Considerations for selecting a specific BiTE therapy, including treatment duration, cost, administration route, adverse effects, and impact on quality of life, are also discussed. Patient preferences and shared decision making should be acknowledged by healthcare providers. Finally, the importance of personalized treatment strategies and ongoing research to optimize outcomes in the evolving landscape of R/R B-NHL therapy cannot be overstated.

摘要

本文概述了针对双特异性T细胞衔接器(BiTEs)类药物的新型治疗方法,这些方法用于治疗弥漫性大B细胞淋巴瘤(DLBCL)和滤泡性淋巴瘤(FL),这是B细胞非霍奇金淋巴瘤(B-NHL)中两种最常见的亚型。在简要概述这些疾病后,强调了复发或难治性(R/R)疾病管理中的困难。目前有4种主要的BiTEs在治疗R/R B-NHL方面显示出前景——吉妥昔单抗、依泊妥单抗、莫苏奈妥珠单抗和奥多奈单抗。尽管它们作用机制的原理相似,但各自的临床试验设计、报告的结果以及最终获得美国食品药品监督管理局(FDA)的批准存在显著差异。还讨论了选择特定BiTE治疗的考虑因素,包括治疗持续时间、成本、给药途径、不良反应以及对生活质量的影响。医疗保健提供者应考虑患者的偏好并进行共同决策。最后,在R/R B-NHL治疗不断发展的形势下,个性化治疗策略和正在进行的研究对于优化治疗结果的重要性再怎么强调也不为过。

相似文献

[1]
Novel Bispecific T-Cell Engagers for the Treatment of Relapsed B Cell Non-Hodgkin Lymphomas: Current Knowledge and Treatment Considerations.

Patient Prefer Adherence. 2024-10-26

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Practical Guidance for the Expanded Implementation and Provision of Bispecific Antibodies for Diffuse Large B-Cell Lymphoma (DLBCL) Across Canada.

Curr Oncol. 2025-8-15

[2]
Bispecific Antibodies, Nanobodies and Extracellular Vesicles: Present and Future to Cancer Target Therapy.

Biomolecules. 2025-4-29

[3]
Rheumatoid arthritis unmasked: the power of B cell depletion therapy.

Mol Biol Rep. 2025-2-20

本文引用的文献

[1]
Mosunetuzumab with polatuzumab vedotin in relapsed or refractory aggressive large B cell lymphoma: a phase 1b/2 trial.

Nat Med. 2024-1

[2]
Improved efficiency of daratumumab treatment of multiple myeloma adopting the subcutaneous route: A micro-costing analysis in three Italian hematology centers.

Cancer Med. 2023-12

[3]
Comparative effectiveness between mosunetuzumab monotherapy clinical trial and real-world data in relapsed/refractory follicular lymphoma in third or subsequent lines of systemic therapy.

Leuk Lymphoma. 2023-12

[4]
FDA grants accelerated approval of mosunetuzumab for relapsed, refractory follicular lymphoma.

Cancer. 2023-5-15

[5]
Mosunetuzumab monotherapy is active and tolerable in patients with relapsed/refractory diffuse large B-cell lymphoma.

Blood Adv. 2023-9-12

[6]
Patients and Families' Participation in Multidisciplinary Tumor Conferences Improves Patient and Family-Focused Cancer Care: Lessons Learned From a Debate on the Role of Radiation Therapy in Primary Mediastinal Non-Hodgkin Lymphoma.

Cureus. 2023-2-6

[7]
Clinical Administration Characteristics of Subcutaneous and Intravenous Administration of Daratumumab in Patients With Multiple Myeloma at Mayo Clinic Infusion Centers.

JCO Oncol Pract. 2023-4

[8]
Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial.

J Clin Oncol. 2023-4-20

[9]
Glofitamab for Relapsed or Refractory Diffuse Large B-Cell Lymphoma.

N Engl J Med. 2022-12-15

[10]
Follicular lymphoma: 2023 update on diagnosis and management.

Am J Hematol. 2022-12

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