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双特异性T细胞衔接器在滤泡性和大B细胞淋巴瘤治疗中的出现。

The emergence of bispecific T-cell engagers in the treatment of follicular and large B-cell lymphomas.

作者信息

Lutfi Forat G, Ahmed Nausheen, Hoffmann Marc S, Tun Aung, McGuirk Joseph P

机构信息

Division of Hematologic Malignancies and Cellular Therapeutics, University of Kansas Medical Center, Kansas City, Kansas.

出版信息

Clin Adv Hematol Oncol. 2024 Dec;22(10):510-519.

Abstract

The rapid emergence of CD20-targeting T-cell engagers in follicular lymphoma and large B-cell lymphoma has further expanded the treatment options for patients with relapsed or refractory disease. Herein, we review and discuss the standard-of-care products and indications for mosunetuzumab, epcoritamab, and glofitamab. We provide a detailed overview of the registrational clinical trials, as well as a review of ongoing trials and likely future indications. We also address how we incorporate T-cell engagers in our current treatment paradigm, with particular emphasis on their use with and as alternatives to chimeric antigen receptor T-cell therapy. We further discuss our management of immune effector cell-related toxicities.

摘要

靶向CD20的T细胞衔接器在滤泡性淋巴瘤和大B细胞淋巴瘤中的迅速出现,进一步扩大了复发或难治性疾病患者的治疗选择。在此,我们回顾并讨论了莫苏奈妥单抗、依泊妥单抗和格洛菲妥单抗的标准治疗产品及适应证。我们详细概述了注册临床试验,以及对正在进行的试验和可能的未来适应证的综述。我们还讨论了如何将T细胞衔接器纳入我们当前的治疗模式,特别强调它们与嵌合抗原受体T细胞疗法联合使用以及作为其替代疗法的情况。我们进一步讨论了对免疫效应细胞相关毒性的管理。

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