Polatuzumab vedotin to treat relapsed or refractory diffuse large B-cell lymphoma, in combination with bendamustine plus rituximab

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Diffuse large B-cell lymphoma (DLBCL) is the most common non Hodgkin lymphoma (NHL) in adults, and it accounts for about 30% of adult NHL cases. Newly diagnosed patients are treated with rituximab in combination with anthracycline-containing chemotherapy, but a significant number of patients relapse after initial treatment. New strategies for relapsed lymphomas are in development among which antibody-drug conjugates (ADCs) are currently in clinical trials. Polatuzumab vedotin is a novel ADC which binds to the commonly expressed B-cell antigen CD79b, and it delivers monomethyl auristatin E, a small molecule with anti-tubulin activity. Polatuzumab vedotin in combination with bendamustine and rituximab (BR) has been approved in the U.S. and the E.U. for use in patients with relapsed or refractory DLBCL ineligible for transplant. These approvals were based on a randomized study of patients treated with either polatuzumab vedotin plus BR or BR alone, where complete response was 40% in the polatuzumab vedotin + BR group versus 18% in the BR group. The most common adverse events of this treatment were cytopenias and peripheral neuropathy.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:56

Enthalten in:

Drugs of today (Barcelona, Spain : 1998) - 56(2020), 4 vom: 15. Apr., Seite 287-294

Sprache:

Englisch

Beteiligte Personen:

Amaya, M L [VerfasserIn]
Jimeno, A [VerfasserIn]
Kamdar, M [VerfasserIn]

Links:

Volltext

Themen:

4F4X42SYQ6
981Y8SX18M
Antibodies, Monoclonal
Antibody-drug conjugates
Bendamustine Hydrochloride
CD79b-targeted antibodies
Diffuse large B-cell lymphoma
Immunoconjugates
Journal Article
KG6VO684Z6
Monoclonal antibodies
Polatuzumab vedotin
Rituximab

Anmerkungen:

Date Completed 28.07.2020

Date Revised 28.12.2021

published: Print

Citation Status MEDLINE

doi:

10.1358/dot.2020.56.4.3127026

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM308945921