Tafasitamab for refractory/relapsed diffuse large B-cell lymphoma

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Diffuse large B-cell lymphoma (DLBCL) is a common lymphoproliferative and invasive disease. The current first-line regimen for the treatment of DLBCL is R-CHOP, which is the combination of rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone. R-CHOP has significantly improved the outcome of DLBCL in the last decades. However, 30-40% of patients fail the therapy with R-CHOP. Salvage chemotherapy for relapsed/refractory DLBCL (R/R DLBCL) is extremely challenging, especially in elderly patients. In July 2020, a new monoclonal antibody, tafasitamab, was approved by the Food and Drug Administration (FDA) of the United States for the treatment of DLBCL. Tafasitamab is an anti-CD19 monoclonal antibody which is Fc-enhanced and humanized. CD19 is typically expressed in the developing B cells in non-Hodgkin's lymphomas. Tafasitamab has been proven to be a safe and valid treatment and recommended to be used in combination with lenalidomide in adults with R/R DLBCL who are ineligible for autologous stem cell transplantation (ASCT). This article evaluates the pharmacodynamics, pharmacokinetics, mechanism of action and the clinical application of tafasitamab in the treatment of DLBCL, particularly in R/R DLBCL. The advantages and disadvantages of using tafasitamab and chimeric antigen receptor T cells (CAR-T cells) targeting CD19 are also discussed.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

Drugs of today (Barcelona, Spain : 1998) - 57(2021), 9 vom: 01. Sept., Seite 571-580

Sprache:

Englisch

Beteiligte Personen:

Lu, Q [VerfasserIn]
Huang, H [VerfasserIn]
Tang, S [VerfasserIn]
Wang, Y [VerfasserIn]
Yang, D-H [VerfasserIn]

Links:

Volltext

Themen:

4F4X42SYQ6
Antibodies, Monoclonal, Humanized
B-cell lymphoma
Combination therapy
Fc-engineered anti-CD19 antibodies
Hematological malignancies
Journal Article
Lenalidomide
Monoclonal antibodies
Non-Hodgkin's lymphomas
QQA9MLH692
Rituximab
Tafasitamab

Anmerkungen:

Date Completed 01.10.2021

Date Revised 01.10.2021

published: Print

Citation Status MEDLINE

doi:

10.1358/dot.2021.57.9.3306767

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331276321