Yttrium 90 ibritumomab tiuxetan radioimmunotherapy for relapsed or refractory low-grade non-Hodgkin's lymphoma

The treatment of malignant lymphoma has improved over the past 20 years, but the majority of patients are not cured. New modalities using targeted therapy based on new information in molecular biology and immunology hold promise for better outcomes with less toxicity. We review data on the use of ra...

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Veröffentlicht in:Seminars in oncology 2002-02, Vol.29 (1), p.87-92
Hauptverfasser: Gordon, Leo I, Witzig, Thomas E, Wiseman, Greg A, Flinn, Ian W, Spies, Stewart S, Silverman, Daniel H, Emmanuolides, Christos, Cripe, Larry, Saleh, Mansoor, Czuczman, Myron S, Olejnik, Teresa, White, Christine A, Grillo-López, Antonio J
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container_title Seminars in oncology
container_volume 29
creator Gordon, Leo I
Witzig, Thomas E
Wiseman, Greg A
Flinn, Ian W
Spies, Stewart S
Silverman, Daniel H
Emmanuolides, Christos
Cripe, Larry
Saleh, Mansoor
Czuczman, Myron S
Olejnik, Teresa
White, Christine A
Grillo-López, Antonio J
description The treatment of malignant lymphoma has improved over the past 20 years, but the majority of patients are not cured. New modalities using targeted therapy based on new information in molecular biology and immunology hold promise for better outcomes with less toxicity. We review data on the use of radiolabeled monoclonal antibodies directed against the CD20 antigen on malignant B cells. We discuss the major radionuclides available, iodine 131 (131I), tositumomab, and yttrium 90 (90Y) ibritumomab tiuxetan (Zevalin; IDEC Pharmaceuticals, San Diego, CA) and present data on new approaches in labeling antibodies that have facilitated their use. Clinical trial data with the yttrium-labeled antibodies are discussed. The use of dosimetry as a means for predicting toxicity is discussed, and the questions of long-term toxicity (late effects) are addressed. These targeted approaches to the treatment of malignancy, and lymphoma in particular, hold great promise. Semin Oncol 29 (suppl 2):87-92. Copyright © 2002 by W.B. Saunders Company.
doi_str_mv 10.1053/sonc.2002.30148
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subjects Antibodies, Monoclonal - therapeutic use
Antigens, CD20
Clinical Trials as Topic
Humans
Iodine Radioisotopes - therapeutic use
Lymphoma, B-Cell - radiotherapy
Lymphoma, Non-Hodgkin - radiotherapy
Quality of Life
Radioimmunotherapy
Radiopharmaceuticals - therapeutic use
Radiotherapy Dosage
Yttrium Radioisotopes - therapeutic use
title Yttrium 90 ibritumomab tiuxetan radioimmunotherapy for relapsed or refractory low-grade non-Hodgkin's lymphoma
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