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Updated: Jun 17, 2026

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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Investigational immunotherapeutics for B-cell malignancies
Alfonso Quintás-Cardama1, William Wierda, Susan O'Brien
1Department of Leukemia, The University of Texas M. D. Anderson Cancer Center, Unit 428, 1515 Holcombe Blvd, Houston, TX, 77030; aquintas@mdanderson.org.
Summary
Novel immunotherapies targeting B-cell malignancies are emerging due to rituximab resistance. These new agents, including monoclonal antibodies and T-cell engagers, offer hope but require further clinical validation and integration into treatment plans.
Area of Science:
- Hematology
- Immunology
- Oncology
Background:
- Rituximab-based chemoimmunotherapy has improved outcomes for B-cell malignancies.
- Resistance to rituximab (primary or acquired) remains a significant clinical challenge.
Purpose of the Study:
- To review promising investigational immunotherapeutics for B-cell malignancies.
- To highlight novel agents addressing rituximab resistance.
Main Methods:
- Review of current clinical and preclinical data on novel immunotherapeutics.
- Focus on agents with distinct mechanisms of action against B-cell surface antigens.
Main Results:
- Several novel agents are in late preclinical or clinical development.
- Examples include monoclonal antibodies targeting CD22, CD23, CD40, CD70, and bispecific antibodies.
- Emerging immunotherapies include small-modular immunopharmaceuticals and T-cell engagers.
Conclusions:
- Novel immunotherapeutics show promise for overcoming rituximab resistance in B-cell malignancies.
- Challenges include establishing clinical utility and integrating these agents into existing treatment protocols.
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