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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
Targeted treatment and new agents in follicular lymphoma
1Lombardi Comprehensive Cancer Center, Georgetown University Hospital, 3800 Reservoir Road N.W., Washington, DC 20007, USA. bdc4@georgetown.edu
Abstract:
Follicular lymphomas are indolent diseases, which, while highly responsive to chemotherapy, remain incurable. Various combinations of standard chemotherapy drugs have not improved the outcome. The availability of effective and well-tolerated monoclonal antibodies (MoAbs), such as rituximab, provided the first evidence that new agents could prolong the survival of these patients. An increasing number of effective drugs are now being evaluated either as single agents or in combinations. These include chemotherapy drugs, bendamustine and bortezomib, MoAbs, other agents that inhibit various cellular pathways including spleen tyrosine kinase, mammalian target of rapamycin, PI3-kinase and apoptosis, and drugs that target the tumor microenvironment, such as the immunomodulatory agent lenalidomide. Rational development of combination strategies, including correlative studies to enhance our understanding of the mechanisms of action and resistance of the drugs, and the biology of the tumor, will continue to improve the outcome of patients with follicular lymphoma.
Insights
Follicular lymphoma treatments are improving with new drugs and combinations. Research focuses on novel agents and understanding resistance to enhance patient survival for this incurable cancer.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Follicular lymphoma is an indolent, incurable hematologic malignancy.
- Standard chemotherapy combinations have not improved outcomes for follicular lymphoma patients.
- Monoclonal antibodies (MoAbs) like rituximab have shown efficacy in prolonging survival.
Purpose of the Study:
- To review current and emerging therapeutic strategies for follicular lymphoma.
- To highlight the role of novel agents and combination therapies.
- To emphasize the importance of understanding drug mechanisms and tumor biology.
Main Methods:
- Review of current literature on follicular lymphoma treatment.
- Analysis of novel therapeutic agents targeting cellular pathways and the tumor microenvironment.
- Discussion of combination strategies and correlative studies.
Main Results:
- New agents, including bendamustine, bortezomib, and lenalidomide, are being evaluated.
- Targeted therapies inhibiting spleen tyrosine kinase, mTOR, PI3-kinase, and apoptosis show promise.
- Combination strategies are essential for improving treatment efficacy.
Conclusions:
- While follicular lymphoma remains incurable, novel therapies offer improved survival.
- Rational development of combination strategies is key to advancing treatment.
- Further research into drug mechanisms and tumor biology will enhance patient outcomes.
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