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Published on: January 29, 2019
Targeted therapy in lymphoma
Patrick B Johnston1, RuiRong Yuan, Franco Cavalli
1Novartis Pharmaceuticals, Florham Park, NJ, USA.
Abstract:
Discovery of new treatments for lymphoma that prolong survival and are less toxic than currently available agents represents an urgent unmet need. We now have a better understanding of the molecular pathogenesis of lymphoma, such as aberrant signal transduction pathways, which have led to the discovery and development of targeted therapeutics. The ubiquitin-proteasome and the Akt/mammalian target of rapamycin (mTOR) pathways are examples of pathological mechanisms that are being targeted in drug development efforts. Bortezomib (a small molecule protease inhibitor) and the mTOR inhibitors temsirolimus, everolimus, and ridaforolimus are some of the targeted therapies currently being studied in the treatment of aggressive, relapsed/refractory lymphoma. This review will discuss the rationale for and summarize the reported findings of initial and ongoing investigations of mTOR inhibitors and other small molecule targeted therapies in the treatment of lymphoma.
Insights
New targeted therapies, including mammalian target of rapamycin (mTOR) inhibitors, show promise for treating aggressive lymphoma. These novel agents aim to improve survival and reduce toxicity compared to existing treatments.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Urgent need for novel lymphoma treatments with improved survival and reduced toxicity.
- Advances in understanding lymphoma molecular pathogenesis reveal key aberrant signal transduction pathways.
Purpose of the Study:
- To review the rationale and findings for targeted therapies in lymphoma treatment.
- To summarize investigations of mammalian target of rapamycin (mTOR) inhibitors and other small molecule agents.
Main Methods:
- Review of published data on targeted therapies for aggressive, relapsed/refractory lymphoma.
- Focus on drugs targeting the ubiquitin-proteasome and Akt/mammalian target of rapamycin (mTOR) pathways.
Main Results:
- Bortezomib (protease inhibitor) and mTOR inhibitors (temsirolimus, everolimus, ridaforolimus) are under investigation.
- Initial and ongoing studies are evaluating these targeted agents in lymphoma.
Conclusions:
- Targeted therapies offer a promising new avenue for lymphoma treatment.
- Further research into mTOR inhibitors and other small molecules is crucial for clinical application.
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