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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
Brentuximab vedotin: treatment role for relapsed refractory systemic anaplastic large-cell lymphoma
Chao-Ming Lai1, Sandra Horowitz
1The University of Texas, MD Anderson Cancer Center, Department of Lymphoma/Myeloma, 1515 Holcombe Blvd, Houston, TX 77030, USA. clai@mdanderson.org
Abstract:
The identification of CD30 has been known since 1985. Trials exploring the targeted therapy focusing on this antigen have led to the successful development and approval of brentuximab vedotin (Adcetris®) for treatment of relapsed refractory systemic anaplastic large-cell lymphoma. Brentuximab vedotin has a high-level of response with generally durable remission. Common side effects of brentuximab vedotin include peripheral neuropathy, fatigue, nausea, arthralgia, and pyrexia. Grade 3-4 neutropenia, thrombocytopenia, and hyperglycemia have also been reported. Development of progressive multifocal leukoencephalopathy from John Cunningham virus is a very rare occurrence, but its seriousness has prompted the US FDA to mandate a black box warning. Brentuximab vedotin is currently being evaluated to be used in conjunction with other chemotherapy regimens, including in frontline therapies to induce potentially higher complete remission rate than chemotherapy alone and thus achieve potentially higher progression-free survival rates that might translate ultimately to improve overall survival.
Insights
Brentuximab vedotin (Adcetris®) effectively treats relapsed refractory systemic anaplastic large-cell lymphoma, offering durable remissions. Ongoing trials explore its combination with chemotherapy for improved survival outcomes.
Area of Science:
- Oncology
- Immunotherapy
- Pharmacology
Background:
- CD30 antigen identification in 1985 paved the way for targeted therapies.
- Brentuximab vedotin (Adcetris®) is an approved antibody-drug conjugate for relapsed refractory systemic anaplastic large-cell lymphoma (SR-ALCL).
Purpose of the Study:
- To review the efficacy and safety of brentuximab vedotin in SR-ALCL.
- To discuss ongoing research evaluating brentuximab vedotin in combination therapies.
Main Methods:
- Literature review of clinical trials and post-marketing data.
- Analysis of response rates, remission durability, and adverse events associated with brentuximab vedotin.
Main Results:
- Brentuximab vedotin demonstrates high response rates and durable remissions in SR-ALCL.
- Common side effects include peripheral neuropathy, fatigue, and nausea; serious events like Grade 3-4 neutropenia and PML are rare but significant.
Conclusions:
- Brentuximab vedotin is an effective treatment option for SR-ALCL.
- Combination strategies with chemotherapy are under investigation to enhance complete remission and survival rates.
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