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

Leo I Gordon1, Thomas E Witzig, Greg A Wiseman

  • 1Division of Hematology/Oncology, Department of Medicine, Northwestern University Medical School and the Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL; the Department of Hematology, Mayo Clinic, Rochester, MN; Johns Hopkins Oncology Center, Baltimore, MD; the Department of Nuclear Medicine, Northwestern University Medical School, Chicago, IL; the Division of Hematology/Oncology, University of California-Los Angeles Medical Center, Los-Angeles, CA; the Division of Hematology/Oncology, Indiana University Medical School, Indianapolis, IN; the Division of Hematology/Oncology, University of Alabama, Birmingham, AL; Roswell Park Cancer Institute, Buffalo, NY; and IDEC Pharmaceuticals, San-Diego, CA.

Seminars in Oncology
|February 1, 2017
PubMed

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.

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