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Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
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Loncastuximab Tesirine: First Approval.

Arnold Lee1

  • 1Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. dru@adis.com.

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|June 18, 2021
PubMed
Summary

Loncastuximab tesirine is an antibody-drug conjugate approved for relapsed/refractory large B-cell lymphoma. This therapy targets CD19-expressing B cells, offering a new treatment option for patients with difficult-to-treat lymphomas.

Area of Science:

  • Oncology
  • Pharmacology
  • Immunology

Background:

  • Loncastuximab tesirine-lpyl (ZYNLONTA™) is an antibody-drug conjugate developed by ADC Therapeutics SA.
  • It targets CD19-expressing B cells using a pyrrolobenzodiazepine DNA-alkylating warhead.
  • The drug is approved in the US for relapsed/refractory diffuse large B-cell lymphoma (DLBCL).

Purpose of the Study:

  • To summarize the development milestones of loncastuximab tesirine.
  • To highlight its initial approval for relapsed or refractory large B-cell lymphoma.
  • To detail its potential in treating various B-cell lymphomas.

Main Methods:

  • Review of development history and clinical milestones.
  • Description of the antibody-drug conjugate mechanism of action.

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  • Summary of regulatory approval process for DLBCL.
  • Main Results:

    • Loncastuximab tesirine received US approval for relapsed/refractory DLBCL.
    • The drug demonstrated efficacy in specific subtypes including DLBCL NOS, DLBCL from low grade lymphoma, and high-grade B-cell lymphoma.
    • Ongoing development for mantle-cell lymphoma, follicular lymphoma, and acute lymphoblastic leukemia.

    Conclusions:

    • Loncastuximab tesirine represents a significant advancement in treating relapsed/refractory large B-cell lymphoma.
    • Its targeted mechanism offers a new therapeutic strategy for B-cell malignancies.
    • Further development is underway to expand its application to other hematological cancers.