Antibody-based therapy for acute myeloid leukemia: a review of phase 2 and 3 trials

被引:4
作者
Thomas, Xavier [1 ]
Elhamri, Mohamed [1 ]
Deloire, Alexandre [1 ]
Heiblig, Mael [1 ]
机构
[1] Hosp Civils Lyon, Ctr Hosp Lyon Sud, Dept Clin Hematol, Pierre Benite, France
关键词
Acute myeloid leukemia; monoclonal antibodies; drug conjugate antibodies; unconjugated antibodies; bi-specific recombinant antibodies; radio-conjugated antibodies; CAR-T cells; immune checkpoint treatments; ANTI-CD33; MONOCLONAL-ANTIBODY; ACUTE MYELOGENOUS LEUKEMIA; EVENT-FREE SURVIVAL; CAR T-CELLS; GEMTUZUMAB OZOGAMICIN; OLDER PATIENTS; ADULT PATIENTS; AMG; 330; INDUCTION CHEMOTHERAPY; PARTICLE IMMUNOTHERAPY;
D O I
10.1080/14728214.2022.2094365
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Despite recent advances in the treatment of adult acute myeloid leukemia (AML), the clinical outcome of patients continues to be unsatisfactory especially among older patients, those with a high-risk profile, and in the relapsed/refractory setting. For this reason, recent clinical trials have explored novel therapeutic agents either used alone or in combination with intensive chemotherapy or low-intensity treatments. Areas covered: The current paper reviews the clinical development of monoclonal antibody-based therapies in AML, their current status and phases 2 and 3 prospective trials. Expert opinion: Monoclonal antibody-based therapies demonstrated efficacy and tolerability in several clinical trials, especially when used in combination either with '3 + 7' chemotherapy or with low-intensity treatments. Additional studies are needed to determine new antigens for antibody-based therapies that target leukemia stem cells and spare normal hematopoiesis. Phase 2 and 3 additional clinical trial data are needed to assess the promise of first trials, especially regarding chimeric antigen receptor T cells redirected against myeloid antigens and immune checkpoint inhibitor therapies.
引用
收藏
页码:169 / 185
页数:17
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