A Review of Obinutuzumab (GA101), a Novel Type II Anti-CD20 Monoclonal Antibody, for the Treatment of Patients with B-Cell Malignancies

被引:130
作者
Tobinai, Kensei [1 ]
Klein, Christian [2 ]
Oya, Naoko [3 ]
Fingerle-Rowson, Gunter [4 ]
机构
[1] Natl Canc Ctr, Dept Hematol, Tokyo, Japan
[2] Roche Innovat Ctr Zurich, Roche Pharmaceut Res & Early Dev, Schlieren, Switzerland
[3] Chugai Pharmaceut Co Ltd, Oncol Lifecycle Management Dept, Tokyo, Japan
[4] F Hoffmann La Roche Ltd, Pharma Dev Oncol, Basel, Switzerland
关键词
Antibody-dependent cell-mediated cytotoxicity; B-cell lymphoma; CD20; Chronic lymphocytic leukemia; Glycoengineering; Monoclonal antibody; Non-Hodgkin lymphoma; Obinutuzumab; Oncology; Rituximab; CHRONIC LYMPHOCYTIC-LEUKEMIA; CLINICAL-PRACTICE GUIDELINES; FC-GAMMA-RIIB; FOLLICULAR LYMPHOMA; BISPECIFIC ANTIBODY; CD20; ANTIBODY; OPEN-LABEL; MEDIATED PHAGOCYTOSIS; PLUS CHLORAMBUCIL; CYTOKINE-RELEASE;
D O I
10.1007/s12325-016-0451-1
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Obinutuzumab (GA101) is a novel, type II, glycoengineered, humanized anti-CD20 monoclonal antibody that has been developed to address the need for new therapeutics with improved efficacy in patients with lymphocytic leukemia and lymphoma of B-cell origin. Obinutuzumab has a distinct mode of action relative to type I anti-CD20 antibodies, such as rituximab, working primarily by inducing direct cell death and antibody-dependent cell-mediated cytotoxicity. Obinutuzumab is under investigation in a wide-ranging program of clinical trials in patients with B-cell malignancies. Efficacy as monotherapy has been reported in patients with relapsed/refractory indolent and aggressive non-Hodgkin lymphoma (NHL) and in chronic lymphocytic leukemia (CLL) of B-cell origin. Improved outcomes have also been noted when obinutuzumab is added to chemotherapy in patients with B-cell NHL, and superiority over rituximab has been reported with combination therapy in patients with CLL. Ongoing research is focusing on developing options for chemotherapy-free treatment and on new combinations of obinutuzumab with novel targeted agents.
引用
收藏
页码:324 / 356
页数:33
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