Current status and future perspectives for yttrium-90 (90Y)-ibritumomab tiuxetan in stem cell transplantation for non-Hodgkin's lymphoma

被引:0
作者
C Gisselbrecht
W Bethge
R F Duarte
A M Gianni
B Glass
C Haioun
G Martinelli
A Nagler
R Pettengell
A Sureda
H Tilly
K Wilson
机构
[1] Institut d'Hématologie,Department of Hematology
[2] Hôpital Saint-Louis,undefined
[3] Medizinische Universitätsklinik II Hematology/Oncology,undefined
[4] Institut Català d'Oncologia,undefined
[5] Hospital Duran i Reynals,undefined
[6] Istituto Nazionale per lo Studio e la Cura dei Tumori,undefined
[7] University Hospital Göttingen,undefined
[8] Service d'Hématologie Clinique,undefined
[9] Hôpital Henri Mondor,undefined
[10] European Institute of Oncology,undefined
[11] Chaim Sheba Medical Center,undefined
[12] St George's Hospital,undefined
[13] University of London,undefined
[14] Hospital de la Santa Creu i Sant Pau,undefined
[15] Universidad Autonoma de Barcelona,undefined
[16] Centre Henri Becquerel,undefined
[17] School of Medicine,undefined
[18] Cardiff University,undefined
来源
Bone Marrow Transplantation | 2007年 / 40卷
关键词
non-Hodgkin's lymphoma; yttrium-90 ibritumomab tiuxetan; radiolabelled immunotherapy; stem cell transplantation; autologous; allogeneic;
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摘要
Haematopoietic SCT is currently considered a therapeutic option mainly in relapsed or refractory non-Hodgkin's lymphoma (NHL) owing to high post-transplantation relapse rates and significant toxicity of conventional myeloablative conditioning for allogeneic SCT. Radiolabelled immunotherapy combines the benefits of monoclonal antibody targeting with therapeutic doses of radiation, and is a promising advance in the treatment of malignant lymphomas. It is now under investigation as a component of conditioning prior to SCT, with the aim of improving outcomes following SCT without increasing the toxicity of high-dose chemotherapy pre-transplant conditioning. An expert panel met at a European workshop in November 2006 to review the latest data on radiolabelled immunotherapy in the transplant setting, and its potential future directions, with a focus on 90Y-ibritumomab tiuxetan. They reviewed data on the combination of standard/high/escalating dose 90Y-ibritumomab tiuxetan with high-dose chemotherapy, and high/escalating dose 90Y-ibritumomab tiuxetan as the sole myeloablative agent, prior to autologous SCT, and also 90Y-ibritumomab tiuxetan as a component of reduced intensity conditioning prior to allogeneic SCT. The preliminary data are highly promising in terms of conditioning tolerability and patient outcomes following transplant; further phase II studies are now needed to consolidate these data and to investigate specific patient populations and NHL subtypes.
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页码:1007 / 1017
页数:10
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