90Yttrium Ibritumomab Tiuxetan (Zevalin) for the Treatment of Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: A Report of 5 Cases.

IF 3.9 Q2 ONCOLOGY Blood and Lymphatic Cancer-Targets and Therapy Pub Date : 2023-10-03 eCollection Date: 2023-01-01 DOI:10.2147/BLCTT.S398809
Jing Wang, Firas Baidoun, Han W Tun, Muhamad Alhaj Moustafa
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Abstract

Radioimmunotherapy (RIT) with radio-labeled monoclonal antibodies to CD20 produces a high response rate in patients with low-grade B-cell lymphomas. The use of this modality in patients with chronic lymphocytic leukemia (CLL) has been sporadic in clinical trials and was hampered by the extensive marrow involvement seen commonly in patients with CLL, which would produce a high risk for marrow aplasia after treatment with RIT. Herein, we report our experience with RIT in 5 patients with CLL or SLL showing short-lived responses and significant myelosuppression. After 90Y-ibritumomab tiuxetan treatment, the median time to relapse was 65 days, and no cases of MDS or AML were observed during follow-up. All patients experienced grade ≥3 thrombocytopenia and neutropenia, with median durations of 39.5 days and 107 days, respectively.

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90伊曲莫单抗提昔坦治疗慢性淋巴细胞白血病/小淋巴细胞淋巴瘤5例报告。
用放射性标记的CD20单克隆抗体的放射免疫疗法(RIT)在低级别B细胞淋巴瘤患者中产生高应答率。在临床试验中,这种模式在慢性淋巴细胞白血病(CLL)患者中的使用是零星的,并且由于CLL患者常见的广泛骨髓受累而受到阻碍,这将在RIT治疗后产生骨髓再生障碍的高风险。在此,我们报告了我们在5名CLL或SLL患者中使用RIT的经验,这些患者表现出短暂的反应和显著的骨髓抑制。90Y替克司坦治疗后,中位复发时间为65天,随访期间未观察到MDS或AML病例。所有患者均出现≥3级血小板减少症和中性粒细胞减少症,中位持续时间分别为39.5天和107天。
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来源期刊
自引率
7.10%
发文量
16
审稿时长
16 weeks
期刊介绍: Blood and Lymphatic Cancer: Targets and Therapy is an international, peer reviewed, open access journal focusing on blood and lymphatic cancer research, identification of therapeutic targets, and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for the cancer patient. Specific topics covered in the journal include: Epidemiology, detection and screening Cellular research and biomarkers Identification of biotargets and agents with novel mechanisms of action Optimal clinical use of existing anticancer agents, including combination therapies Radiation, surgery, bone marrow transplantation Palliative care Patient adherence, quality of life, satisfaction Health economic evaluations.
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