Khalid Al Balushi, Abdulrahman Al Hadhrami, Hamdan Al Balushi, Abdullah Al Lawati, Srijit Das
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引用次数: 0
摘要
葡萄膜黑色素瘤(UM)是成人中最常见的原发性眼内恶性肿瘤,通常发生在白种人群中。这种恶性肿瘤累及眼睛的葡萄膜,包括虹膜、睫状体和脉络膜。UM的病因尚不十分清楚,但年龄是一个风险因素。症状包括视力模糊、眼红、眼球漂浮物、黑点、瞳孔大小改变和视力丧失。肿瘤的位置、形状和大小对治疗非常重要。在 UM 病例中,治疗转移瘤始终是一项挑战。在肺转移的病例中,存活率会降低。治疗方法包括手术、激光治疗、免疫治疗、激素治疗和化疗。最近,美国食品和药物管理局(FDA)于2022年批准了特本他福斯普(tebentafusp)这种药物。Tebentafusp 是针对人类最常见的 HLA 复合物而研发的。本综述讨论了新药特本他福斯普的适应症、作用机制、剂量、药代动力学、临床试验结果以及细胞因子释放综合征等不良反应。因此,tebentafusp 是首个可用于治疗 UM 的 T 细胞受体(TCR)治疗药物。
Tebentafusp as a Promising Drug for the Treatment of Uveal Melanoma.
Uveal melanoma (UM) is the most common primary intraocular malignancy in adults and commonly occurs in the Caucasian population. The malignancy involves the uvea of the eye, which includes the iris, ciliary body, and choroid. The etiology of UM is still not well understood, but age is a risk factor. Symptoms include blurred vision, redness of the eye, floaters, dark spots, a change in the size of the pupil, and loss of vision. The location, shape, and size of the tumor are important for therapeutic purposes. Treating metastasis is always a challenge in UM cases. In cases of lung metastasis, the survival rate decreases. Treatment includes surgery, laser therapy, immunotherapy, hormone therapy, and chemotherapy. Recently, in 2022, the United States Food and Drug Administration (FDA) approved the drug tebentafusp. Tebentafusp was developed to target the most common HLA complex in humans. The present review discusses the indications for the use of a new drug tebentafusp, its mechanism of action, dose, pharmacokinetics, results of clinical trials conducted, and adverse effects like cytokine release syndrome. Hence, tebentafusp is the first T cell receptor (TCR) therapeutic drug that could be considered for the treatment of UM.
期刊介绍:
Current Drug Targets aims to cover the latest and most outstanding developments on the medicinal chemistry and pharmacology of molecular drug targets e.g. disease specific proteins, receptors, enzymes, genes.
Current Drug Targets publishes guest edited thematic issues written by leaders in the field covering a range of current topics of drug targets. The journal also accepts for publication mini- & full-length review articles and drug clinical trial studies.
As the discovery, identification, characterization and validation of novel human drug targets for drug discovery continues to grow; this journal is essential reading for all pharmaceutical scientists involved in drug discovery and development.