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A review of tositumomab and I(131) tositumomab radioimmunotherapy for the treatment of follicular lymphoma

A review of tositumomab and I(131) tositumomab radioimmunotherapy for the treatment of follicular lymphoma
A review of tositumomab and I(131) tositumomab radioimmunotherapy for the treatment of follicular lymphoma
The CD20 antigen has become a major therapeutic target in the management of follicular and other Bcell non-Hodgkin’s lymphomas. The murine monoclonal antibody, tositumomab, on binding CD20, is able to induce antibody-dependent cellular cytotoxicity, complement-dependent cytotoxicity and apoptosis. In addition, when radioiodinated, the antibody exploits the tumour’s sensitivity to ionising radiation by direct targeting of the malignant cell. Tositumomab and Iodine (I131) tositumomab (Bexxar®, GlaxoSmithKline, Philadelphia, PA, USA) is administered in two steps. The dosimetric step determines individual patient pharmacokinetics, allowing a patient- specific dose to be calculated. This is followed by the therapeutic step, with administration of the therapeutic dose between 7 and 14 days after the dosimetric dose. Over a decade’s worth of experience in clinical trials has determined the efficacy and safety of the regimen in a variety of clinical ci-rcumstances; establishment of exactly where the regimen fits amongst the algorithm for the management of follicular lymphoma continues.
1471-2598
577-588
Davies, A.J.
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af
Davies, A.J.
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af

Davies, A.J. (2005) A review of tositumomab and I(131) tositumomab radioimmunotherapy for the treatment of follicular lymphoma. Expert Opinion on Biological Therapy, 5 (4), 577-588. (doi:10.1517/14712598.5.4.577).

Record type: Article

Abstract

The CD20 antigen has become a major therapeutic target in the management of follicular and other Bcell non-Hodgkin’s lymphomas. The murine monoclonal antibody, tositumomab, on binding CD20, is able to induce antibody-dependent cellular cytotoxicity, complement-dependent cytotoxicity and apoptosis. In addition, when radioiodinated, the antibody exploits the tumour’s sensitivity to ionising radiation by direct targeting of the malignant cell. Tositumomab and Iodine (I131) tositumomab (Bexxar®, GlaxoSmithKline, Philadelphia, PA, USA) is administered in two steps. The dosimetric step determines individual patient pharmacokinetics, allowing a patient- specific dose to be calculated. This is followed by the therapeutic step, with administration of the therapeutic dose between 7 and 14 days after the dosimetric dose. Over a decade’s worth of experience in clinical trials has determined the efficacy and safety of the regimen in a variety of clinical ci-rcumstances; establishment of exactly where the regimen fits amongst the algorithm for the management of follicular lymphoma continues.

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Published date: April 2005

Identifiers

Local EPrints ID: 73335
URI: http://eprints.soton.ac.uk/id/eprint/73335
ISSN: 1471-2598
PURE UUID: d058be99-67a5-4208-aeec-7af91752a497
ORCID for A.J. Davies: ORCID iD orcid.org/0000-0002-7517-6938

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Date deposited: 11 Mar 2010
Last modified: 14 Mar 2024 02:54

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