Ahmed Bassam Mohd, Omar B Mohd, Yasmeen J Alabdallat, Salem Yousef Al Dwairy, Reem A Ghannam, Balqees M Hanaqtah, Khaled A Albakri
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引用次数: 0
摘要
地纽昔单抗是一种靶向神经母细胞中表达的GD2的单克隆抗体,纳入治疗方案后可提高生存率。本文回顾了地努昔单抗在治疗神经母细胞瘤(NB)中的重要性。地纽昔单抗可靶向神经母细胞瘤细胞中高水平的 GD2 表达,因此在用于高危神经母细胞瘤患者的维持治疗时可提高无事件生存率。尽管多项合作研究已为维持治疗设定了标准,但抗体的长期随访和持续评估以及联合使用其他药理或免疫调节药物仍有待研究。试验表明,使用地纽昔单抗进行维持治疗可延长首次复发前的时间,提高总生存率。然而,与地努昔单抗同时使用的细胞因子的功能尚不确定,这可能会导致毒性增加而没有额外的益处。最近对复发和难治性 NB 的研究显示了地努昔单抗的潜在疗效。要将地努昔单抗恰当地应用于目前的治疗模式中,还需要进一步的研究。
Safety and efficacy of dinutuximab in the treatment of neuroblastoma: A review.
Dinutuximab, which is a monoclonal antibody targeting GD2 expressed in neuroblasts, improves survival when included in the therapy regimen. This article reviews the importance of dinutuximab in managing neuroblastoma (NB). Dinutuximab targets high levels of GD2 expression in NB cells, thus increasing event-free survival when used in the maintenance therapy of high-risk patients with NB. Although several collaborative studies have set the standard of care for maintenance therapy, the long-term follow-up and continuous evaluation of the use of antibodies and the co-administration of other pharmacological or immunomodulatory drugs remain to be studied. Trials have shown that the use of dinutuximab for maintenance therapy can prolong the time before the first relapse and improve overall survival. However, there is uncertainty in the function of cytokines co-administered with dinutuximab, which may lead to increased toxicity without additional benefits. Recent studies on relapsed and refractory NB have shown the potential efficacy of dinutuximab. Further research is required to properly incorporate Dinutuximab in current treatment modalities.
期刊介绍:
Journal of Research in Medical Sciences, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online continuous journal with print on demand compilation of issues published. The journal’s full text is available online at http://www.jmsjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.