4.4 Review

Obinutuzumab in the treatment of B-cell malignancies: a comprehensive review

Journal

FUTURE ONCOLOGY
Volume 18, Issue 26, Pages 2943-2966

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/fon-2022-0112

Keywords

anti-CD20; antibody; B-cell malignancies; CLL; DLBCL; FL; Obinutuzumab

Categories

Funding

  1. Celgene
  2. Roche
  3. Gilead/Kite Pharma
  4. Takeda
  5. Janssen
  6. Kayropharma
  7. Acerta Pharma
  8. AstraZeneca
  9. ADC Therapeutics
  10. Genentech
  11. AbbVie
  12. Amgen
  13. BeiGene
  14. BMS
  15. Gilead
  16. GSK
  17. Novartis
  18. Sunesis
  19. NIH/NCI Cancer Center support grant [P30 CA008748]
  20. F Hoffmann-La Roche Ltd.

Ask authors/readers for more resources

The type II anti-CD20 antibody obinutuzumab has shown improved efficacy compared to rituximab in the treatment of indolent non-Hodgkin lymphoma and chronic lymphocytic leukemia (CLL). Ongoing research is focusing on biomarkers and developing chemotherapy-free regimens involving obinutuzumab.
The type II anti-CD20 antibody obinutuzumab has structural and mechanistic features that distinguish it from the first anti-CD20 antibody, rituximab, which have translated into improved efficacy in phase III trials in indolent non-Hodgkin lymphoma and chronic lymphocytic leukemia (CLL). These gains have been shown through improvements in, and/or increased durability of, tumor response, and increases in progression-free survival in patients with CLL or follicular lymphoma (FL). Ongoing research is focusing on the use of biomarkers and the development of chemotherapy-free regimens involving obinutuzumab. phase II trials of such treatment regimens have shown promise for CLL, FL and mantle cell lymphoma, while phase III trials have highlighted obinutuzumab as the antibody partner of choice for novel agents in first-line CLL treatment.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Radiology, Nuclear Medicine & Medical Imaging

Application of the Lugano Classification for Initial Evaluation, Staging, and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma: The PRoLoG Consensus Initiative (Part 1-Clinical)

Fabien Ricard, Bruce Cheson, Sally Barrington, Judith Trotman, Annette Schmid, Guenther Brueggenwerth, Gilles Salles, Larry Schwartz, Greg Goldmacher, Rudresh Jarecha, Jayant Narang, Florence Broussais, Paul Galette, Min Liu, Surabhi Bajpai, Eric Perlman, Julie Gillis, Ira Smalberg, Pierre Terve, Gudrun Zahlmann, Ron Korn

Summary: This article presents consensus recommendations on the consistent application of the Lugano classification in the field of lymphoma and imaging. The recommendations were obtained through meetings involving academic and industry experts and provide updates and clarifications on the technical considerations and scoring guidelines of the Lugano classification. These consensus recommendations aim to address inconsistencies and ambiguities encountered by end users during response evaluation and should be used alongside the 2014 Lugano classification as a companion guide.

JOURNAL OF NUCLEAR MEDICINE (2023)

Review Hematology

Bispecific antibodies for the treatment of B-cell lymphoma: promises, unknowns, and opportunities

Lorenzo Falchi, Santosha A. Vardhana, Gilles A. Salles

Summary: Treatment paradigms for B-cell non-Hodgkin lymphomas (B-NHL) have undergone significant changes in the past two decades due to the introduction of highly active immunotherapies. Bispecific antibodies (BsAb) have emerged as a promising immunotherapeutic for B-NHL, with anti-CD20xCD3 BsAb showing remarkable single-agent activity. However, further research is needed to determine the optimal deployment of these drugs, ideal combination partners, strategies for minimizing toxicity, and pharmacodynamic biomarkers of response and resistance.

BLOOD (2023)

Review Hematology

Real-world experience among patients with relapsed/refractory mantle cell lymphoma after Bruton tyrosine kinase inhibitor failure in Europe: The SCHOLAR-2 retrospective chart review study

Georg Hess, Martin Dreyling, Lucie Oberic, Eva Gine, Pier Luigi Zinzani, Kim Linton, Adam Vilmar, Mats Jerkeman, Jenny M. H. Chen, Anke Ohler, Stephan Stilgenbauer, Catherine Thieblemont, Jonathan Lambert, Vittorio Ruggero Zilioli, Juan-Manuel Sancho, Ana Jimenez Ubieto, Luca Fischer, Toby A. Eyre, Sam Keeping, Julie E. Park, James J. Wu, Rubina Siddiqi, John Reitan, Sally Wade, Gilles Salles

Summary: Relapsed Mantle cell lymphoma (MCL) has a poor prognosis and there is no standard treatment. This study examined the outcomes of salvage therapy in MCL patients who failed Bruton tyrosine kinase inhibitor (BTKi) therapy, showing shorter overall survival in this group compared to those who received post-BTKi therapy.

BRITISH JOURNAL OF HAEMATOLOGY (2023)

Letter Hematology

Long-term outcomes of patients with limited-stage ocular adnexal DLBCL treated with combined modality therapy in the rituximab era

David Qualls, Brandon S. Imber, Michelle Okwali, Paul A. Hamlin, Anita Kumar, Oscar B. Lahoud, Matthew J. Matasar, Ariela Noy, Colette Owens, Andrew D. Zelenetz, Victoria S. North, Heiko Schoeder, Ahmet Dogan, Gilles Salles, Joachim Yahalom, Lorenzo Falchi

BRITISH JOURNAL OF HAEMATOLOGY (2023)

Article Oncology

High-Dose Cytarabine and Autologous Stem-Cell Transplantation in Mantle Cell Lymphoma: Long-Term Follow-Up of the Randomized Mantle Cell Lymphoma Younger Trial of the European Mantle Cell Lymphoma Network

Olivier Hermine, Linmiao Jiang, Jan Walewski, Andre Bosly, Catherine Thieblemont, Michal Szymczyk, Christiane Pott, Gilles Salles, Pierre Feugier, Kai Hubel, Corinne Haioun, Rene Olivier Casasnovas, Christian Schmidt, Kamal Bouabdallah, Vincent Ribrag, Lothar Kanz, Jan Durig, Bernd Metzner, David Sibon, Morgane Cheminant, Barbara Burroni, Wolfram Klapper, Wolfgang Hiddemann, Michael Unterhalt, Eva Hoster, Martin Dreyling

Summary: Clinical Trial Updates provide an opportunity to disseminate additional results from studies for which the primary end point has already been reported. This study confirms the previously observed substantially prolonged time to treatment failure and shows an improvement in overall survival for patients with Mantle Cell Lymphoma. Some patients with MCL may be cured.

JOURNAL OF CLINICAL ONCOLOGY (2023)

Article Oncology

Outcomes of first therapy after CD19-CAR-T treatment failure in large B-cell lymphoma

Ana Alarcon Tomas, Joshua A. Fein, Shalev Fried, Jessica R. Flynn, Sean M. Devlin, Warren B. Fingrut, Theodora Anagnostou, Anna Alperovich, Nishi Shah, Ellen Fraint, Richard J. Lin, Michael Scordo, Connie Lee Batlevi, Michal J. Besser, Parastoo B. Dahi, Ivetta Danylesko, Sergio Giralt, Brandon S. Imber, Elad Jacoby, Meirav Kedmi, Arnon Nagler, M. Lia Palomba, Mikhail Roshal, Gilles A. Salles, Craig Sauter, Noga Shem-Tov, Avichai Shimoni, Joachim Yahalom, Ronit Yerushalmi, Gunjan L. Shah, Abraham Avigdor, Miguel-Angel Perales, Roni Shouval

Summary: Persistence or recurrence of large B-cell lymphoma after CD19-CAR-T is common and associated with poor prognosis. Novel agents such as polatuzumab and lenalidomide may have potential as treatment options.

LEUKEMIA (2023)

Letter Oncology

Molecularly targeted epigenetic therapy with mocetinostat in relapsed and refractory non-Hodgkin lymphoma with CREBBP or EP300 mutations: an open label phase II study

David Qualls, Ariela Noy, David Straus, Matthew Matasar, Craig Moskowitz, Venkatraman Seshan, Ahmet Dogan, Gilles Salles, Anas Younes, Andrew D. Zelenetz, Connie Lee Batlevi

LEUKEMIA & LYMPHOMA (2023)

Article Hematology

Interim Positron Emission Tomography During Frontline Chemoimmunotherapy for Follicular Lymphoma

Reid W. Merryman, Laure Michaud, Robert Redd, Patrizia Mondello, Hyesun Park, Gabriela Spilberg, Matthew Robertson, Eleanor Taranto, Gulrayz Ahmed, Matthew Chase, Erin Jeter, Inhye E. Ahn, Jennifer R. Brown, Jennifer Crombie, Matthew S. Davids, David C. Fisher, Eric Jacobsen, Caron A. Jacobson, Austin I. Kim, Ann S. LaCasce, Samuel Y. Ng, Oreofe O. Odejide, Erin M. Parry, Gilles Salles, Andrew D. Zelenetz, Philippe Armand, Heiko Schoeder, Heather Jacene

Summary: This study found that interim PET scans after 2-4 cycles of frontline chemoimmunotherapy can predict progression-free survival in follicular lymphoma patients, and may be used as a tool for response-adapted treatment strategies.

HEMASPHERE (2023)

Editorial Material Hematology

Pola-R- CHP for frontline therapy in DLBCL: Are we saving money by spending more?

U. Vitolo, P. M. M. Frascione, F. Bonello

Summary: The study by Kambhampati et al. provides the first European perspective on the cost-effectiveness of pola-R- CHP as frontline treatment for DLBCL patients. However, the applicability of these results in other European settings is questionable, as Germany's access to cellular therapies in earlier lines may not be representative of other countries. The presented data should be re-assessed when long-term data from the POLARIX trial, including real-life data, are available. Additionally, further cost-effectiveness analyses in other European healthcare systems and specific patient subgroups are needed to offer a broader perspective on the potential role of pola-R- CHP in Europe.

BRITISH JOURNAL OF HAEMATOLOGY (2023)

Article Hematology

Lenalidomide maintenance fails to overcome the unfavourable prognosis of low NK-cell counts in rituximab-chemotherapy responsive elderly DLBCL patients: A LYSA group study

Asma Beldi-Ferchiou, Jean-Philippe Jais, Herve Ghesquieres, Rene Olivier Casasnovas, Herve Tilly, Christophe Fruchart, Franck Morschhauser, Corinne Haioun, Julien Lazarovici, Aurore Perrot, Emmanuelle Nicolas-Virelizier, Gilles Salles, Nathalie Godard, Imen Zamali, Jean-Marc Schiano De Colella, Alexis Claudel, Bernadette Corront, Lucie Oberic, Josette Briere, Philippe Gaulard, Catherine Thieblemont, Marie-Helene Delfau-Larue

Summary: Low baseline NK-cell counts (NKCCs) in DLBCL patients are associated with poor prognosis. Lenalidomide maintenance does not affect the prognostic value of low NKCCs in DLBCL patients. Improving NK-cell function could be a potential therapeutic strategy to improve outcomes in DLBCL.

BRITISH JOURNAL OF HAEMATOLOGY (2023)

Article Hematology

Efficacy of a short sandwich protocol, methotrexate, gemcitabine, L-asparaginase and dexamethasone chemotherapy combined with radiotherapy, in localised newly diagnosed NK/T-cell lymphoma: A French retrospective study

Sammara Chaubard, Amira Marouf, David Lavergne, Francois Lemonnier, Julien Rossignol, Aline Clavert, Remy Gressin, Guillaume Cartron, Agathe Waultier-Rascalou, Jacques Vargaftig, Gilles Salles, Emmanuel Bachy, Herve Ghesquieres, Olivier Tournilhac, Adrien Chauchet, Steven Le Gouill, Gandhi Damaj, Luc-Matthieu Fornecker, David Sibon, Lucie Oberic, Jean-Marie Michot, Philippe Gaulard, Olivier Hermine, Lucile Couronne, Arnaud Jaccard

Summary: We conducted a retrospective multi-center study to evaluate the efficacy of the MGAD regimen combined with 'sandwich' radiotherapy in patients with localized extranodal NK/T-cell lymphoma. The results showed high rates of complete remission and favorable progression-free and overall survival at 2 and 5 years. However, a significant proportion of patients experienced relapse and there were manageable side effects. Monitoring of asparaginase activity revealed drug inactivation in a considerable number of patients. Short-term MGAD chemoradiotherapy appears to be a viable treatment option for newly diagnosed patients with localized extranodal NK/T-cell lymphoma.

BRITISH JOURNAL OF HAEMATOLOGY (2023)

Editorial Material Hematology

A new frontier for R-CHOP is two better than one?

Umberto Vitolo, Annalisa Chiappella

BLOOD (2023)

Correction Oncology

Distinct germline genetic susceptibility profiles identified for common non-Hodgkin lymphoma subtypes (vol 36, pg 2835, 2023)

Sonja I. Berndt, Joseph Vijai, Yolanda Benavente, Nicola J. Camp, Alexandra Nieters, Zhaoming Wang, Karin E. Smedby, Geffen Kleinstern, Henrik Hjalgrim, Caroline Besson, Christine F. Skibola, Lindsay M. Morton, Angela R. Brooks-Wilson, Lauren R. Teras, Charles Breeze, Joshua Arias, Hans-Olov Adami, Demetrius Albanes, Kenneth C. Anderson, Stephen M. Ansell, Bryan Bassig, Nikolaus Becker, Parveen Bhatti, Brenda M. Birmann, Paolo Boffetta, Paige M. Bracci, Paul Brennan, Elizabeth E. Brown, Laurie Burdett, Lisa A. Cannon-Albright, Ellen T. Chang, Brian C. H. Chiu, Charles C. Chung, Jacqueline Clavel, Pierluigi Cocco, Graham Colditz, Lucia Conde, David V. Conti, David G. Cox, Karen Curtin, Delphine Casabonne, Immaculata De Vivo, Arjan Diepstra, W. Ryan Diver, Ahmet Dogan, Christopher K. Edlund, Lenka Foretova, Joseph F. Fraumeni, Attilio Gabbas, Herve Ghesquieres, Graham G. Giles, Sally Glaser, Martha Glenn, Bengt Glimelius, Jian Gu, Thomas M. Habermann, Christopher A. Haiman, Corinne Haioun, Jonathan N. Hofmann, Theodore R. Holford, Elizabeth A. Holly, Amy Hutchinson, Aalin Izhar, Rebecca D. Jackson, Ruth F. Jarrett, Rudolph Kaaks, Eleanor Kane, Laurence N. Kolonel, Yinfei Kong, Peter Kraft, Anne Kricker, Annette Lake, Qing Lan, Charles Lawrence, Dalin Li, Mark Liebow, Brian K. Link, Corrado Magnani, Marc Maynadie, James McKay, Mads Melbye, Lucia Miligi, Roger L. Milne, Thierry J. Molina, Alain Monnereau, Rebecca Montalvan, Kari E. North, Anne J. Novak, Kenan Onel, Mark P. Purdue, Kristin A. Rand, Elio Riboli, Jacques Riby, Eve Roman, Gilles Salles, Douglas W. Sborov, Richard K. Severson, Tait D. Shanafelt, Martyn T. Smith, Alexandra Smith, Kevin W. Song, Lei Song, Melissa C. Southey, John J. Spinelli, Anthony Staines, Deborah Stephens, Heather J. Sutherland, Kaitlyn Tkachuk, Carrie A. Thompson, Herve Tilly, Lesley F. Tinker, Ruth C. Travis, Jenny Turner, Celine M. Vachon, Claire M. Vajdic, Anke Van den Berg, David J. Van den Berg, Roel C. H. Vermeulen, Paolo Vineis, Sophia S. Wang, Elisabete Weiderpass, George J. Weiner, Stephanie Weinstein, Nicole Wong Doo, Yuanqing Ye, Meredith Yeager, Kai Yu, Anne Zeleniuch-Jacquotte, Yawei Zhang, Tongzhang Zheng, Elad Ziv, Joshua Sampson, Nilanjan Chatterjee, Kenneth Offit, Wendy Cozen, Xifeng Wu, James R. Cerhan, Stephen J. Chanock, Susan L. Slager, Nathaniel Rothman

LEUKEMIA (2023)

Article Cell Biology

Stromal cell inhibition of anti-CD20 antibody mediated killing of B-cell malignancies

Ester Fagnano, Swati Pendharkar, Madyson Colton, Philip N. Jones, Marta Crespi Sallan, Tetyana Klymenko, Andrejs Braun, Christian Klein, Jamie Honeychurch, Eleanor J. Cheadle, Timothy M. Illidge

Summary: This study showed that contact between tumor cells and stromal cells inhibits the effector functions of Obinutuzumab, highlighting the potential for improved therapies targeting the microenvironment to enhance patient outcomes in B-cell malignancies.

FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY (2023)

Review Infectious Diseases

Overlapping Infection by Strongyloides spp. and Cytomegalovirus in the Immunocompromised Host: A Comprehensive Review of the Literature

Tommaso Lupia, Elena Crisa, Alberto Gaviraghi, Barbara Rizzello, Alessia Di Vincenzo, Fabrizio Carnevale-Schianca, Daniela Caravelli, Marco Fizzotti, Francesco Tolomeo, Umberto Vitolo, Ilaria De Benedetto, Nour Shbaklo, Alessandro Cerutti, Piero Fenu, Vanesa Gregorc, Silvia Corcione, Valeria Ghisetti, Francesco Giuseppe De Rosa

Summary: Co-infections of Strongyloides and cytomegalovirus are rarely reported but have high morbidity and mortality in immunocompromised hosts. Most cases occur in male patients, especially in solid organ transplants and hematological or rheumatological diseases. Steroid treatment is common before the diagnosis of co-infections, and the treatment mortality rate is high.

TROPICAL MEDICINE AND INFECTIOUS DISEASE (2023)

No Data Available