Rituximab
Autor: | Susan V. Onrust, Harriet M. Lamb, Julia A. Balfour |
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Rok vydání: | 1999 |
Předmět: |
medicine.medical_specialty
Follicular lymphoma Antineoplastic Agents Gastroenterology Antibodies Monoclonal Murine-Derived Antigen hemic and lymphatic diseases Internal medicine medicine Animals Humans Pharmacology (medical) Adverse effect CD20 biology business.industry Lymphoma Non-Hodgkin Diphenhydramine Antibodies Monoclonal medicine.disease Clinical trial Cytokine release syndrome biology.protein Rituximab business medicine.drug |
Zdroj: | Drugs. 58:79-88 |
ISSN: | 0012-6667 |
DOI: | 10.2165/00003495-199958010-00009 |
Popis: | ▴ Rituximab is a chimaeric monoclonal antibody which specifically binds to the CD20 antigen on normal and malignant B lymphocytes. It produces antibody-dependent cell- and complement-mediated cytotoxicity in these cells. ▴ Rituximab reduced peripheral B lymphocyte counts by ≈90% within 3 days in patients with relapsed indolent lymphoma. Counts remained depleted for 6 months and recovered by months 9 to 12 after 4 doses of rituximab 375 mg/m2 once weekly. ▴ Clinical response rates were 46 and 48% in 2 non-comparative trials in patients with relapsed indolent lymphoma. The rate of response to rituximab appeared to be markedly higher in patients with follicular lymphoma than in those with small lym-phocytic disease (56 or 60% versus 13 or 15%). ▴ 85 to 94% of patients reported adverse events during clinical trials of rituximab; 90% of events were mild or moderate. The most common adverse event, a transient set of flu-like symptoms during the first infusion in approximately 50 to 87% of patients, generally resolved completely in |
Databáze: | OpenAIRE |
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