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DRUG:

Zevalin (ibritumomab tiuxetan)

i
Other names: IDEC-129, SHL-749, IDEC-Y2B8, SH-L749, SH-L-749, IDEC129, IDECY2B8, BAY86-5128, BAY86 5128, BAY865128, IDEC 129, IDEC Y2B8
Company:
Assertio, Aurobindo, CASI, Mundipharma, Servier
Drug class:
CD20 inhibitor, Beta radiation emitter
Related drugs:
5ms
Trial termination
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BCL2 (B-cell CLL/lymphoma 2)
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Rituxan (rituximab) • Truxima (rituximab-abbs) • Zevalin (ibritumomab tiuxetan)
over1year
The Rebirth of Radioimmunotherapy of Non-Hodgkin Lymphoma: The Phoenix of Nuclear Medicine? (PubMed, Semin Nucl Med)
However, despite their therapeutic efficacy, Bexxar® was withdrawn from the market by the manufacturer in 2014 due to limited commercial demand and Zevalin® has had very limited to no availability of late. I-131 rituximab is used to a limited extent in Australia, India and other countries, as well. But has RIT of NHL been (perhaps prematurely) left for dead by many? Given the current great clinical and commercial interest in radiopharmaceutical therapies of cancer, notably PSMA and SSTR targeting agents in prostate and neuroendocrine cancers, can radioimmunotherapy of NHL-like the mythical Phoenix-now rise from its ashes in an even better form to fly higher, faster, farther and longer than before?
Review • Journal
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SSTR (Somatostatin Receptor)
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Rituxan (rituximab) • Zevalin (ibritumomab tiuxetan) • Bexxar (iodine I 131 tositumomab)
almost2years
A Phase II Study of Allo-HCT for B-Cell NHL Using Zevalin, Fludarabine and Melphalan (clinicaltrials.gov)
P2, N=41, Completed, City of Hope Medical Center | Active, not recruiting --> Completed
Trial completion
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CD20 (Membrane Spanning 4-Domains A1)
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Rituxan (rituximab) • sirolimus • melphalan • fludarabine IV • Zevalin (ibritumomab tiuxetan)
almost2years
S1001 PET-Directed Therapy in Treating Patients With Limited-Stage Diffuse Large B-Cell Lymphoma (clinicaltrials.gov)
P2, N=159, Completed, SWOG Cancer Research Network | Active, not recruiting --> Completed
Trial completion
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CD20 expression
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Zevalin (ibritumomab tiuxetan)
2years
A Systematic Literature Review (SLR) and Meta-Analysis of Clinical Evidence of Second Line or Later (2L+) Treatments for Follicular Lymphoma (FL) in Adult Patients (ASH 2023)
Eligible treatments included CAR T cell therapies (axicabtagene ciloleucel, lisocabtagene maraleucel, and tisagenlecleucel), T cell engagers (mosunetuzumab, glofitamab, epcoritamab, odronextamab), phosphatidylinositol 3-kinase (PI3K) inhibitors (copanlisib, duvelisib, idelalisib), HSCT, yttrium-90 (90Y) ibritumomab tiuxetan, tazemetostat, and conventional therapies (immunochemotherapies, single- or multiagent chemo- or immunotherapies, and alkylating agents). This SLR demonstrated an evolving FL treatment landscape, with new agents such as CAR T cell therapies and T cell engagers exhibiting potential for improving effectiveness of treatment for patients in 3L+, 4L+, and 2L+ POD24 populations.
Retrospective data • Review
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Aliqopa (copanlisib) • Zydelig (idelalisib) • Copiktra (duvelisib) • Yescarta (axicabtagene ciloleucel) • Breyanzi (lisocabtagene maraleucel) • Tazverik (tazemetostat) • Kymriah (tisagenlecleucel-T) • Epkinly (epcoritamab-bysp) • Zevalin (ibritumomab tiuxetan) • Lunsumio (mosunetuzumab-axgb) • Columvi (glofitamab-gxbm) • Ordspono (odronextamab)
2years
Rituximab With or Without Yttrium Y-90 Ibritumomab Tiuxetan in Treating Patients With Untreated Follicular Lymphoma (clinicaltrials.gov)
P3, N=20, Completed, Mayo Clinic | Active, not recruiting --> Completed | Trial completion date: Jan 2026 --> Nov 2023
Trial completion • Trial completion date • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • B2M (Beta-2-microglobulin)
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BCL2 mutation
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Rituxan (rituximab) • Zevalin (ibritumomab tiuxetan)
2years
A Phase II Study of Allo-HCT for B-Cell NHL Using Zevalin, Fludarabine and Melphalan (clinicaltrials.gov)
P2, N=41, Active, not recruiting, City of Hope Medical Center | Trial completion date: Jun 2023 --> Dec 2023
Trial completion date
|
CD20 (Membrane Spanning 4-Domains A1)
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Rituxan (rituximab) • sirolimus • melphalan • fludarabine IV • Zevalin (ibritumomab tiuxetan)
over2years
P2 data • Journal • Combination therapy
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Rituxan (rituximab) • methotrexate • sirolimus • melphalan • fludarabine IV • Zevalin (ibritumomab tiuxetan)
over2years
S1001 PET-Directed Therapy in Treating Patients With Limited-Stage Diffuse Large B-Cell Lymphoma (clinicaltrials.gov)
P2, N=159, Active, not recruiting, SWOG Cancer Research Network | Trial completion date: Jun 2023 --> Oct 2023
Trial completion date
|
CD20 expression
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Zevalin (ibritumomab tiuxetan)
over2years
Theranostics in Hematooncology. (PubMed, J Nucl Med)
For instance, the theranostic armamentarium for the referring hematooncologist now includes Y-ibritumomab tiuxetan for refractory low-grade follicular lymphoma or transformed B-cell non-Hodgkin lymphoma, as well as I-tositumomab for rituximab-refractory follicular lymphoma. Moreover, the first interim results of the SIERRA phase III trial reported beneficial effects from the use of I-anti-CD45 antibodies (Iomab-B) in refractory or relapsed acute myeloid leukemia...As an integral part of the treatment plan, such radioligand therapy-mediated myeloablation also allows one to line up patients for stem cell transplantation, which leads to successful engraftment during the further treatment course. In this continuing education article, we provide an overview of the current advent of theranostics in hematooncology and highlight emerging clinical applications.
Journal
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CXCR4 (Chemokine (C-X-C motif) receptor 4)
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Rituxan (rituximab) • Zevalin (ibritumomab tiuxetan) • Iomab-B (I-131-apamistamab) • Bexxar (iodine I 131 tositumomab)
almost3years
A Phase II Study of Allo-HCT for B-Cell NHL Using Zevalin, Fludarabine and Melphalan (clinicaltrials.gov)
P2, N=41, Active, not recruiting, City of Hope Medical Center | Trial completion date: Dec 2022 --> Jun 2023
Trial completion date
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CD20 (Membrane Spanning 4-Domains A1)
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Rituxan (rituximab) • sirolimus • melphalan • fludarabine IV • Zevalin (ibritumomab tiuxetan)