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Obinutuzumab (GA101) for the Treatment of Chronic Lymphocytic Leukemia and Other B-Cell Non-Hodgkin's Lymphomas: A Glycoengineered Type II CD20 Antibody
| Content Provider | Semantic Scholar |
|---|---|
| Author | Goede, Valentin Klein, Christian Stilgenbauer, Stephan |
| Copyright Year | 2015 |
| Abstract | Obinutuzumab (GA101) is a humanized, monoclonal type II CD20 antibody modified by glycoengineering. The glycoengineered Fc portion enhances the binding affinity to the FcγRIII receptor on immune effector cells, resulting in increased antibody-dependent cellular cytotoxicity and phagocytosis. In addition, the type II antibody binding characteristics of obinutuzumab to CD20 lead to an efficient induction of direct non-apoptotic cell death. Preclinical data demonstrated more efficient B-cell depletion in whole blood and superior antitumor activity in xenograft models of obinutuzumab as compared to the type I CD20 antibody rituximab. In previously untreated patients with chronic lymphocytic leukemia (CLL) and comorbidities, obinutuzumab plus chlorambucil increased response rates and prolonged progression-free survival compared with rituximab plus chlorambucil. Obinutuzumab had an acceptable and manageable safety profile, with infusion-related reactions during the first infusion as the most common adverse event. Further phase I/II clinical trials have also shown promising activity in other CD20-positive B-cell non-Hodgkin's lymphomas (NHL). Therefore, several clinical studies are planned or ongoing to investigate obinutuzumab with different combination partners in both untreated and relapsed/refractory patients with different B-cell NHL entities, which in addition to CLL include diffuse large B-cell lymphoma and follicular lymphoma. |
| Starting Page | 185 |
| Ending Page | 192 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| DOI | 10.1159/000381524 |
| PubMed reference number | 25877943 |
| Journal | Medline |
| Volume Number | 38 |
| Alternate Webpage(s) | https://www.karger.com/Article/Pdf/381524 |
| Alternate Webpage(s) | https://doi.org/10.1159/000381524 |
| Journal | Oncology Research and Treatment |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |