Anti-CD20 monoclonal antibodies and their use in adult autoimmune hematological disorders

被引:23
作者
Dierickx, Daan [1 ]
Delannoy, Andre [2 ]
Saja, Khalid [3 ]
Verhoef, Gregor [1 ]
Provan, Drew [3 ]
机构
[1] Univ Hosp Leuven, Dept Hematol, B-3000 Louvain, Belgium
[2] Hop Jolimont, Haine St Paul & Clin Univ St Luc, Brussels, Belgium
[3] Barts London Queen Marys Sch Med & Dent, Ctr Hematol, London, England
关键词
THROMBOTIC THROMBOCYTOPENIC PURPURA; RED-CELL APLASIA; VERSUS-HOST-DISEASE; CHRONIC LYMPHOCYTIC-LEUKEMIA; TERM-FOLLOW-UP; COLD AGGLUTININ DISEASE; FACTOR-VIII INHIBITORS; LOW-DOSE RITUXIMAB; MINOR HISTOCOMPATIBILITY ANTIGENS; SYSTEMIC-LUPUS-ERYTHEMATOSUS;
D O I
10.1002/ajh.21939
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Autoimmune hematological disorders encompass a broad group of hematological conditions characterized by the loss of self-tolerance to a variety of antigens. Despite good response to first-line therapy in the majority of patients, relapses are common, necessitating new and safe therapeutic options. The anti-CD20 monoclonal antibody rituximab has led to substantial improvement in the treatment of malignant and immune-mediated disorders involving B cells. Although experience with rituximab in immune-mediated hematological disorders is rarely supported by randomized trials, there is now substantial experience with rituximab suggesting that anti-CD20 therapy is an effective and well-tolerated alternative to immunosuppressive therapy in these disorders. However, caution is needed based on recent reports describing-sometimes severe-rituximab-related complications. Am. J. Hematol. 86:278-291, 2011. (C) 2010 Wiley-Liss, Inc.
引用
收藏
页码:278 / 291
页数:14
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