PMID- 15209190 OWN - NLM STAT- MEDLINE DCOM- 20041124 LR - 20161124 IS - 0890-9091 (Print) IS - 0890-9091 (Linking) VI - 18 IP - 5 DP - 2004 May TI - Radioimmunotherapy: a new treatment modality for B-cell non-Hodgkin's lymphoma. PG - 623-30; discussion 633-4, 637-8, 640 AB - The field of radioimmunotherapy for the treatment of non-Hodgkin's lymphoma (NHL) has advanced significantly over the past decade, and several radioimmunoconjugates are being tested in clinical trials. Two of these antibodies target CD20: yttrium-90 (Y-90)-labeled ibritumomab tiuxetan (Zevalin) and tositumomab/iodine-131 (I-131)-labeled tositumomab (Bexxar). Other agents target either CD22 (Y-90 epratuzumab) or human leukocyte antigen (HLA)-DR (I-131 Lym-1), respectively. In February 2002, Y-90-labeled ibritumomab tiuxetan became the first radioimmunoconjugate to be approved by the US Food and Drug Administration (FDA) for the treatment of cancer. Tositumomab/I-131 tositumomab was approved in June 2003. Thus, two radioimmunoconjugates have been approved for the treatment of NHL. Both agents, when administered as a single dose, have produced impressive tumor response rates with an acceptable toxicity profile. The main side effect is reversible myelosuppression. Radioimmunotherapy produces overall response rates of approximately 80% in patients with low-grade lymphomas, and 25% to 30% of patients achieve a complete remission. Lower response rates (approximately 40%) have been reported in patients with large-cell lymphomas. This review discusses the clinical trials of radioimmunotherapeutic agents for NHL that demonstrated their safety and efficacy and outlines the current status of these agents. FAU - Ghobrial, Irene AU - Ghobrial I AD - Mayo College of Medicine, Rochester, Minnesota 55905, USA. FAU - Witzig, Thomas AU - Witzig T LA - eng GR - CA87912/CA/NCI NIH HHS/United States GR - CA97274/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Oncology (Williston Park) JT - Oncology (Williston Park, N.Y.) JID - 8712059 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, CD20) RN - 0 (Antineoplastic Agents) RN - 0 (Iodine Radioisotopes) RN - 0 (Yttrium Radioisotopes) RN - 4Q52C550XK (ibritumomab tiuxetan) SB - IM MH - Antibodies, Monoclonal/pharmacology/therapeutic use MH - Antigens, CD20/immunology MH - Antineoplastic Agents/pharmacology/therapeutic use MH - Clinical Trials as Topic MH - Humans MH - Iodine Radioisotopes/pharmacology/therapeutic use MH - Lymphoma, B-Cell/*radiotherapy MH - Radioimmunotherapy/*methods MH - Yttrium Radioisotopes/pharmacology/therapeutic use RF - 51 EDAT- 2004/06/24 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/06/24 05:00 PHST- 2004/06/24 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/06/24 05:00 [entrez] AID - 163733 [pii] PST - ppublish SO - Oncology (Williston Park). 2004 May;18(5):623-30; discussion 633-4, 637-8, 640.