PMID- 25993198 OWN - NLM STAT- MEDLINE DCOM- 20160208 LR - 20211203 IS - 1548-8756 (Electronic) IS - 1548-8748 (Linking) DP - 2015 TI - New targeted therapies for indolent B-cell malignancies in older patients. PG - e365-74 LID - 10.14694/EdBook_AM.2015.35.e365 [doi] AB - Molecularly targeted agents have become an established component of the treatment of indolent B-cell malignancies (iNHL). iNHL disproportionately affects older adults, so treatments that have excellent tolerability and efficacy across multiple lines of therapy are in demand. The numbers and classes of targeted therapies for iNHL have proliferated rapidly in recent years; classes of agents that show promise for older patients with iNHL include anti-CD20 antibodies, phosphatidyl-3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) signaling pathway inhibitors, immunomodulators, proteasome inhibitors, epigenetic modulators, and immunotherapies. Here, we review the proposed mechanisms of action, efficacy, and tolerability of novel agents for iNHL, with an emphasis on their applicability to older patients. FAU - Krem, Maxwell M AU - Krem MM AD - From the University of Louisville Brown Cancer Center, Louisville, KY; Fred Hutchinson Cancer Research Center, Seattle, WA. FAU - Gopal, Ajay K AU - Gopal AK AD - From the University of Louisville Brown Cancer Center, Louisville, KY; Fred Hutchinson Cancer Research Center, Seattle, WA. LA - eng GR - K24CA184039/CA/NCI NIH HHS/United States GR - P01CA044991/CA/NCI NIH HHS/United States GR - P30 CA015704/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Am Soc Clin Oncol Educ Book JT - American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting JID - 101233985 RN - 0 (Antibodies) RN - 0 (Antigens, CD20) RN - 0 (Immunoconjugates) RN - 0 (Immunologic Factors) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proteasome Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.2 (Agammaglobulinaemia Tyrosine Kinase) RN - EC 2.7.11.1 (Oncogene Protein v-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Agammaglobulinaemia Tyrosine Kinase MH - Aged MH - Antibodies/immunology MH - Antigens, CD20/immunology MH - Forecasting MH - Humans MH - Immunoconjugates/therapeutic use MH - Immunologic Factors/therapeutic use MH - Immunotherapy/methods MH - Leukemia, B-Cell/*therapy MH - Middle Aged MH - Molecular Targeted Therapy/*methods MH - Oncogene Protein v-akt/antagonists & inhibitors MH - Phosphoinositide-3 Kinase Inhibitors MH - Proteasome Inhibitors/therapeutic use MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - Randomized Controlled Trials as Topic MH - Signal Transduction/immunology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors EDAT- 2015/05/21 06:00 MHDA- 2016/02/09 06:00 CRDT- 2015/05/21 06:00 PHST- 2015/05/21 06:00 [entrez] PHST- 2015/05/21 06:00 [pubmed] PHST- 2016/02/09 06:00 [medline] AID - 0011500e365 [pii] AID - 10.14694/EdBook_AM.2015.35.e365 [doi] PST - ppublish SO - Am Soc Clin Oncol Educ Book. 2015:e365-74. doi: 10.14694/EdBook_AM.2015.35.e365.