Radioimmunotherapy with 177Lu-DOTA-Rituximab: Final Results of a Phase I/II Study in 31 Patients with Relapsing Follicular, Mantle Cell, and Other Indolent B-Cell Lymphomas

Journal of Nuclear Medicine

Flavio Forrer¹  Richard Herrmann¹  Catharina Oechslin-Oberholzer¹  Benedetta Campana¹  Jan Mueller-Brand¹  Andreas Lohri¹  Helmut R. Maecke¹ 

关键词: radioimmunotherapy;    ¹⁷⁷Lu;    lymphoma;    rituximab;   

DOI  :  10.2967/jnumed.112.115170

学科分类：医学（综合）

来源: Society of Nuclear Medicine

【 摘 要 】

The aim of this study was to determine the maximum tolerated dose (MTD) and to explore the clinical response to 177Lu-DOTA-rituximab in the treatment of patients with relapsed follicular, mantle cell, or other indolent lymphomas such as marginal zone lymphoma. Methods: To evaluate the MTD, we adjusted the dosage of the radiopharmaceutical according to body surface area (BSA). Results: The MTD using 177Lu-DOTA-rituximab was 1,665 MBq/m2 of BSA. Thrombocytopenia and leukopenia were the dose-limiting toxicities. Significant anemia occurred only at dose level 7 (1,850 MBq/m2 of BSA). We observed the nadir of platelets after a median of 36 d from treatment and the nadir of granulocytes after a median of 50 d. Median time to recovery to the next lower grade of toxicity was 7 d. Nonhematologic toxicity was negligible. We observed clinical responses at all dose levels and for all lymphoma entities. Some of the responses were durable; the longest follow-up is currently over 8 y. At present, 11 patients are alive and 8 patients are disease-free. Conclusion: Our results demonstrate the safety and feasibility of 177Lu-DOTA-rituximab treatment for the lymphoma entities tested in this study.

【 授权许可】

Unknown