Review Article

Target Therapy in Hematological Malignances: New Monoclonal Antibodies

Table 1

Monoclonal antibodies clinically used currently.

AgentNameTargetTypeFDA approvalIndicationSelected side effectsClinical application

RituximabRituxanCD20Chimeric1997B-cell NHL, CLLInfusion related, fever, lymphopenia, neutropenia, susceptibility to infections, and progressive multifocal leukoencephalopathyAgents currently clinically used

IbritumomabZevalinCD20Mouse/radiolabeled2002B-cell NHLCytopenias, fatigue, nasopharyngitis, nausea, abdominal pain, asthenia, cough, diarrhea, and pyrexiaAgents currently clinically used

TositumomabBexxarCD20Mouse/radiolabeled2003NHLNeutropenia, thrombocytopenia, anemia, infections, infusion reactions, asthenia, fever, and nauseaAgents currently clinically used

OfatumumabArzerraCD20Human2009CLLNeutropenia, pneumonia, pyrexia, cough, diarrhea, anemia, fatigue, dyspnea, rash, nausea, bronchitis, and upper respiratory tract infectionsAgents currently clinically used

GemtuzumabMylotargCD33Humanized/drug attached2000Relapsed AMLInfusion related, skin, and hepatotoxicity including the syndrome of venoocclusive diseaseWithdrawn

BrentuximabAdcetrisCD30Chimeric/chemolabeled2011HL, sALCLNeutropenia, peripheral sensory neuropathy, fatigue, nausea, anemia, upper respiratory infection, diarrhea, fever, cough, vomiting, and thrombocytopeniaAgents currently clinically used

AlemtuzumabCampathCD52Humanized2001B-CLLCytopenias, infusion reactions, cytomegalovirus (CMV) and other infections, nausea, emesis, diarrhea, and insomniaAgents currently clinically used

EculizumabSolirisC5Humanized2007PNH, aHUSHypertension, upper respiratory tract infection, diarrhea, headache, anemia, vomiting, nausea, urinary tract infection, and leucopeniaAgents currently clinically used

NHL: non-Hodgkin’s lymphoma; CLL: chronic lymphocytic leukemia; AML: acute myelocytic leukemia; HL: Hodgkin’s lymphoma; sALCL: systemic anaplastic large cell lymphoma; PNH: paroxysmal nocturnal hemoglobinuria; aHUS: atypical haemolytic uremic syndrome.