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Moxetumomab pasudotox for the treatment of hairy cell leukemia.

Abstract
Introduction: Cladribine and pentostatin are the drugs of choice in the treatment of hairy cell leukemia (HCL). Recently, immunotoxin moxetumomab pasudotox has been introduced to improve the prognosis in relapsed and refractory HCL. Areas covered: This review discusses the mechanism of action, safety, and efficacy of moxetumomab pasudotox in HCL patients. A literature review of the MEDLINE database for articles in English concerning immunotoxins, moxetumomab pasudotox, and hairy cell leukemia was conducted via PubMed. Publications from 2000 through December 2018 were scrutinized. The search terms used were immunotoxins and moxetumomab pasudotox in conjunction with hairy cell leukemia. Conference proceedings from the previous five years of the American Society of Hematology, European Hematology Association and American Society of Clinical Oncology were searched manually. Additional relevant publications were obtained by reviewing the references from the chosen articles. Results/conclusion: Moxetumomab pasudotox, a novel recombinant anti-CD22 immunotoxin, was well tolerated and active in the previous phase 1 and 3 studies in patients with HCL. The drug has been approved in 2018 by the FDA for the treatment of patients with relapsed/refractory HCL who had at least two prior systemic therapies including at least one purine nucleoside analog. Expert opinion: The use of moxetumomab pasudotox is a promising new strategy for the treatment of HCL.
AuthorsAgnieszka Janus, Tadeusz Robak
JournalExpert opinion on biological therapy (Expert Opin Biol Ther) Vol. 19 Issue 6 Pg. 501-508 (06 2019) ISSN: 1744-7682 [Electronic] England
PMID31045462 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Antineoplastic Agents
  • Bacterial Toxins
  • Exotoxins
  • immunotoxin HA22
Topics
  • Antineoplastic Agents (pharmacokinetics, pharmacology, therapeutic use)
  • B-Lymphocytes (cytology, drug effects, metabolism)
  • Bacterial Toxins (pharmacokinetics, pharmacology, therapeutic use)
  • Blood Cell Count
  • Clinical Trials as Topic
  • Exotoxins (pharmacokinetics, pharmacology, therapeutic use)
  • Half-Life
  • Humans
  • Leukemia, Hairy Cell (drug therapy)

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