Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma

Barbara Jezeršek Novaković, Lučka Boltežar, Aleksander NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Ljubljana, 1000, SloveniaCorrespondence: Barbara Jezeršek NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Zaloška 2,...

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Main Authors: Jezeršek Novaković B, Boltežar L, Novaković A
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Therapeutics and Clinical Risk Management
Subjects:
Online Access:https://www.dovepress.com/current-opinion-on-pixantrone-in-the-treatment-of-non-hodgkin-b-cell-l-peer-reviewed-article-TCRM
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author Jezeršek Novaković B
Boltežar L
Novaković A
author_facet Jezeršek Novaković B
Boltežar L
Novaković A
author_sort Jezeršek Novaković B
collection DOAJ
description Barbara Jezeršek Novaković, Lučka Boltežar, Aleksander NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Ljubljana, 1000, SloveniaCorrespondence: Barbara Jezeršek NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Zaloška 2, Ljubljana, 1000, SloveniaTel +38615879631Fax +38615879305Email bjezersek@onko-i.siAbstract: Not many treatment options exist for patients with relapsed or refractory (R/R) B-cell non-Hodgkin lymphoma (NHL) in whom first- and second-line therapies were unsuccessful. This is especially true for patients with aggressive lymphomas. The innovative agent pixantrone has shown some promising results in terms of disease-free and overall survival, both in monotherapy as well as in combinations. However, recent trials (Phase III and real-world studies) reported unsatisfactory results, thereby raising the question about the role of pixantrone in the current treatment of R/R aggressive lymphomas. Nonetheless, there might still be a potential position for this drug in combinations, for use as first-line treatment of patients with cardiac dysfunction. This article summarizes the definition, structure, mechanism of action and reduced cardiotoxicity of pixantrone as well as efficacy and toxicity both in monotherapy and in combinations, as treatment for aggressive and indolent non-Hodgkin lymphomas.Keywords: pixantrone, B-cell non-Hodgkin lymphomas, efficacy, toxicity
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spelling doaj.art-a7a07d97bfa349708902b90ce5f124bc2022-12-21T21:21:15ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2021-03-01Volume 1718319262694Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell LymphomaJezeršek Novaković BBoltežar LNovaković ABarbara Jezeršek Novaković, Lučka Boltežar, Aleksander NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Ljubljana, 1000, SloveniaCorrespondence: Barbara Jezeršek NovakovićDivision of Medical Oncology, Institute of Oncology Ljubljana, Zaloška 2, Ljubljana, 1000, SloveniaTel +38615879631Fax +38615879305Email bjezersek@onko-i.siAbstract: Not many treatment options exist for patients with relapsed or refractory (R/R) B-cell non-Hodgkin lymphoma (NHL) in whom first- and second-line therapies were unsuccessful. This is especially true for patients with aggressive lymphomas. The innovative agent pixantrone has shown some promising results in terms of disease-free and overall survival, both in monotherapy as well as in combinations. However, recent trials (Phase III and real-world studies) reported unsatisfactory results, thereby raising the question about the role of pixantrone in the current treatment of R/R aggressive lymphomas. Nonetheless, there might still be a potential position for this drug in combinations, for use as first-line treatment of patients with cardiac dysfunction. This article summarizes the definition, structure, mechanism of action and reduced cardiotoxicity of pixantrone as well as efficacy and toxicity both in monotherapy and in combinations, as treatment for aggressive and indolent non-Hodgkin lymphomas.Keywords: pixantrone, B-cell non-Hodgkin lymphomas, efficacy, toxicityhttps://www.dovepress.com/current-opinion-on-pixantrone-in-the-treatment-of-non-hodgkin-b-cell-l-peer-reviewed-article-TCRMpixantroneb-cell non-hodgkin lymphomasefficacytoxicity
spellingShingle Jezeršek Novaković B
Boltežar L
Novaković A
Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
Therapeutics and Clinical Risk Management
pixantrone
b-cell non-hodgkin lymphomas
efficacy
toxicity
title Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
title_full Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
title_fullStr Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
title_full_unstemmed Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
title_short Current Opinion on Pixantrone in the Treatment of Non-Hodgkin B-Cell Lymphoma
title_sort current opinion on pixantrone in the treatment of non hodgkin b cell lymphoma
topic pixantrone
b-cell non-hodgkin lymphomas
efficacy
toxicity
url https://www.dovepress.com/current-opinion-on-pixantrone-in-the-treatment-of-non-hodgkin-b-cell-l-peer-reviewed-article-TCRM
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