The landscape of T-cell engagers for the treatment of follicular lymphoma

Follicular lymphoma (FL), the second most common subtype of non-Hodgkin lymphoma, relies on interactions with immune elements in the tumor microenvironment, including T-follicular helper cells and follicular dendritic cells, for its survival and progression. Despite its initial responsiveness to che...

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Main Authors: Alfredo Rivas-Delgado, Ivan Landego, Lorenzo Falchi
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:OncoImmunology
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Online Access:https://www.tandfonline.com/doi/10.1080/2162402X.2024.2412869
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author Alfredo Rivas-Delgado
Ivan Landego
Lorenzo Falchi
author_facet Alfredo Rivas-Delgado
Ivan Landego
Lorenzo Falchi
author_sort Alfredo Rivas-Delgado
collection DOAJ
description Follicular lymphoma (FL), the second most common subtype of non-Hodgkin lymphoma, relies on interactions with immune elements in the tumor microenvironment, including T-follicular helper cells and follicular dendritic cells, for its survival and progression. Despite its initial responsiveness to chemoimmunotherapy, FL is generally considered incurable. Strategies to improve immune-mediated control of FL could significantly benefit this population, particularly as it includes many elderly and comorbid patients. Immune cell engagers, especially bispecific antibodies (BsAbs), are crucial in targeting FL by bridging tumor and effector cells, thereby triggering T-cell activation and cytotoxic killing. CD3 × CD20 BsAbs have shown the most promise in clinical development for B-NHL patients, with structural variations affecting their target affinity and potency. This review summarizes the current clinical trials of BsAbs for relapsed/refractory FL, highlighting the approval of some agents, their role in first-line treatment or combination therapies, their toxicity profiles, and the future of this therapeutic approach compared to other immune cell therapies.
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spelling doaj-art-e58a0910b16941e782316f10e9ee17bd2025-08-20T02:38:26ZengTaylor & Francis GroupOncoImmunology2162-402X2024-12-0113110.1080/2162402X.2024.2412869The landscape of T-cell engagers for the treatment of follicular lymphomaAlfredo Rivas-Delgado0Ivan Landego1Lorenzo Falchi2Department of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Center, New York, USADepartment of Internal Medicine, Max Rady Faculty of Health Sciences, Section of Medical Oncology and Hematology, University of Manitoba, Winnipeg, MB, CanadaDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Center, New York, USAFollicular lymphoma (FL), the second most common subtype of non-Hodgkin lymphoma, relies on interactions with immune elements in the tumor microenvironment, including T-follicular helper cells and follicular dendritic cells, for its survival and progression. Despite its initial responsiveness to chemoimmunotherapy, FL is generally considered incurable. Strategies to improve immune-mediated control of FL could significantly benefit this population, particularly as it includes many elderly and comorbid patients. Immune cell engagers, especially bispecific antibodies (BsAbs), are crucial in targeting FL by bridging tumor and effector cells, thereby triggering T-cell activation and cytotoxic killing. CD3 × CD20 BsAbs have shown the most promise in clinical development for B-NHL patients, with structural variations affecting their target affinity and potency. This review summarizes the current clinical trials of BsAbs for relapsed/refractory FL, highlighting the approval of some agents, their role in first-line treatment or combination therapies, their toxicity profiles, and the future of this therapeutic approach compared to other immune cell therapies.https://www.tandfonline.com/doi/10.1080/2162402X.2024.2412869Bispecific antibodiesfollicular lymphomaimmunotherapyepcoritamabglofitamabmosunetuzumab
spellingShingle Alfredo Rivas-Delgado
Ivan Landego
Lorenzo Falchi
The landscape of T-cell engagers for the treatment of follicular lymphoma
OncoImmunology
Bispecific antibodies
follicular lymphoma
immunotherapy
epcoritamab
glofitamab
mosunetuzumab
title The landscape of T-cell engagers for the treatment of follicular lymphoma
title_full The landscape of T-cell engagers for the treatment of follicular lymphoma
title_fullStr The landscape of T-cell engagers for the treatment of follicular lymphoma
title_full_unstemmed The landscape of T-cell engagers for the treatment of follicular lymphoma
title_short The landscape of T-cell engagers for the treatment of follicular lymphoma
title_sort landscape of t cell engagers for the treatment of follicular lymphoma
topic Bispecific antibodies
follicular lymphoma
immunotherapy
epcoritamab
glofitamab
mosunetuzumab
url https://www.tandfonline.com/doi/10.1080/2162402X.2024.2412869
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