Radioligand Therapy in Lymphoma: Past, Present, and Future

PET Clin. 2024 Oct;19(4):475-494. doi: 10.1016/j.cpet.2024.05.003. Epub 2024 Jul 4.

Abstract

In the1980s, radiolabeled cells helped understand the pathology of hemato-oncology. In the 1990s, preclinical trials evaluated radiolabeled immunotherapy with monoclonal antibodies (MoAbs) such as anti-CD20 agents labeled with Iodine-131 (Bexxar) or Yttrium-90 (Zevalin). Due to the safe and durable responses of radiolabeled MoAbs, the Food and Drug Administration approved these agents in the 2000s. Despite radioimmunotherapy's long journey, its application has recently decreased. This review will discuss the historical timeline of radioimmunotherapy, debate on advantages and difficulties, and explore trials. We will examine future directions of radioligand therapy in hemato-oncology, considering emerging molecules that may become the next theragnostic trend.

Keywords: Immunotherapy; Lymphoma; Radioligand; Theranostics; Therapy.

Publication types

  • Historical Article

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Iodine Radioisotopes / therapeutic use
  • Lymphoma* / diagnostic imaging
  • Lymphoma* / radiotherapy
  • Radioimmunotherapy* / methods
  • Radiopharmaceuticals* / therapeutic use
  • Yttrium Radioisotopes / therapeutic use

Substances

  • Antibodies, Monoclonal
  • Iodine Radioisotopes
  • Radiopharmaceuticals
  • Yttrium Radioisotopes