Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate that delivers monomethyl auristatin E (MMAE), an anti-mitotic agent, to cancer cells. The drug consists of three components - a humanized immunoglobulin G1 (IgG1) monoclonal antibody specific for human CD79b (polatuzumab), MMAE, and protease-cleavable linker called maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (mc-vc-PAB) that covalently attaches MMAE to polatuzumab.
Polatuzumab vedotin was granted accelerated FDA approval on June 10, 2019 and was approved by Health Canada on July 9, 2020.
Polatuzumab vedotin is used in combination with bendamustine and rituximab to treat adult patients with relapsed or refractory diffuse large B-cell lymphoma, not otherwise specified, after at least two prior therapies. In Canada, this indication is approved for patients who are not eligible for autologous stem cell transplant and have received at least one prior therapy.
Polatuzumab vedotin is also used in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (R-CHP) to treat adult patients with previously untreated large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), high-grade B-cell lymphoma, Epstein-Barr virus-positive (EBV+) DLBCL NOS, and T-cell/histiocyte rich LBCL.
Centre Hospitalier Régional Universitaire de Lille (CHRU) - Hôpital Claude Huriez, Lille, France
CHU Montpellier - Saint ELOI, Montpellier, France
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Weill Cornell Medicine, New York, New York, United States
Mount Sinai- Icahn School of Medicine, New York, New York, United States
Columbia University Medical Center, New York, New York, United States
Emory University, Atlanta, Georgia, United States
City of Hope Medical Center, Duarte, California, United States
Siouxland Regional Cancer Center, Sioux City, Iowa, United States
Michigan Cancer Research Consortium NCORP, Ann Arbor, Michigan, United States
Laura and Isaac Perlmutter Cancer Center at NYU Langone, New York, New York, United States
Jiangsu Cancer Hospital, Nanjing, Jiangsu, China
UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
US Oncology - Oncology Associates of Oregon, Eugene, Oregon, United States
University of Texas Southwestern, Dallas, Texas, United States
University of Rochester, Rochester, New York, United States
New York Medical Center, Valhalla, New York, United States
Karmanos Cancer Institute, Detroit, Michigan, United States
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