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Ibritumomab tiuxetan + rituximab is a combination therapy used primarily for the treatment of relapsed or refractory, low-grade or follicular B-cell non-Hodgkin lymphoma (NHL), including cases that are refractory to prior treatments. Ibritumomab tiuxetan is a murine IgG1 monoclonal antibody covalently bound to the chelating agent tiuxetan and radiolabeled with yttrium-90. It targets the CD20 antigen on B lymphocytes, delivering targeted radiation that induces cell death through beta particle emission. The antibody also mediates immune responses such as antibody-dependent cell-mediated cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), and apoptosis. Rituximab, a chimeric monoclonal anti-CD20 antibody, is administered prior to ibritumomab tiuxetan to deplete circulating B cells and enhance targeting of malignant cells[1][2][3][6][7]. This regimen was developed by IDEC Pharmaceuticals (now part of Biogen) and has been marketed under the brand name Zevalin.
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