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polatuzumab vedotin + rituximab + cytarabine + methotrexate

Development stage
Unknown
Lead developer
New York Medical College
Modality
Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

Pv-R-CYM 1 + Pv-R-CYM 2 is a combination chemoimmunotherapy regimen consisting of polatuzumab vedotin (Pv), rituximab (R), cytarabine (CY), and methotrexate (M). It is being evaluated in the Phase 2 RADICAL trial (NCT05409222), sponsored by New York Medical College, for the treatment of children, adolescents, and young adults (CAYA) with newly diagnosed mature B-cell non-Hodgkin lymphoma (MB-NHL) or classical Hodgkin lymphoma (cHL). Polatuzumab vedotin is an antibody-drug conjugate (ADC) targeting CD79b on B cells, while rituximab is a monoclonal antibody targeting CD20. Cytarabine and methotrexate are small-molecule antimetabolites that inhibit DNA synthesis. The regimen is utilized as a consolidation treatment (Consolidation 2) in patients who show no residual disease after initial therapy, with the goal of assessing whether the addition of targeted immunotherapy can safely facilitate the reduction of toxic anthracycline exposure while preserving disease control.

Other names
Pv-R-CYM 1Pv-R-CYM1Pv-R-CYM-1Pv-R-CYM 2Pv-R-CYM2Pv-R-CYM-2
02

Targets

TUBB (Tubulin (alpha and beta subunits))CD20 (B-lymphocyte antigen CD20)B-cell antigen receptor complex-associated protein beta chainDNA polymerase familyDHFR (Dihydrofolate reductase)

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