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rituximab + cyclophosphamide + vincristine + doxorubicin + methotrexate + etoposide + methylprednisolone

Development stage
Unknown
Lead developer
Andres J. M. Ferreri
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

This multi-agent chemo-immunotherapy regimen serves as the induction phase of a clinical protocol developed by Andres J. M. Ferreri for the treatment of HIV-positive patients with Burkitt lymphoma. The regimen is an intensive, short-term combination designed to achieve rapid cytoreduction and complete response in a population traditionally considered high-risk due to immunosuppression. It incorporates the anti-CD20 monoclonal antibody rituximab alongside a complex cytotoxic backbone consisting of cyclophosphamide, vincristine, doxorubicin, methotrexate, and etoposide, supplemented by the corticosteroid methylprednisolone. This approach leverages highly active antiretroviral therapy (HAART) to allow HIV-positive patients to tolerate dose-intensive chemotherapy similar to immuno-competent patients. The protocol is structured such that subsequent treatment (consolidation or intensification) is determined by the objective response observed at the end of this induction phase.

Other names
induction phase-Andres J. M. Ferreri-Burkitt lymphomaInduction Phase (Andres J. M. Ferreri protocol)Short-term intensified chemo-immunotherapy
02

Targets

CD20 (B-lymphocyte antigen CD20)DHFR (Dihydrofolate reductase)TOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)DNATUBB (Tubulin (alpha and beta subunits))

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