Drug intelligence / Profile preview

Zevalin + busulfan + cyclophosphamide + etoposide

Development stage
Phase 2
Lead developer
Asan Medical Center
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

Zevalin-BuCyE is an intensified conditioning regimen developed for patients with B-cell non-Hodgkin lymphoma (NHL) undergoing autologous stem cell transplantation (ASCT). It combines radioimmunotherapy using 90Y-ibritumomab tiuxetan (Zevalin) with a high-dose chemotherapy backbone of busulfan, cyclophosphamide, and etoposide (BuCyE). Zevalin targets the CD20 antigen on B-cells to deliver targeted beta radiation, while the BuCyE components provide broad-spectrum cytoreduction through DNA alkylation and topoisomerase II inhibition. This regimen, often preceded by rituximab to optimize Zevalin distribution, is primarily investigated by Asan Medical Center to improve outcomes in relapsed, refractory, or high-risk NHL patients.

Brand names
RituxanToposar
Other names
90Y-ibritumomab tiuxetan + BuCyEZevalin-BuCyE conditioning regimenZevalin with BuCyE Conditioning and ASCT for B-cell NHL
02

Targets

CD20 (B-lymphocyte antigen CD20)DNATOP2A (DNA topoisomerase II)

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