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On June 29, 2020, the Food and Drug Administration (FDA) granted Fast Track designation to 177Lu lilotomab satetraxetan for the treatment of adult patients with relapsed or refractory marginal zone lymphoma who have received ≥ 2 prior systemic therapies.1
177Lu lilotomab satetraxetan is a novel β-emitting anti-CD37 antibody–radionuclide conjugate2 in a ready-to-use formulation for single-dose administration. The Fast Track designation was based on the phase I/IIa LYMRIT 37-01 trial (NCT01796171). In the marginal zone lymphoma arm of the trial (n = 9), 177Lu lilotomab satetraxetan resulted in a 78% overall response rate and a 44% complete response.3
Last month, 177Lu lilotomab satetraxetan received a positive opinion from the European Medicines Agency (EMA) for an orphan drug designation application in the same indication; the Lymphoma Hub’s coverage can be found here. 177Lu lilotomab satetraxetan has also previously been granted Fast Track designation in the US for the treatment of patients with relapsed or refractory follicular lymphoma after ≥ 2 prior systemic therapies.4
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