Table 1 |.
Agent | Mechanism of action | Approved indications |
---|---|---|
Anti-CD20 mAb (rituximab)* | B cell lysis | Non-Hodgkin lymphoma, chronic lymphocytic leukaemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis |
Anti-CD20 mAb (obinutuzumab) | B cell lysis; greater antibody-dependent cellular cytotoxicity and direct cell death than with rituximab | Chronic lymphocytic leukaemia, follicular lymphoma |
Anti-CD20 mAb (ofatumumab) | B cell lysis; binds the extracellular (large and small) loops of the CD20 molecule | Untreated or refractory chronic lymphocytic leukaemia |
Anti-CD20 mAb (ocrelizumab) | B cell lysis | Multiple sclerosis |
Anti-CD22 mAb (epratuzumab) | B cell lysis | No approved indications to date |
Human anti-BLyS mAb (belimumab) | Blocks binding of soluble BLyS to B cell receptors, thereby inhibiting the survival of B cells and their differentiation into plasma cells | Active, autoantibody positive systemic lupus erythematous |
TACI-Ig (atacicept) | blocks BLyS and APRIL thereby inhibiting B cell survival | No approved indications to date |
Human anti-BLyS mAb (tabalumab) | Neutralizes the soluble form and the membrane form of BLyS | No approved indications to date |
Rituximab is the only B cell-targeted agent that has been tested in patients with type 1 diabetes mellitus. APRIL, A proliferation-inducing ligand; BLyS, B lymphocyte stimulator (also known as BAFF); mAb, monoclonal antibody.