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. 2019 Aug;31(4):557–577. doi: 10.21147/j.issn.1000-9604.2019.04.01

A9.

Major new drugs and indications for treatment of lymphoma approved to market by US FDA but not in China

Drug name Mechanism of action FDA approved indications Approved time to market
FDA, Food and Drug Administration; MMAE, monomethyl auristatin E; CLL, chronic lymphocytic leukemia; cHL, classical Hodgkin’s lymphoma; ALCL, anaplastic large cell lymphoma; pcALCL, primary cutaneous anaplastic large cell lymphoma; MF, m11ycosis fungoides; MCL, mantle cell lymphoma; FL, follicular lymphoma; PTCL, peripheral T cell lymphoma.
Alemtuzumab Humanized CD52 monoclonal antibody Alkylating agent and fludarabine resistant advanced CLL May 2001
Belinostat Histone deacetylase inhibitor Relapse, refractory peripheral T-cell lymphoma July 2014
Bendamustine Bifunctional alkylating agent 1. CLL2. Indolent B-cell lymphoma March 2008
Brentuximab
vedotin
CD30 mAb coupled to cytotoxin MMAE 1. Autologous hematopoietic stem cell transplantation failed or not suitable for autologous hematopoietic stem cell transplantation, at least second-line treatment failed cHL October 2011
2. Consolidation treatment for patients with high risk of relapse or progression after autologous hematopoietic stem cell transplantation
3. ALCL that fails after first-line multi-drug combined chemotherapy
4. Relapse refractory pcALCL and MF expressing CD30 November 2017
5. Combined with chemotherapy for previously treated stage III or IV cHL March 2018
Idelalisib Selective PI3Kδ (phosphatidylinositol 3-kinase) inhibitor 1. Combined with rituximab for relapsed CLL July 2014
2. FL and CLL with at least second-line treatment failure
Ibrutinib BTK inhibitor 1. MCL with at least first-line treatment failure November 2013
2. CLL failed in first-line chemotherapy
3. CLL with del (17p) gene mutations
4. Waldenstrom macroglobulinemia
Lenalidomide Immunomodulator MCL failed in second-line chemotherapy May 2013
Obinutuzumab Humanized and glycosylated CD20 mAb Combined with chlorambucil for initial treatment of CLL November 2013
Ofatumumab Fully humanized CD20 mAb Refractory CLL with ineffective treatment of fludarabine April 2014
Pralatrexate Folate metabolism inhibitor Recurrent or refractory PTCL September 2009
Romidepsin Histone deacetylase inhibitors Cutaneous T-cell lymphoma failed in first-line treatment November 2009
Vorinostat Histone deacetylase inhibitors Cutaneous T-cell lymphoma failed in second-line treatment October 2006
Copanlisib Selective PI3Kδ (phosphatidylinositol 3-kinase) inhibitor FL with at least second-line treatment failure September 15, 2017
Acalabrutinib BTK inhibitor CLL with at least first-line treatment failure November 1, 2017
Yescarta anti-CD19 CAR-T Relapsed/refractory large B cell lymphoma October 18, 2017
Nivolumab PD-1 mAb cHL that progressed after HDC/AHSCT or could not receive transplantation and progressed after previous three chemotherapies May 17, 2016
Pembrolizumab PD-1 mAb Refractory cHL and cHL relapse after previous treatment with 3 or more regimens March 14, 2017
Obinutuzumab Humanized and glycosylated CD20 mAb Combined with chemotherapy for previously untreated advanced FL November 21, 2017