Obinutuzumab (Gazyva)
General information
Class/mechanism: Glyco-engineered anti-CD20 IgG1 type II monoclonal antibody. Engineered with a modified elbow hinge residue (valine instead of leucine at Kabat position 11) and a glyco-engineered Fc region, which is postulated to enhance its immunomodulatory effect.[1][2][3]
Route: IV
Extravasation: no information
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the package insert.[1]
Diseases for which it is used
- Chronic lymphocytic leukemia (CLL) and Small lymphocytic lymphoma (SLL)
- Diffuse large B-cell lymphoma
- Follicular lymphoma
- Mantle cell lymphoma
Patient drug information
No information available.
History of changes in FDA indication
- 11/1/2013: Granted FDA approval for use in combination with chlorambucil for the treatment of patients with previously untreated chronic lymphocytic leukemia (CLL).
- 2/26/2016: FDA approval expanded "for use in combination with bendamustine followed by obinutuzumab monotherapy for the treatment of patients with follicular lymphoma (FL) who relapsed after, or are refractory to, a rituximab-containing regimen."
Also known as
GA101, R7159, RO5072759, Afutuzumab.
References
- Drug index
- Chemotherapy
- Intravenous chemotherapy
- Immunotherapy
- Antibody medications
- Anti-CD20 antibodies
- Chronic lymphocytic leukemia (CLL) and Small lymphocytic lymphoma (SLL) medications
- Diffuse large B-cell lymphoma medications
- Follicular lymphoma medications
- Mantle cell lymphoma medications
- Drugs FDA approved in 2013