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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2585.
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CORRESPONDENCE
Response: Multiple administrations of the fully human monoclonal antibody Ofatumumab
We thank Tod W. Speer, MD, for his valuable comments, which basically underline what we have stated in our paper.1 Multiple administrations of a fully human monoclonal antibody such as Ofatumumab in immunocompetent patients would not likely induce antibody formation—and thereby make the treatment ineffective—because of the lack of immunogenicity. That this might offer significant advantages above murine or chimeric antibodies, for instance, after labeling the antibody with an isotope and performing repeated radioimmunotherapy, remains to be established by the appropriate clinical studies. In that regard, Dr Speer comes forward with interesting theoretical calculations in terms of schedules inducing the most effective cell kill. Again, these hypotheses need to be proven by clinical trials.
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Authorship
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Conflict of interest disclosure: The author declares no competing financial interests.
Correspondence: Anton Hagenbeek, MD, PhD, Department of Hematology (G03.550), University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands; e-mail: a.hagenbeek{at}umcutrecht.nl.
Anton Hagenbeek
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Reference
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- Hagenbeek A, Gadeberg O, Johnson P, et al. First clinical use of ofatumumab, a novel fully human anti-CD20 monoclonal antibody in relapsed or refractory follicular lymphoma: results of a phase 1/2 trial. Blood. 2008;111:5486–5495.[Abstract/Free Full Text]

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