4.1 Review

Efficacy and safety of bispecific T-cell engager blinatumomab and the potential to improve leukemia-free survival in B-cell acute lymphoblastic leukemia

Journal

EXPERT REVIEW OF HEMATOLOGY
Volume 10, Issue 12, Pages 1057-1067

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/17474086.2017.1396890

Keywords

Acute lymphoblastic leukemia; BiTE (R) monoclonal antibodies; blinatumomab; minimal residual disease-positive; relapsed; refractory

Categories

Funding

  1. Red Tematica de Investigacion Cooperativa en Cancer (RTICC, FEDER) [RD12/0036/0029]
  2. Generalitat de Catalunya [2014 SGR225 (GRE)]
  3. Fondo de Investigaciones Sanitarias, Instituto de Salud Carlos III [PI14/01971]
  4. Obra Social La Caixa

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Introduction: Immunotherapy is a promising modality of treatment of neoplastic diseases, including acute lymphoblastic leukemia (ALL). The CD19/CD3-bispecific T cell-engaging (BiTE (R)) monoclonal antibody blinatumomab can transiently bind cytotoxic T cells to CD19(+) target B cells of ALL inducing their serial lysis.Areas covered: This review focuses on the efficacy and safety of blinatumomab used for the treatment of relapsed/refractory (R/R) ALL and minimal residual disease (MRD)-positive B-cell precursor (BCP) ALL in adults and children, as well as the future prospects of this drug in the treatment of ALL.Expert commentary: Blinatumomab has demonstrated encouraging response rates in MRD-positive and R/R in adults with Philadelphia chromosome-positive and -negative ALL, as well as in children with R/R ALL. Blinatumomab has a favorable safety profile, although reversible CNS events and cytokine release syndrome can occur. Ongoing trials in ALL incorporate blinatumomab in the first line therapy of BCP ALL in combination with chemotherapy, targeted therapies or other immunotherapies with the aim of increasing the depth of the remission and decreasing the probability of relapse.

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