Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy

Miguel J Franquiz,1,2 Nicholas J Short2 1Baylor College of Medicine, Houston, TX, USA; 2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USACorrespondence: Nicholas J ShortDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, 1515 Holcombe...

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Autores principales: Franquiz MJ, Short NJ
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Lenguaje:EN
Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:b9e001d564a746c382b36167e8ef2ca52021-12-02T11:04:57ZBlinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy1177-5491https://doaj.org/article/b9e001d564a746c382b36167e8ef2ca52020-02-01T00:00:00Zhttps://www.dovepress.com/blinatumomab-for-the-treatment-of-adult-b-cell-acute-lymphoblastic-leu-peer-reviewed-article-BTThttps://doaj.org/toc/1177-5491Miguel J Franquiz,1,2 Nicholas J Short2 1Baylor College of Medicine, Houston, TX, USA; 2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USACorrespondence: Nicholas J ShortDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 428, Houston, TX 77030, USATel +1-713-563-4485Email nshort@mdanderson.orgAbstract: Several therapeutic advancements in the treatment of B-cell acute lymphoblastic leukemia (ALL) have surfaced in the past decade, primarily driven by an increased understanding of the immunopathobiology of this disease. The clinical use of blinatumomab, a bispecific antibody that coordinates cytotoxic CD3+ T lymphocytes and CD19+ lymphoblasts, has resulted in improved outcomes in both relapsed/refractory and minimal residual disease-positive B-cell ALL. Promising emerging data also demonstrate the efficacy of this agent in the frontline setting and in combination regimens. Uncertainty remains regarding the optimal sequencing and combination of blinatumomab with cytotoxic chemotherapy and other emerging agents. The pharmacology and clinical data on blinatumomab for adult B-cell ALL, both as monotherapy and in combinations, will be reviewed herein.Keywords: blinatumomab, bispecific antibodies, acute lymphoblastic leukemia, precursor cell lymphoblastic leukemia-lymphoma, adult, B-cell leukemiaFranquiz MJShort NJDove Medical Pressarticle“blinatumomab”“bispecific antibodies”“acute lymphoblastic leukemia”“precursor cell lymphoblastic leukemia-lymphoma”“adult”“b-cell leukemia”Medicine (General)R5-920ENBiologics: Targets & Therapy, Vol Volume 14, Pp 23-34 (2020)
institution DOAJ
collection DOAJ
language EN
topic “blinatumomab”
“bispecific antibodies”
“acute lymphoblastic leukemia”
“precursor cell lymphoblastic leukemia-lymphoma”
“adult”
“b-cell leukemia”
Medicine (General)
R5-920
spellingShingle “blinatumomab”
“bispecific antibodies”
“acute lymphoblastic leukemia”
“precursor cell lymphoblastic leukemia-lymphoma”
“adult”
“b-cell leukemia”
Medicine (General)
R5-920
Franquiz MJ
Short NJ
Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
description Miguel J Franquiz,1,2 Nicholas J Short2 1Baylor College of Medicine, Houston, TX, USA; 2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USACorrespondence: Nicholas J ShortDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 428, Houston, TX 77030, USATel +1-713-563-4485Email nshort@mdanderson.orgAbstract: Several therapeutic advancements in the treatment of B-cell acute lymphoblastic leukemia (ALL) have surfaced in the past decade, primarily driven by an increased understanding of the immunopathobiology of this disease. The clinical use of blinatumomab, a bispecific antibody that coordinates cytotoxic CD3+ T lymphocytes and CD19+ lymphoblasts, has resulted in improved outcomes in both relapsed/refractory and minimal residual disease-positive B-cell ALL. Promising emerging data also demonstrate the efficacy of this agent in the frontline setting and in combination regimens. Uncertainty remains regarding the optimal sequencing and combination of blinatumomab with cytotoxic chemotherapy and other emerging agents. The pharmacology and clinical data on blinatumomab for adult B-cell ALL, both as monotherapy and in combinations, will be reviewed herein.Keywords: blinatumomab, bispecific antibodies, acute lymphoblastic leukemia, precursor cell lymphoblastic leukemia-lymphoma, adult, B-cell leukemia
format article
author Franquiz MJ
Short NJ
author_facet Franquiz MJ
Short NJ
author_sort Franquiz MJ
title Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
title_short Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
title_full Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
title_fullStr Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
title_full_unstemmed Blinatumomab for the Treatment of Adult B-Cell Acute Lymphoblastic Leukemia: Toward a New Era of Targeted Immunotherapy
title_sort blinatumomab for the treatment of adult b-cell acute lymphoblastic leukemia: toward a new era of targeted immunotherapy
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/b9e001d564a746c382b36167e8ef2ca5
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