Outpatient Administration of Blinatumomab Infusion and Hematopoietic Stem Cell Transplantation as Treatment for Patients with Refractory Acute Lymphoblastic Leukemia in a Pediatric Oncologic Center in Mexico

Godoy-Fernández JF, Cubría-Juárez MP, Zapata-Tarrés M, Taveras-Rodríguez O, Briseño-Rebollar EV
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Abstract

Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer and the most common subtype of pediatric leukemia, the high toxicity of chemotherapy, the relapse and refractory disease of many patients require the development of novel therapeutic approaches such as targeted immunotherapy in combination with Hematopoietic Stem Cell Transplantation (HSCT). These new therapeutic approaches must be taken in count to revolutionize the management of numerous ALL subtypes, improve treatment outcomes and maintain low toxicity without losing the effectiveness of the treatment. Our retrospective, longitudinal, observational, descriptive study evaluated a novel therapeutic approach in a Pediatric Oncologic Center in Mexico, the outpatient administration of blinatumomab infusion in patients with relapsed/refractory acute lymphoblastic leukemia (R/R ALL). The study demonstrated that 100% of the patients went into remission after Blinatumomab infusion and there was no mortality associated.
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在墨西哥儿科肿瘤中心,布利纳单抗输注和造血干细胞移植治疗难治性急性淋巴细胞白血病的门诊管理
急性淋巴细胞白血病(Acute Lymphoblastic Leukemia, ALL)是儿科最常见的癌症,也是儿科白血病最常见的亚型,化疗的高毒性、许多患者的复发和难治性疾病需要开发新的治疗方法,如靶向免疫治疗联合造血干细胞移植(Hematopoietic Stem Cell Transplantation, HSCT)。必须考虑到这些新的治疗方法,以彻底改变对众多ALL亚型的管理,改善治疗结果,并在不失去治疗有效性的情况下保持低毒性。我们的回顾性、纵向、观察性、描述性研究评估了墨西哥儿科肿瘤中心的一种新的治疗方法,即门诊输注blinatumomab治疗复发/难治性急性淋巴细胞白血病(R/R ALL)患者。该研究表明,100%的患者在输注Blinatumomab后进入缓解期,且无死亡率相关。
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