Blinatumomab vs Chemotherapy for Pediatric and Adult Acute Lymphoblastic Leukemia

Arbnora Batalli-Kepuska, L. Spahiu, E. Behluli, G. Temaj
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Abstract

Several therapeutic methods are used to cure acute lymphoblastic leukemia (ALL). Relapsed/refractory B-cell ALL (R/R B-ALL) remains the primary cause of death worldwide due to the limitation of cure. Blinatumomab is a bispecific T-cell engaging antibody used to treat R/R B-ALL. The use of blinatumomab for treating R/R B-ALL has shown to be very efficient, especially as a bridge tool to hematopoietic stem cell transplantation (HSCT). The response to blinatumomab treatment ranged from 69% after two cycles in phase II clinical trials. Blinatumomab has shown great anti-leukemia activity as a single agent in children with R/R B-ALL. Here, we will review the data from several research groups that show pharmacological and clinical data on blinatumomab for pediatric and adult B-ALL, both as an immunotherapeutic and in combination.
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治疗儿童和成人急性淋巴细胞白血病的Blinatumomab与化疗比较
目前有多种治疗方法可用于治愈急性淋巴细胞白血病(ALL)。由于治愈率有限,复发/难治性B细胞ALL(R/R B-ALL)仍然是全球死亡的主要原因。Blinatumomab是一种用于治疗R/R B-ALL的双特异性T细胞参与抗体。使用blinatumomab治疗R/R B-ALL已被证明非常有效,尤其是作为造血干细胞移植(HSCT)的桥梁工具。在II期临床试验中,blinatumomab治疗两个周期后的反应率为69%。作为单药,Blinatumomab在R/R B-ALL患儿中显示出很强的抗白血病活性。在此,我们将回顾几个研究小组的数据,这些数据显示了 blinatumomab 作为免疫疗法或联合疗法治疗儿童和成人 B-ALL 的药理和临床数据。
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