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Br J Haematol ; 190(5): 764-771, 2020 09.
Article in English | MEDLINE | ID: mdl-32314348

ABSTRACT

Blinatumomab and inotuzumab ozogamycin represent promising alternatives to conventional chemotherapy in acute lymphoblastic leukaemia (ALL). We analysed data from 29 children with ALL treated under compassionate use with blinatumomab, inotuzumab or both. The complete remission (CR) rate in a heavily pretreated population with overt relapse was 47·6%. At earlier stages (first/second CR), both antibodies represented a useful tool to reduce minimal residual disease, and/or avoid further toxic chemotherapy until stem cell transplantation. Six patients developed grade 3 reversible non-haematological toxicity. The 12-month overall survival and event-free survival rates were 50·8 ± 26·4% and 38·9 ± 25·3% with blinatumomab, 45·8 ± 26% and 27·5 ± 25% with inotuzumab.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma , Adolescent , Antibodies, Bispecific/administration & dosage , Antibodies, Bispecific/adverse effects , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Child , Child, Preschool , Disease-Free Survival , Female , Hematology , Humans , Infant , Inotuzumab Ozogamicin/administration & dosage , Inotuzumab Ozogamicin/adverse effects , Male , Medical Oncology , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/mortality , Retrospective Studies , Societies, Medical , Spain/epidemiology , Survival Rate
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