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Improved survival and MRD remission with blinatumomab vs. chemotherapy in children with first high-risk relapse B-ALL

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F23%3A10459199" target="_blank" >RIV/00064203:_____/23:10459199 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/23:10459199

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=5GmZlkEAof" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=5GmZlkEAof</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1038/s41375-022-01770-3" target="_blank" >10.1038/s41375-022-01770-3</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Improved survival and MRD remission with blinatumomab vs. chemotherapy in children with first high-risk relapse B-ALL

  • Original language description

    For children with high-risk, first-relapse B-cell precursor acute lymphoblastic leukemia (B-ALL), allogeneic hematopoietic stem cell transplantation (alloHSCT) after achieving a second complete remission (CR) remains the best, potentially curative treatment. In addition, a minimal residual disease (MRD)-negative status at the end of consolidation is an important prognostic indicator as demonstrated in the Children&apos;s Oncology Group Studies AALL1131 (high risk) and AALL0932 (standard risk), and ALLR3 and ALL-REZ BFM 2002 studies. Blinatumomab, a CD3/CD19-directed bispecific T-cell engager (BiTE(R)) molecule, demonstrated a favorable benefit-risk profile prior to/after alloHSCT in patients with relapsed/refractory B-ALL in clinical trials and real-world experience studies, with early termination of enrollment in phase 3 trials in young adults and children because of blinatumomab benefit [4, 6]. In the phase 3 trial in pediatric high-risk, first-relapse B-ALL, blinatumomab consolidation pre-alloHSCT resulted in improved event-free survival (EFS) and MRD remission vs. chemotherapy, with EFS benefit consistently found in all subgroups, including those with extramedullary disease and very early relapse (&lt;18 months) [6]. Enrollment was terminated for EFS benefit of blinatumomab (p &lt; 0.001) per independent data monitoring committee&apos;s (DMC) recommendation based on the July 2019 datacut. Follow-up data presented here are from September 2021, with overall survival (OS) benefit becoming apparent with longer follow-up.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30205 - Hematology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Leukemia

  • ISSN

    0887-6924

  • e-ISSN

    1476-5551

  • Volume of the periodical

    37

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    4

  • Pages from-to

    222-225

  • UT code for WoS article

    000895589500002

  • EID of the result in the Scopus database

    2-s2.0-85143596062