{"title":"Adding blinatumomab to chemotherapy reduces recurrence risk in standard-risk paediatric B-ALL","authors":"Peter Sidaway","doi":"10.1038/s41571-024-00980-1","DOIUrl":null,"url":null,"abstract":"<p>Despite considerable progress, B-cell acute lymphoblastic leukaemia (B-ALL) remains a major cause of cancer-related death in children. Now, data from the phase III AALL1731 trial demonstrate that adding the CD19 × CD3 bispecific T cell engager blinatumomab to chemotherapy significantly improves the outcomes of patients with standard-risk B-ALL with an average or high risk of disease relapse.</p><p>In this trial, 1,440 children (1–10 years of age) with standard-risk B-ALL with an average (<i>n</i> = 835) or high (<i>n</i> = 605) risk of relapse, based on cytogenetic features and minimal residual disease (MRD) status on completion of induction therapy, were randomly assigned (1:1) to receive two cycles of post-induction (for average-risk patients) or post-consolidation (for high-risk patients) chemotherapy with versus without blinatumomab. Disease-free survival (DFS) was the primary endpoint.</p>","PeriodicalId":19079,"journal":{"name":"Nature Reviews Clinical Oncology","volume":"11 1","pages":""},"PeriodicalIF":81.1000,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Reviews Clinical Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41571-024-00980-1","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Despite considerable progress, B-cell acute lymphoblastic leukaemia (B-ALL) remains a major cause of cancer-related death in children. Now, data from the phase III AALL1731 trial demonstrate that adding the CD19 × CD3 bispecific T cell engager blinatumomab to chemotherapy significantly improves the outcomes of patients with standard-risk B-ALL with an average or high risk of disease relapse.
In this trial, 1,440 children (1–10 years of age) with standard-risk B-ALL with an average (n = 835) or high (n = 605) risk of relapse, based on cytogenetic features and minimal residual disease (MRD) status on completion of induction therapy, were randomly assigned (1:1) to receive two cycles of post-induction (for average-risk patients) or post-consolidation (for high-risk patients) chemotherapy with versus without blinatumomab. Disease-free survival (DFS) was the primary endpoint.
期刊介绍：
Nature Reviews publishes clinical content authored by internationally renowned clinical academics and researchers, catering to readers in the medical sciences at postgraduate levels and beyond. Although targeted at practicing doctors, researchers, and academics within specific specialties, the aim is to ensure accessibility for readers across various medical disciplines. The journal features in-depth Reviews offering authoritative and current information, contextualizing topics within the history and development of a field. Perspectives, News & Views articles, and the Research Highlights section provide topical discussions, opinions, and filtered primary research from diverse medical journals.
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