Bispecific T-cell engaging antibodies in B-cell precursor acute lymphoblastic leukemias

Bispecific T-cell engaging antibodies are constructs engineered to bind to two different antigens, one to a tumor-specific target and the other to CD3-positive T cells or natural killer (NK) cells. Blinatumomab engages CD19 and CD3, performing effective serial lysis. The clinical development program...

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Detalles Bibliográficos
Autores: Ribera, Jose-Maria|||0000-0003-1042-6024, Genescà, Eulàlia|||0000-0002-5657-4842, Ribera Salas, Jordi|||0000-0003-4796-6470
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:227814
Acceso en línea:https://ddd.uab.cat/record/227814
https://dx.doi.org/urn:doi:10.1177/2040620720919632
Access Level:acceso abierto
Palabra clave:Acute lymphoblastic leukemia
B-cell precursor
Bispecific antibodies
Blinatumomab
Review
Descripción
Sumario:Bispecific T-cell engaging antibodies are constructs engineered to bind to two different antigens, one to a tumor-specific target and the other to CD3-positive T cells or natural killer (NK) cells. Blinatumomab engages CD19 and CD3, performing effective serial lysis. The clinical development program in acute lymphoblastic leukemia (ALL) includes clinical trials in relapsed or refractory (R/R) patients and in B-cell precursor (BCP) ALL patients with measurable residual disease. Several trials are currently being conducted in de novo BCP-ALL, either in induction, consolidation, or before or after hematopoietic stem cell transplant. Combination with other targeted therapies or with other immunotherapeutic approaches are also underway. Several strategies are aimed to optimize the use of blinatumomab either by overcoming the mechanisms of resistance (e.g. inhibition of PD-1/PD-L1) or by improvements in the route of application, among others.