Abstract

Targeted therapy has been the forefront of cancer treatment. Cancer immunotherapy is the most recent focus. In addition, novel immunotherapeutics targeting B cell receptor signaling (e.g., ibrutinib), T cell receptor ( e.g., CART19), and NK cells (e.g., AFM13) are being developed. This review summarized the new development in blinatumomab (MT103/MEDI-538), a first-in-class bispecific T engager (BiTE) antibody against CD19/CD3 in patients with relapsed/refractory precursor B cell acute lymphoid leukemia.

Highlights

  • Targeted therapy has been the forefront of cancer treatment

  • This review summarized the clinical development in blinatumomab (MT103/MEDI-538), a first-in-class bispecific T engager (BiTE) antibody against CD19/CD3 in patients with relapsed/refractory precursor B cell acute lymphoid leukemia (ALL)

  • One obvious disadvantage of this BiTE antibody is the requirement for continuous IV infusion because of the small molecular weight and rapid clearance from circulation

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Summary

Introduction

Targeted therapy has been the forefront of cancer treatment. Cancer immunotherapy is the most recent focus. This review summarized the clinical development in blinatumomab (MT103/MEDI-538), a first-in-class bispecific T engager (BiTE) antibody against CD19/CD3 in patients with relapsed/refractory precursor B cell acute lymphoid leukemia (ALL). Data from animal models support a high activity of blinatumomab at very low doses against tumor cells in lymphoma and leukemia models [43, 48, 55,56,57]. Blinatumomab in clinical development Blinatumomab is the first-in-class BiTE antibody approved for treatment of refractory ALL [46, 47, 58,59,60,61,62,63,64].

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