Real-World Outcomes of Adult B-Cell Acute Lymphocytic Leukemia Patients Treated With Inotuzumab Ozogamicin.


Journal

Clinical lymphoma, myeloma & leukemia
ISSN: 2152-2669
Titre abrégé: Clin Lymphoma Myeloma Leuk
Pays: United States
ID NLM: 101525386

Informations de publication

Date de publication:
08 2020
Historique:
received: 02 02 2020
revised: 04 03 2020
accepted: 12 03 2020
pubmed: 16 4 2020
medline: 21 8 2021
entrez: 16 4 2020
Statut: ppublish

Résumé

Inotuzumab ozogamicin (InO) is an anti-CD22 monoclonal antibody-drug (calicheamicin) conjugate that has shown superior efficacy compared to conventional chemotherapy in relapsed/refractory (RR) B-cell acute lymphocytic leukemia (ALL) patients. We sought to find the safety and efficacy of InO in a real-world setting. A multicenter cohort analysis on 84 RR ALL patients who received InO outside of clinical trials was conducted to evaluate response and toxicity. The median (range) age of patients at InO initiation was 50 (20-87) years. Forty patients (48%) had ≥ 3 therapies and 23 patients (27%) underwent allogeneic hematopoietic stem-cell transplantation (allo-HCT) before InO. The median (range) number of cycles of InO provided was 2 (1-6), and cumulative dose was 3.3 (1.8-9.3) mg/m InO was well tolerated and had significant efficacy in RR B-cell ALL patients.

Sections du résumé

BACKGROUND
Inotuzumab ozogamicin (InO) is an anti-CD22 monoclonal antibody-drug (calicheamicin) conjugate that has shown superior efficacy compared to conventional chemotherapy in relapsed/refractory (RR) B-cell acute lymphocytic leukemia (ALL) patients. We sought to find the safety and efficacy of InO in a real-world setting.
PATIENTS AND METHODS
A multicenter cohort analysis on 84 RR ALL patients who received InO outside of clinical trials was conducted to evaluate response and toxicity.
RESULTS
The median (range) age of patients at InO initiation was 50 (20-87) years. Forty patients (48%) had ≥ 3 therapies and 23 patients (27%) underwent allogeneic hematopoietic stem-cell transplantation (allo-HCT) before InO. The median (range) number of cycles of InO provided was 2 (1-6), and cumulative dose was 3.3 (1.8-9.3) mg/m
CONCLUSION
InO was well tolerated and had significant efficacy in RR B-cell ALL patients.

Identifiants

pubmed: 32291234
pii: S2152-2650(20)30137-3
doi: 10.1016/j.clml.2020.03.004
pii:
doi:

Substances chimiques

Antineoplastic Agents, Immunological 0
Inotuzumab Ozogamicin P93RUU11P7

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

556-560.e2

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Talha Badar (T)

Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.

Aniko Szabo (A)

Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.

Martha Wadleigh (M)

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.

Michaela Liedtke (M)

Department of Hematology and Oncology, Stanford University Cancer Center, Stanford, CA.

Shukaib Arslan (S)

Department of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.

Caitlin Siebenaller (C)

Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.

Ibrahim Aldoss (I)

Department of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.

Elizabeth Schultz (E)

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.

Mehrdad Hefazi (M)

Division of Hematology, Mayo Clinic, Rochester, MN.

Mark R Litzow (MR)

Division of Hematology, Mayo Clinic, Rochester, MN.

Eric Kuo (E)

Department of Hematology and Oncology, Stanford University Cancer Center, Stanford, CA.

Amy Wang (A)

Department of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL.

Emily Curran (E)

Department of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL.

Rory M Shallis (RM)

Department of Internal Medicine, Section of Hematology, Yale School of Medicine, New Haven, CT.

Nikolai Podoltsev (N)

Department of Internal Medicine, Section of Hematology, Yale School of Medicine, New Haven, CT.

Suresh Balasubramanian (S)

Karmanos Cancer Institute, Detroit, MI.

Jay Yang (J)

Karmanos Cancer Institute, Detroit, MI.

Ryan Mattison (R)

Carbone Cancer Center, University of Wisconsin, Madison, WI.

Madelyn Burkart (M)

Robert H. Lurie Comprehensive Cancer Center, Northwestern Hospital, Chicago, IL.

Shira Dinner (S)

Robert H. Lurie Comprehensive Cancer Center, Northwestern Hospital, Chicago, IL.

Anjali Advani (A)

Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.

Ehab Atallah (E)

Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI. Electronic address: eatallah@mcw.edu.

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Classifications MeSH