FDA Approval: Blinatumomab

  • Donna Przepiorka
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Chia-Wen Ko
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Albert Deisseroth
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Carolyn L. Yancey
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Reyes Candau-Chacon
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Haw-Jyh Chiu
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Brenda J. Gehrke
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Candace Gomez-Broughton
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Robert C. Kane
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Susan Kirshner
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Nitin Mehrotra
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Tiffany K. Ricks
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Deborah Schmiel
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Pengfei Song
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Ping Zhao
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Qing Zhou
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Ann T. Farrell
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.
  • Richard Pazdur
    Center for Drug Evaluation and Research, FDA, Silver Spring, Maryland.

書誌事項

公開日
2015-09-14
DOI
  • 10.1158/1078-0432.ccr-15-0612
公開者
American Association for Cancer Research (AACR)

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説明

<jats:title>Abstract</jats:title> <jats:p>On December 3, 2014, the FDA granted accelerated approval of blinatumomab (Blincyto; Amgen, Inc.) for treatment of Philadelphia chromosome–negative relapsed or refractory precursor B-cell acute lymphoblastic leukemia (R/R ALL). Blinatumomab is a recombinant murine protein that acts as a bispecific CD19-directed CD3 T-cell engager. The basis for the approval was a single-arm trial with 185 evaluable adults with R/R ALL. The complete remission (CR) rate was 32% [95% confidence interval (CI), 26%–40%], and the median duration of response was 6.7 months. A minimal residual disease response was achieved by 31% (95% CI, 25%–39%) of all patients. Cytokine release syndrome and neurologic events were serious toxicities that occurred. Other common (&gt;20%) adverse reactions were pyrexia, headache, edema, febrile neutropenia, nausea, tremor, and rash. Neutropenia, thrombocytopenia, and elevated transaminases were the most common (&gt;10%) laboratory abnormalities related to blinatumomab. A randomized trial is required in order to confirm clinical benefit. Clin Cancer Res; 21(18); 4035–9. ©2015 AACR.</jats:p>

収録刊行物

  • Clinical Cancer Research

    Clinical Cancer Research 21 (18), 4035-4039, 2015-09-14

    American Association for Cancer Research (AACR)

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