Debate: Transplant Is Still Necessary in the Era of Targeted Cellular Therapy for Acute Lymphoblastic Leukemia

被引:5
作者
Khazal, Sajad [1 ]
Kebriaei, Partow [2 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Div Pediat Pediat Stem Cell Transplantat & Cellul, Childrens Canc Hosp, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat & Cellular Therapy, Houston, TX 77030 USA
关键词
Blinatumomab; CAR-T cell; Hematopoietic cell transplantation; Immunotherapy; Inotuzumab; CAR-T-CELLS; MINIMAL RESIDUAL DISEASE; B-CELL; INOTUZUMAB OZOGAMICIN; SINGLE-ARM; ADULT PATIENTS; BLINATUMOMAB; REMISSION; SAFETY; CHEMOTHERAPY;
D O I
10.1016/j.clml.2020.06.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Despite high complete remission (CR) rates, relapse remains a significant problem among subsets of patients with B acute lymphoblastic leukemia (ALL), and is associated with poor prognosis. The recent Food and Drug Administration approval of highly effective immunotherapies for B-lineage ALL (B-ALL), blinatumomab, inotuzumab ozogamicin, and tisagenlecleucel, a chimeric antigen receptor (CAR) modified T-cell therapy, targeting CD19, or CD22, have dramatically changed the therapeutic landscape for the treatment of B-ALL, resulting in high rates of deep and durable remissions. Therefore, there is now debate regarding the role of allogeneic hematopoietic cell transplantation (HCT) in this new landscape. Herein, we review these novel agents, and discuss the sequence of therapy, including allogeneic HCT in B-ALL.
引用
收藏
页码:713 / 719
页数:7
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