Evidence map›Paper›PMID 27143254›Full record

ArticleCancer2016

Blinatumomab treatment of older adults with relapsed/refractory B-precursor acute lymphoblastic leukemia: Results from 2 phase 2 studies.

Hagop M Kantarjian, Anthony S Stein, Ralf C Bargou, Carlos Grande Garcia, Richard A Larson, Matthias Stelljes, Nicola Gökbuget, Gerhard Zugmaier, Jonathan E Benjamin, Alicia Zhang and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03605589 (A Pilot Study of Blinatumomab in Combination With a PD1 Inhibitor, Pembrolizumab, in Pediatric and Young Adult Patients With Relapsed/Refractory CD19 Positive B-cell Acute Leukemia or Lymphoma), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03605589 phase1withdrawnnot on this mapstarted 2018, after this paper: background citation

A Pilot Study of Blinatumomab in Combination With a PD1 Inhibitor, Pembrolizumab, in Pediatric and Young Adult Patients With Relapsed/Refractory CD19 Positive B-cell Acute Leukemia or Lymphoma

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2018 to 2022Enrolled0ConditionsLeukemia, B-cell, Lymphoma, B-CellArmsBlinatumomab, Pembrolizumab
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 91 citations in OpenAlex.

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  12. Treatment of Relapsed Acute Lymphocytic Leukemia in Adult Patients.Current treatment options in oncology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 3 countries.

Hagop M KantarjianDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Anthony S SteinGehr Leukemia Center, City of Hope, Duarte, California.
Ralf C BargouDepartment of Internal Medicine II, Hematology/Oncology, Comprehensive Cancer Center Mainfranken, University Hospital of Würzburg, Wurzburg, Germany.
Carlos Grande GarciaDepartment of Medicine, Hematology, University Hospital "12 de Octubre", Madrid, Spain.
Richard A LarsonDepartment of Medicine, Hematology/Oncology, University of Chicago, Chicago, Illinois.
Matthias StelljesDepartment of Medicine, University of Muenster, Muenster, Germany.
Nicola GökbugetDepartment of Medicine II, University Hospital, Frankfurt, Germany.
Gerhard ZugmaierAmgen Research Munich GmbH, Munich, Germany.
Jonathan E BenjaminAmgen, Thousand Oaks, California.
Alicia ZhangAmgen, Thousand Oaks, California.
Catherine JiaAmgen South San Francisco, South San Francisco, California.
Max S ToppMedical Clinic and Polyclinic II, University Hospital of Würzburg, Wurzburg, Germany.
Amgen (United States) · USAmgen (Germany) · DEAugenstern · DECity of Hope · USComprehensive Cancer Center Mainfranken · DEGoethe University Frankfurt · DEResearch Institute Hospital 12 de Octubre · ESThe University of Texas MD Anderson Cancer Center · USUniversitätsklinikum Würzburg · DEUniversity of Chicago · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundOlder adults with relapsed/refractory B-precursor acute lymphoblastic leukemia (r/r ALL) are reported to have a poor prognosis and few therapeutic options. In the current study, the authors evaluated treatment with single-agent blinatumomab in adults aged ≥65 years with r/r ALL.

methodsA total of 261 adults with r/r ALL who were examined across two phase 2 studies received blinatumomab in cycles of 4-week continuous infusion and 2-week treatment-free intervals. The primary endpoint in each study was complete remission (CR) or CR with partial hematologic recovery (CRh) during the first 2 cycles. Data were pooled and analyzed according to patient age at screening (aged ≥65 years vs aged <65 years).

resultsOf 36 older adults, 56% (95% confidence interval [95% CI], 38%-72%) achieved CR/CRh during the first 2 cycles compared with 46% (225 patients) (95% CI, 40%-53%) of younger adults. Complete minimal residual disease responses were 60% in older and 70% in younger responders. Three older responders (15%) and 61 younger responders (59%) proceeded to allogeneic hematopoietic stem cell transplantation. Kaplan-Meier curves overlapped for relapse-free and overall survival for both age groups. Older adults were found to have a similar incidence of grade ≥3 adverse events (AEs) as younger adults (86% vs 80%) but more grade ≥3 neurologic events (28% vs 13%). Cytokine release syndrome occurred in 7 older (19%) (1 case of grade 3) and 23 younger (10%) (4 cases of grade ≥3) adults. There were no treatment-related fatal AEs reported.

conclusionsOlder adults with r/r ALL who were treated with single-agent blinatumomab were found to have similar hematologic response rates and incidence of grade ≥3 AEs compared with younger adults but had more neurologic events, which were reversible and primarily resolved with treatment interruption. Cancer 2016;122:2178-85. © 2016 American Cancer Society.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, BispecificAntineoplastic AgentsClinical Trials, Phase II as TopicDrug Resistance, NeoplasmFemaleHematopoietic Stem Cell TransplantationHumansKaplan-Meier EstimateMaleMiddle AgedMolecular Targeted TherapyMulticenter Studies as TopicAntibodies, BispecificAntineoplastic Agentsblinatumomabacute lymphoblastic leukemiabispecific antibodiesblinatumomabelderlyrelapsed/refractory

Identifiers

PMID27143254
PMCPMC11752075
OpenAlexW2346378690

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.