Evidence map›Paper›PMID 32898857›Full record

ArticleBlood2021

Concomitant use of a dual Src/ABL kinase inhibitor eliminates the in vitro efficacy of blinatumomab against Ph+ ALL.

Jessica T Leonard, Yoko Kosaka, Pavani Malla, Dorian LaTocha, Adam Lamble, Brandon Hayes-Lattin, Kaelan Byrd, Brian J Druker, Jeffrey W Tyner, Bill H Chang and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  18. Has Ph-like ALL Superseded Ph+ ALL as the Least Favorable Subtype?Best practice & research. Clinical haematology · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Jessica T LeonardKnight Cancer Institute.
Yoko KosakaKnight Cancer Institute.
Pavani MallaKnight Cancer Institute.
Dorian LaTochaKnight Cancer Institute.
Adam LambleKnight Cancer Institute.
Brandon Hayes-LattinKnight Cancer Institute.
Kaelan ByrdKnight Cancer Institute.
Brian J DrukerKnight Cancer Institute.
Jeffrey W TynerKnight Cancer Institute.
Bill H ChangKnight Cancer Institute.
Evan LindKnight Cancer Institute.
Cancer Institute (WIA) · INOregon Health & Science University · USSeattle Children's Hospital · US

Funding

CHRONIC MYELOGENOUS LEUKEMIA AND BCR-ABL SUBSTRATESR01CA065823 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DRUKER, BRIAN J · 1995 to 2021
$4.7M
NCI NIH HHS R01 CA065823
6 · The paper itself

Abstract

Blinatumomab is currently approved for use as a single agent in relapsed and refractory acute lymphoblastic leukemia (ALL). Cytotoxicity is mediated via signaling through the T-cell receptor (TCR). There is now much interest in combining blinatumomab with targeted therapies, particularly in Philadelphia chromosome-positive ALL (Ph+ ALL). However, some second- and third-generation ABL inhibitors also potently inhibit Src family kinases that are important in TCR signaling. We combined ABL inhibitors and dual Src/ABL inhibitors with blinatumomab in vitro from both healthy donor samples and primary samples from patients with Ph+ ALL. Blinatumomab alone led to both T-cell proliferation and elimination of target CD19+ cells and enhanced production of interferon-γ (IFN-γ). The addition of the ABL inhibitors imatinib or nilotinib to blinatumomab did not inhibit T-cell proliferation or IFN-γ production. However, the addition of dasatinib or ponatinib inhibited T-cell proliferation and IFN-γ production. Importantly, there was no loss of CD19+ cells treated with blinatumomab plus dasatinib or ponatinib in healthy samples or samples with a resistant ABL T315I mutation by dasatinib in combination with blinatumomab. These in vitro findings bring pause to the excitement of combination therapies, highlighting the importance of maintaining T-cell function with targeted therapies.

Indexed as

Antibodies, BispecificAntineoplastic AgentsB-LymphocytesDasatinibFusion Proteins, bcr-ablHumansImatinib MesylateImidazolesInterferon-gamma Release TestsJurkat CellsLymphocyte ActivationLymphocyte Specific Protein Tyrosine Kinase p56(lck)Mutation, MissenseNeoplasm ProteinsPhosphorylationPoint MutationABL1 protein, humanAntibodies, BispecificAntineoplastic AgentsblinatumomabDasatinibFusion Proteins, bcr-ablImatinib MesylateImidazolesLCK protein, humanLymphocyte Specific Protein Tyrosine Kinase p56(lck)Neoplasm ProteinsnilotinibponatinibProtein Kinase InhibitorsProto-Oncogene Proteins c-ablPyridazinesPyrimidinesReceptors, Antigen, T-Cellsrc-Family Kinases

Identifiers

PMID32898857
PMCPMC7918187
OpenAlexW3083890810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.