Evidence map›Paper›PMID 40688964›Full record

ReviewCureus2025

Efficacy of Blinatumomab in Pediatric Acute Lymphoblastic Leukemia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Oboseh J Ogedegbe, Olanipekun L Ntukidem, Gautham Varun Krishna Mohan, Shahnawaz Shah, Abdallah A Riyalat, Calvin R Wei, Syed Ahmar Hussain, Danish Allahwala

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Oboseh J OgedegbeInternal Medicine, Lifeway Medical Center, Abuja, NGA.
Olanipekun L NtukidemInternal Medicine, Trinity Health, Ann Arbor, USA.
Gautham Varun Krishna MohanInternal Medicine, Tirunelveli Medical College, Tirunelveli, IND.
Shahnawaz ShahAcute Medicine, University Hospital of Bristol and Weston National Health Service (NHS) Trust, Weston-super-Mare, GBR.
Abdallah A RiyalatPediatric Medicine, Sidra Medicine, Doha, QAT.
Calvin R WeiResearch and Development, Shing Huei Group, Taipei, TWN.
Syed Ahmar HussainPadiatrics, Ashfaq Memorial Hospital, Karachi, PAK.
Danish AllahwalaNephrology, Fatima Memorial Hospital, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blinatumomab, a bispecific T-cell engager antibody, has emerged as a promising immunotherapeutic agent for pediatric acute lymphoblastic leukemia (ALL), yet comprehensive evidence regarding its efficacy remains limited. This systematic review and meta-analysis aimed to evaluate the therapeutic outcomes of blinatumomab in children with ALL. A comprehensive literature search was conducted across PubMed, EMBASE, Web of Science, and Cochrane Library databases from inception to May 2025, using terms related to blinatumomab, ALL, and pediatric populations. Studies comparing blinatumomab with chemotherapy or placebo in children and adolescents with B-cell ALL were included. Three randomized controlled trials met the inclusion criteria and were analyzed using random-effects models. Quality assessment was performed using the Cochrane Risk of Bias Tool (RoB 2, Cochrane Collaboration, London, UK). The meta-analysis demonstrated significantly superior outcomes with blinatumomab compared to chemotherapy alone. Overall survival was significantly higher in the blinatumomab group, with an odds ratio of 1.90 (95% CI: 1.28-2.82). Event-free survival showed even greater improvement with an odds ratio of 2.97 (95% CI: 2.13-4.13). Additionally, the cumulative incidence of relapse was substantially lower in patients receiving blinatumomab, with an odds ratio of 0.26 (95% CI: 0.18-0.39). No evidence of heterogeneity was observed across studies for any outcome measure. These findings suggest that blinatumomab offers significant therapeutic advantages over conventional chemotherapy in pediatric patients with ALL, providing improved survival outcomes and reduced relapse rates. The results support the integration of blinatumomab into treatment protocols for children with ALL, particularly those at high risk of relapse or with refractory disease.

Indexed as

acute lymphoblastic leukemiablinatumomabimmunotherapymeta-analysispediatric oncology

Identifiers

PMID40688964
PMCPMC12272294

What OpenQuestion holds

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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.