Management of adverse effects of new monoclonal antibody treatments in acute lymphoblastic leukemia
- PMID: 33110433
- PMCID: PMC7560100
- DOI: 10.7573/dic.2020-7-2
Management of adverse effects of new monoclonal antibody treatments in acute lymphoblastic leukemia
Abstract
Therapeutic options for relapsed/refractory B-cell acute lymphoblastic leukemia have evolved in the past few years. The FDA has approved three novel therapies for this disease: inotuzumab ozogamicin (an anti-CD22 antibody-drug conjugate), blinatumomab (a bispecific T-cell engager), and chimeric antigen receptor T-cell therapy. Although these novel immunotherapies have revolutionized the therapeutic landscape, it is important to understand the crucial aspects of administration, especially toxicity. In this article, we review the unique toxicities and adverse effects of blinatumomab and inotuzumab ozogamicin and provide recommendations for prevention of adverse effects as well as the management options for each medication.
Keywords: acute lymphoblastic leukemia; blinatumomab; immunotherapy; inotuzumab; side effects.
Copyright © 2020 Mittal SO.
Conflict of interest statement
Disclosure and potential conflicts of interest: The authors declare that they have no conflicts of interest relevant to this manuscript. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors is available for download at: https://www.drugsincontext.com/wp-content/uploads/2020/09/dic.2020-7-2-COI.pdf
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References
-
- Acute Lymphocytic Leukemia – Cancer Stat Facts. SEER; [Accessed June 11, 2020]. https://seer.cancer.gov/statfacts/html/alyl.html.
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