Table 2.
Reference | Study name/descriptor | No. patients treated with blinatumomab | No. patients with CR/CRh (%) | Median RFS a , months (95% CI) | Median OS, months (95% CI) | Key safety results |
---|---|---|---|---|---|---|
Pivotal study | ||||||
Martinelli et al. 36 | ALCANTARA | 45 | 16 (36.0) | 6.7 (4.4–NE); 6.8 (4.4–NE) in patients who achieved CR/CRh + complete MRD response b ; 5.5 (3.6–NE) for patients younger than age 55 years; 6.7 (3.8–NE) for patients aged 55 years or older | 7.1 (5.6–NE) with or without censoring for alloHSCT | The most common grade ⩾ 3 AEs were febrile neutropenia (26.7%), thrombocytopenia (26.7%), and anemia (17.8%). The incidence of grade ⩾ 3 CRS was 0% and grade ⩾ 3 neurologic AEs was 6.7% |
Martinelli et al. 37 | Final analysis of ALCANTARA | 45 | 16 (35.6) | 6.8 (4.4–NE) | 9.0 (5.7–13.5) overall; 23.0 months (12.6–NE) in patients with CR/CRh | Grade ⩾ 3 AEs included febrile neutropenia (11.0%); elevated alanine aminotransferase (11.0%); no grade ⩾ 3 CRS (0%); neurologic grade ⩾ 3 AEs (13.0%) |
Median RFS was calculated in patients with CR/CRh. CR is defined as ⩽5% bone marrow and no evidence of disease, platelet count >100,000 per µL, and absolute neutrophil count >1000 per µL. CRh is defined as ⩽5% bone marrow blasts and no evidence of disease, platelet count of >50,000 per µL, and absolute neutrophil count of >500 per µL.
Complete MRD response was defined as no detectable PCR amplification of BCR-ABL1 genes (sensitivity ⩾10−5) as assessed by a central laboratory.
AE, adverse event; ALL, acute lymphoblastic leukemia; alloHSCT, allogeneic hematopoietic stem cell transplantation; CI, confidence interval; CR, complete remission with full hematologic recovery; CRh, complete remission with partial hematologic recovery; CRS, cytokine release syndrome; MRD, measurable residual disease; NE, not estimable; OS, overall survival; Ph, Philadelphia chromosome; RFS, relapse-free survival; R/R, relapsed / refractory.