» Articles » PMID: 25899862

Future of Therapy in Acute Lymphoblastic Leukemia (ALL)--Potential Role of Immune-Based Therapies

Overview
Publisher Current Science
Specialties Hematology
Oncology
Date 2015 Apr 23
PMID 25899862
Authors
Affiliations
Soon will be listed here.
Abstract

The prognosis of acute lymphoblastic leukemia (ALL) in adults remains poor, and novel treatment options are needed to improve outcomes. Immunotherapeutic strategies have been a recent focus in this area, targeting specific surface antigens on the ALL blast cells. Our review concentrates on four major class of antibody therapies, namely, (1) naked and unconjugated antibodies, (2) immunoconjugates and immunotoxins, (3) bi-specific T cell engaging (BiTE) therapy, and (4) chimeric antigen receptor (CAR) expressing T cells. We review preclinical and clinical data, and update on the latest advances in this exciting field, and suggest how these therapies can be incorporated into the treatment algorithm for ALL.

References
1.
Kantarjian H, Thomas D, Jorgensen J, Jabbour E, Kebriaei P, Rytting M . Inotuzumab ozogamicin, an anti-CD22-calecheamicin conjugate, for refractory and relapsed acute lymphocytic leukaemia: a phase 2 study. Lancet Oncol. 2012; 13(4):403-11. DOI: 10.1016/S1470-2045(11)70386-2. View

2.
Maury S, Huguet F, Leguay T, Lacombe F, Maynadie M, Girard S . Adverse prognostic significance of CD20 expression in adults with Philadelphia chromosome-negative B-cell precursor acute lymphoblastic leukemia. Haematologica. 2009; 95(2):324-8. PMC: 2817037. DOI: 10.3324/haematol.2009.010306. View

3.
Schindler J, Gajavelli S, Ravandi F, Shen Y, Parekh S, Braunchweig I . A phase I study of a combination of anti-CD19 and anti-CD22 immunotoxins (Combotox) in adult patients with refractory B-lineage acute lymphoblastic leukaemia. Br J Haematol. 2011; 154(4):471-6. PMC: 3877839. DOI: 10.1111/j.1365-2141.2011.08762.x. View

4.
Advani A, McDonough S, Coutre S, Wood B, Radich J, Mims M . SWOG S0910: a phase 2 trial of clofarabine/cytarabine/epratuzumab for relapsed/refractory acute lymphocytic leukaemia. Br J Haematol. 2014; 165(4):504-9. PMC: 4209396. DOI: 10.1111/bjh.12778. View

5.
Thomas X, Boiron J, Huguet F, Dombret H, Bradstock K, Vey N . Outcome of treatment in adults with acute lymphoblastic leukemia: analysis of the LALA-94 trial. J Clin Oncol. 2004; 22(20):4075-86. DOI: 10.1200/JCO.2004.10.050. View