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Bispecific Antibodies in Hematologic Malignancies: When, to Whom, and How Should Be Best Used?

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Purpose of ReviewThe purpose of this review is to discuss the current recommendations for the use of bispecific antibodies (bsAb) in hematologic malignancies and explore the future in this field.Recent… Click to show full abstract

Purpose of ReviewThe purpose of this review is to discuss the current recommendations for the use of bispecific antibodies (bsAb) in hematologic malignancies and explore the future in this field.Recent FindingsBispecific antibodies are molecules able to target two different antigen-binding sites: one towards a tumor antigen and another to activate a cytotoxic cell. Phase II/III trials on blinatumomab for acute lymphoblastic leukemia (ALL) have demonstrated its efficacy for treating minimal residual disease (MRD+) and relapsed refractory (r/r) Philadelphia positive (Ph+) and negative (Ph−) ALL in adults and children.SummaryCurrently, the only bispecific antibody (bsAb) approved for its use in hematologic malignancies is blinatumomab. However, multiple trials are under development not only to explore blinatumomab’s clinical activity in other neoplasia, such as lymphoma or multiple myeloma, but also to develop new molecules against different antigens.

Keywords: hematologic malignancies; bispecific antibodies; malignancies best; oncology; best used; antibodies hematologic

Journal Title: Current Oncology Reports
Year Published: 2019

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