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Table 1 Blinatumomab for B cell precursor acute lymphoblastic leukemia

From: Clinical trial update on bispecific antibodies, antibody-drug conjugates, and antibody-containing regimens for acute lymphoblastic leukemia

 

Weight ≥ 45 kg (fixed dose)

Weight < 45 kg (BSA-based dose)

CR1 or CR2 with *MRD-positive patients

 Cycles 1–4

  Days 1–28

28 μg/day

15 μg/m2/day (not to exceed 28 μg/day)

  Days 29–42

14-day treatment-free interval

14-day treatment-free interval

Relapsed or refractory patients

 Induction cycle 1

  Days 1–7

9 μg/day

5 μg/m2/day (not to exceed 9 μg/day)

  Days 8–28

28 μg/day

15 μg/m2/day (not to exceed 28 μg/day)

  Days 29–42

14-day treatment-free interval

14-day treatment-free interval

 Induction cycle 2

  Days 1–28

28 μg/day

15 μg/m2/day (not to exceed 28 μg/day)

  Days 29–42

14-day treatment-free interval

14-day treatment-free interval

 Consolidation cycles 3–5

  Days 1–28

28 μg/day

15 μg/m2/day (not to exceed 28 μg/day)

  Days 29–42

14-day treatment-free interval

14-day treatment-free interval

 Continued therapy cycles 6–9

  Days 1–28

28 μg/day

15 μg/m2/day (not to exceed 28 μg/day)

  Days 29–84

56-day treatment-free interval

56-day treatment-free interval

  1. CR complete remission, MRD minimal residual disease
  2. *MRD is positive when blasts are ≥ 0.1% by flow cytometry in the bone marrow