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Table 5 Ongoing clinical trials of blinatumomab in combination with other therapeutic approaches

From: The landscape of bispecific T cell engager in cancer treatment

Clinical Trials.gov identifier

Phase

Patient/Disease

Combination regimen

Class of combination drugs

Estimated enrollment

Primary endpoint

Status

NCT04554485

2

Adultswith newly diagnosed Ph-negative CD19+ B-ALL

Single cycle of blinatumomab followed by high-dose chemotherapy in the induction phase

Chemotherapy

45

CMR

Recruiting

NCT03518112

2

Adults with R/R Ph-negative B-ALL

Concurrent blinatumomab and low-intensity chemotherapy

Chemotherapy

44

EFS

Recruiting

NCT03480438

2

Older adults with newly diagnosed CD19+ Ph-negative B-ALL

Sequential dose reduced chemotherapy and blinatumomab

Chemotherapy

50

CHR and CMR

Recruiting

NCT02877303

2

Children and adults with newly diagnosed B-ALL

Sequential chemotherapy and blinatumomab

Chemotherapy

60

RFS

Recruiting

NCT03523429

2

Adults with high-risk CD19 + Ph-negative B-ALL

Blinatumomab added to consolidation phase with chemotherapy

Chemotherapy

38

MRD negative response

Recruiting

NCT03541083

2

Adults with newly diagnosed CD19+ B-ALL

Blinatumomab added to prephase and consolidation phase with chemotherapy

Chemotherapy

80

MRD negative response

Recruiting

NCT03367299

2

Adults with newly diagnosed or R/R CD19 + Ph-negative B-ALL

Sequential chemotherapy and blinatumomab

Chemotherapy

149

MRD negative response

Recruiting

NCT03914625

3

Children and adultswith newly diagnosed B-ALL

Addition of 2 cycles of blinatumomab to standard chemotherapy

Chemotherapy

6720 a

DFS

Recruiting

NCT02003222

3

Adults with newly diagnosed Ph-negative B-ALL

Sequential chemotherapy and blinatumomab

Chemotherapy

488

OS

Active, not recruiting

NCT02744768

2

Adults with newly diagnosed Ph + B-ALL

Sequential dasatinib and blinatumomab

TKI

60

MRD negative response

Recruiting

NCT02997761

2

Adults with R/R Ph-negative B-ALL

Concurrent Ibrutinib and blinatumomab

TKI

20

CR

Recruiting

NCT04530565

3

Adults with newly diagnosed Ph + B-ALL

Concurrent TKI and blinatumomab

TKI

330

OS

Recruiting

NCT04524455

1

Adults with R/R B-ALL

Blinatumomab in combination with AMG 404 (anti-PD-1)

ICI

21

DLTs and toxicity

Recruiting

NCT03605589

1

Children and adults with R/R CD19+ Ph-negative B-ALL

Blinatumomab in combination with pembrolizumab (anti-PD-1)

ICI

24

DLTs and toxicity

Suspended

NCT02879695

1

Children and adults with poor-risk R/R CD19+ B-ALL

Blinatumomab in combination with nivolumab with or without ipilimumab (anti-CTLA-4)

ICI

36

Toxicity and MTD

Recruiting

NCT03340766

1

Adults R/R DLBCL

Blinatumomab in combination with pembrolizumab

ICI

70

DLTs

Recruiting

NCT03160079

1/2

Adultswith R/R CD19+ Ph-negative B-ALL with high marrow lymphoblasts (≥50%)

Blinatumomab in combination with pembrolizumab

ICI

24

ORR

Recruiting

NCT03512405

1/2

Adultswith R/R CD19+ B-ALL

Blinatumomab in combination with pembrolizumab

ICI

36

Toxicity and ORR

Recruiting

NCT04546399

2

Children and adults with first relapse CD19+ B-ALL

Blinatumomab in combination with nivolumab (anti-PD-1)

ICI

550

MRD negative second response and EFS

Recruiting

NCT02143414

2

Older adults with newly diagnosed Ph-negative B-ALL (Cohort 1) and Ph + B-ALL (Cohort 2)

Blinatumomab followed by chemotherapy (Cohort 1) or dasatinib followed by blinatumomab (Cohort 2)

Chemotherapy or TKI

58

DLTs and OS

Recruiting

NCT03263572

2

Adults with Ph + B-ALL

Concurrent blinatumomab, chemotherapy, and ponatinib

Chemotherapy and TKI

60

CMR, ORR, RFS, EFS, and OS

Recruiting

NCT03147612

2

Adults with Ph + B-ALL

Sequential low-Intensity chemotherapy and ponatinib followed by blinatumomab and ponatinib

Chemotherapy and TKI

60

CMR and ORR

Recruiting

NCT02568553

1

Adults with R/R CD19+ B-NHL

Concurrent lenalidomide and blinatumomab

Others

44

Toxicity

Recruiting

NCT03751709

1

Adults (≥18 years) with R/R CD19+ B-ALL

Blinatumomab in combination with HLA-Mismatched Cellular Therapy

Others

10

DLTs

Recruiting

NCT03739814

2

Adults with newly diagnosed or R/R CD22+ Ph-negative B-ALL

Inotuzumab ozogamicin followed by blinatumomab

Others

64

EFS

Recruiting

NCT03982992

2

Adults with treatment-resistant MC or MRD of CD19+ B-ALL after HSCT

Blinatumomab in combination with donor lymphocyte infusion

Others

12

Toxicity

Recruiting

  1. Ph Philadelphia chromosome, CR Complete remission, CHR Complete hematologic remission, MRD Minimal residual disease, DLTs Dose-limiting toxicities, ORR Overall response rate, EFS Event-free survival, MTD Maximum tolerated dose, RFS Relapse-free survival, OS Overall survival, DFS Disease free survival, MC Mixed chimerism, DLBCL Diffuse large B-cell lymphoma, CMR Complete molecular response, HSCT Allogeneic hematopoietic stem cell transportation