MedPath

Blinatumomab

Generic Name
Blinatumomab
Brand Names
Blincyto
Drug Type
Biotech
CAS Number
853426-35-4
Unique Ingredient Identifier
4FR53SIF3A
Background

Blinatumomab is a BiTE-class (bi-specific T-cell engager) constructed monoclonal antibody formed by the recombinant fusion of an anti-CD3 single-chain variable fragment (scFV) and an anti-CD19 scFV through a short peptide linker. CD3 is an antigen expressed on the surface of T-cells, while CD19 is mostly expressed on the surface of malignant B-cells. Since blinatumomab has an affinity to both antigens, it redirects T-cells to tumor cells expressing CD19 and promotes tumor cell lysis and apoptosis.

Blinatumomab is manufactured by Amgen Inc. and marketed under the brand Blincyto. It was first approved by the FDA in December 2014 for the treatment of CD19-positive B-cell precursor acute lymphoblastic leukemia (ALL) in relapsed and refractory patients. In March 2018, it was approved under the FDA’s accelerated approval program for the treatment of CD19-positive B-cell precursor ALL in first or second complete remission with minimal residual disease (MRD) greater than or equal to 0.1% in adults and children. Full approval for this indication was granted in June 2023.

Blinatumomab has a short half-life, requiring patients to receive a continuous infusion over 4-week cycles using a portable mini-pump for optimum delivery.

Indication

Blinatumomab is indicated for the treatment of adults and children with relapsed or refractory CD19-positive B-cell precursor acute lymphoblastic leukemia (ALL). It is also indicated in adults and children for the treatment of CD19-positive B-cell precursor ALL in first or second complete remission with minimal residual disease (MRD) greater than or equal to 0.1%.

Associated Conditions
Precursor B-lymphoblastic leukaemia acute, Refractory B-cell precursor acute lymphoblastic leukemia, Relapsed B cell precursor Acute lymphoblastic leukemia

Blinatumomab Bridging Therapy for BALL

Phase 2
Terminated
Conditions
B-cell Acute Lymphoblastic Leukemia
Relapsed B-cell Acute Lymphoblastic Leukemia
Refractory B Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2020-09-21
Last Posted Date
2025-05-13
Lead Sponsor
Michael Burke
Target Recruit Count
2
Registration Number
NCT04556084
Locations
🇺🇸

Medical College of Wisconsin, Milwaukee, Wisconsin, United States

Blinatumomab Followed by High-dose Chemotherapy for Ph-negative Acute Lymphoblastic Leukemia (ALL)

Phase 2
Completed
Conditions
Newly Diagnosed
Lymphoblastic Leukemia, Acute, Adult
Ph Negative ALL
Interventions
First Posted Date
2020-09-18
Last Posted Date
2024-04-04
Lead Sponsor
Institute of Hematology and Blood Transfusion, Czech Republic
Target Recruit Count
27
Registration Number
NCT04554485
Locations
🇨🇿

University Hospital Hradec Kralove,The 4th Department of Internal Medicine - Hematology, Hradec Králové, Czechia

🇨🇿

University Hospital Olomouc, Hematooncology Clinic, Olomouc, Czechia

🇨🇿

University Hospital Ostrava, Hematooncology Clinic, Ostrava, Czechia

and more 2 locations

A Study to Compare Blinatumomab Alone to Blinatumomab With Nivolumab in Patients Diagnosed With First Relapse B-Cell Acute Lymphoblastic Leukemia (B-ALL)

Phase 2
Suspended
Conditions
Down Syndrome
Recurrent B Acute Lymphoblastic Leukemia
Interventions
Procedure: Biospecimen Collection
Radiation: 3-Dimensional Conformal Radiation Therapy
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Procedure: Lumbar Puncture
First Posted Date
2020-09-14
Last Posted Date
2025-05-21
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
300
Registration Number
NCT04546399
Locations
🇺🇸

Children's Hospital of Alabama, Birmingham, Alabama, United States

🇺🇸

USA Health Strada Patient Care Center, Mobile, Alabama, United States

🇺🇸

Providence Alaska Medical Center, Anchorage, Alaska, United States

and more 200 locations

Testing the Use of Steroids and Tyrosine Kinase Inhibitors With Blinatumomab or Chemotherapy for Newly Diagnosed BCR-ABL-Positive Acute Lymphoblastic Leukemia in Adults

Phase 3
Recruiting
Conditions
B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration and Biopsy
Procedure: Echocardiography Test
Procedure: Electrocardiography
Procedure: Lumbar Puncture
Procedure: Multigated Acquisition Scan
First Posted Date
2020-08-28
Last Posted Date
2025-05-21
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
348
Registration Number
NCT04530565
Locations
🇺🇸

University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States

🇺🇸

Anchorage Associates in Radiation Medicine, Anchorage, Alaska, United States

🇺🇸

Anchorage Radiation Therapy Center, Anchorage, Alaska, United States

and more 203 locations

Blinatumomab in Combination With AMG 404 for the Treatment of Adults With Relapsed or Refractory B Cell Precursor ALL

Phase 1
Completed
Conditions
Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2020-08-24
Last Posted Date
2024-04-08
Lead Sponsor
Amgen
Target Recruit Count
17
Registration Number
NCT04524455
Locations
🇫🇷

Centre Hospitalier Lyon Sud, Pierre Benite, France

🇪🇸

Hospital Universitari Germans Trias i Pujol, Badalona, Cataluña, Spain

🇩🇪

Universitätsklinikum Schleswig-Holstein, Kiel, Germany

and more 16 locations

A Study of Subcutaneous Blinatumomab Administration in Acute Lymphoblastic Leukemia (ALL) Patients

Phase 1
Active, not recruiting
Conditions
B Cell Precursor Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2020-08-20
Last Posted Date
2025-01-13
Lead Sponsor
Amgen
Target Recruit Count
125
Registration Number
NCT04521231
Locations
🇺🇸

City of Hope National Medical Center, Duarte, California, United States

🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

and more 40 locations

Feasibility Study to Evaluate Outpatient Blinatumomab in Subjects With Minimal Residual Disease (MRD) of B-precursor Acute Lymphoblastic Leukemia (ALL)

Phase 4
Terminated
Conditions
B-precursor Acute Lymphoblastic Leukemia
Interventions
Device: Current Wearable Heatlth Monitoring System (CWHMS)
First Posted Date
2020-08-10
Last Posted Date
2025-05-18
Lead Sponsor
Amgen
Target Recruit Count
10
Registration Number
NCT04506086
Locations
🇺🇸

City of Hope National Medical Center, Duarte, California, United States

🇺🇸

University of California Los Angeles, Los Angeles, California, United States

🇺🇸

University of California Irvine, Orange, California, United States

and more 9 locations

Blincyto Amgen Acrotech BioPharma PH2 Blincyto Marqibo R/R Philadelphi CD19+ ALL

Phase 2
Withdrawn
Conditions
B-cell Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2020-06-26
Last Posted Date
2022-03-02
Lead Sponsor
Dorothy Sipkins, MD, PhD
Registration Number
NCT04448834
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

🇺🇸

Duke University, Durham, North Carolina, United States

🇺🇸

Novant Health Cancer Institute and Innovation Center, Winston-Salem, North Carolina, United States

Pediatric-type Therapy With Pre-transplant Blinatumomab for HR Patients - Phase II Study

Phase 2
Recruiting
Conditions
Philadelphia-Negative ALL
High-Risk Cancer
Interventions
First Posted Date
2020-04-06
Last Posted Date
2021-05-07
Lead Sponsor
Israeli Medical Association
Target Recruit Count
110
Registration Number
NCT04334993
Locations
🇮🇱

Rambam Medical Center, Haifa, Israel

🇮🇱

Shaarei Tzedek Medical Center, Jerusalem, Israel

🇮🇱

Rabin Medical Center, Petah Tikva, Israel

and more 1 locations

Blinatumomab and Tyrosine Kinase Inhibitor Therapy in People With Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia

Phase 2
Active, not recruiting
Conditions
Acute Lymphoblastic Leukemia
Philadelphia Chromosome-Positive
Interventions
First Posted Date
2020-04-01
Last Posted Date
2025-05-02
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
17
Registration Number
NCT04329325
Locations
🇺🇸

Mount Sinai Hospital, New York, New York, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

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