CD Protein Inhibitors 

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  • ||||||||||  Bosulif (bosutinib) / Pfizer, Promacta (eltrombopag) / Novartis
    Challenges Navigating Therapies and Dosings in the Modern Era of Tyrosine Kinase Inhibitors (TKIs) in Low-Resource Countries (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_562;    
    A bosutinib trial in first-line CML treatment (BFORE) used a reduced dose of bosutinib (400 mg daily) and demonstrated superiority for MMR at 12 months; however, lower doses of bosutinib have not yet been found to show clinically significant results (<200 mg). This case demonstrates that even a lower dose of bosutinib can induce a molecular response in patients with CML.
  • ||||||||||  BTK Inhibitors: A Double-Edged (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_519;    
    Despite the rarity of PBL in patients with CLL, this case underscores the importance of considering the potential for transformation, especially with the widespread use of BTKis. Further research is essential to elucidate the molecular mechanisms driving this transformation, facilitating the development of optimized treatment strategies and improving outcomes for patients with CLL at risk of PBL development.
  • ||||||||||  Venclexta (venetoclax) / Roche, AbbVie
    Adverse Events During Single-Agent Phase of Venetoclax Therapy (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_516;    
    Out of the 42 patients, 13 received venetoclax and obinutuzumab and 14 received venetoclax and rituximab protocols. Venetoclax prescriptions longer than one month appear to be safe with a low likelihood of unexpected cytopenia during single-agent phase therapy.
  • ||||||||||  Campath (alemtuzumab) / Sanofi, Leukeran (chlorambucil) / GSK
    T-Cell Prolymphocytic Leukemia: A Case Report (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_509;    
    Interventions: We started chlorambucil plus prednisone while waiting for alemtuzumab. He didn't respond and died 4 months later.
  • ||||||||||  Venclexta (venetoclax) / Roche, AbbVie, Rituxan (rituximab) / Roche, Imbruvica (ibrutinib) / AbbVie, J&J
    Monocytosis Developing in the Course of Chronic Lymphocytic Leukemia: Case Report (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_500;    
    Rituximab-venetoclax treatment was initiated...An increased AMC in CLL patients compared to normal controls indicates poor prognosis. This case highlights the significance of monitoring AMC in CLL patients as an indicator of disease progression and treatment response.
  • ||||||||||  Venclexta (venetoclax) / Roche, AbbVie, Rituxan (rituximab) / Roche
    Chronic Lymphocytic Leukemia: Immune Dysregulation and Management: A Case Report (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_497;    
    IGRT may be required for patients with persistent infections and IgG levels below 500 mg/dL, especially when anti-infective treatments are ineffective. These case reports underscore the necessity of monitoring immunoglobulin levels and considering IGRT in managing CLL-related hypogammaglobulinemia.
  • ||||||||||  An Unusual Case of Renal Infiltration in Chronic Lymphocytic Leukemia (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_483;    
    With the advent of more targeted therapies for CLL, the risk of TLS becomes a crucial consideration, requiring proactive preventive measures. In clinical practice, both hematologists and nephrologists must be well-versed with various differentials leading to suboptimal renal function in patients with CLL, although uncommon renal infiltration of CLL is worth working up for in cases of inconclusive non-interventional workup as it might indicate disease recurrence/progression prompting the treatment change or resumption, and with the advent of advanced cancer therapies it can be reversible if caught early and treated cautiously.
  • ||||||||||  Myeloid Sarcoma and Lymphoid Sarcoma of the Brain: A Case Series (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_473;    
    Achieved imaging response of MS with fludarabine, idarubicin, cytarabine, and ponatinib...Treated with fludarabine, cytarabine, and venetoclax...BMB relapse after SCT was managed with miniCVD + inotuzumab + blinatumomab and she developed spinal leptomeningeal involvement at three years from presentation... CNS MS and LS are challenging, and treatment must be individualized.
  • ||||||||||  Mylotarg (gemtuzumab ozogamicin) / UCB, PDL, Pfizer
    Hematological Malignancies and Pregnancy: A Single-Institution Experience (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_469;    
    Standard treatment induction regimens can be safely administered during the second or third trimester of pregnancy. Multispecialty management including maternal fetal medicine and malignant hematology specialists are of paramount importance.
  • ||||||||||  Iomab-B (I-131-apamistamab) / Actinium, Immedica
    Long-Term Follow-up Demonstrates Ongoing Efficacy Benefit of (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_440;    
    P3
    Most patients achieving dCR are long-term survivors. Improved outcomes in Iomab-B-treated patients persisted at longer follow-up.
  • ||||||||||  Blincyto (blinatumomab) / Astellas, Amgen, Besponsa (inotuzumab ozogamicin) / Pfizer, UCB
    Adult Onset Familial Common B-Cell Acute Lymphoblastic Leukemia With Shared ZEB2 Mutation (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_327;    
    The pathogenic role of this abnormality is not clear, as it was associated with other, possibly pathogenic mutations, but it might have played a role in leukemogenesis. The patients were treated successfully with novel therapeutic regimens.
  • ||||||||||  Blincyto (blinatumomab) / Astellas, Amgen
    Comparable Outcomes of Relapsed Acute Lymphoblastic Leukemia in Adolescents and Young Adults (AYA) Treated With Pediatric-Inspired Chemotherapy (R3 Protocol) Versus Adult-Based Salvage (FA) Protocol (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_322;    
    Salvage treatment with blinatumomab for adults with relapsed B-cell ALL results in a complete remission (CR) rate of 34%, a median survival of 7.7 months, and an overall survival (OS) of less than 30% at 18 months...Therefore, this study aims to compare the outcomes of AYA patients treated with a pediatric-inspired regimen (R3 protocol) to those treated with an adult-based regimen (FA [fludarabine/ cytarabine] protocol)... Pediatric-inspired protocols that have shown significant benefits in the front-line setting for ALL in the AYA population did not demonstrate a significant difference when compared to traditional adult-based salvage chemotherapy regimens in relapsed disease.
  • ||||||||||  Blincyto (blinatumomab) / Astellas, Amgen
    Blinatumomab in the Treatment of Relapsed Refractory B-ALL: Case Report (LEVEL 3, HALL B3) -  Aug 30, 2024 - Abstract #SOHO2024SOHO_318;    
    Pediatric-inspired protocols that have shown significant benefits in the front-line setting for ALL in the AYA population did not demonstrate a significant difference when compared to traditional adult-based salvage chemotherapy regimens in relapsed disease. Our case illustrated that the single-agent blinatumomab is a safe and effective treatment in patients with refractory bone marrow relapse with blasts greater than 40% as a bridge therapy before Allo-HSCT.
  • ||||||||||  ICG122 / iCell Gene Therap
    Trial completion date:  CD4CAR for CD4+ Leukemia and Lymphoma (clinicaltrials.gov) -  Aug 30, 2024   
    P1,  N=20, Recruiting, 
    Trial completion date: Jan 2024 --> Aug 2024 | Trial primary completion date: Jan 2024 --> Aug 2024 | Active, not recruiting --> Completed Trial completion date: Dec 2037 --> Dec 2040