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2017
DOI: 10.1056/nejmoa1609783
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Blinatumomab versus Chemotherapy for Advanced Acute Lymphoblastic Leukemia

Abstract:BACKGROUNDBlinatumomab, a bispecific monoclonal antibody construct that enables CD3-positive T cells to recognize and eliminate CD19-positive acute lymphoblastic leukemia (ALL) blasts, was approved for use in patients with relapsed or refractory B-cell precursor ALL on the basis of single-group trials that showed efficacy and manageable toxic effects.METHODSIn this multi-institutional phase 3 trial, we randomly assigned adults with heavily pretreated B-cell precursor ALL, in a 2:1 ratio, to receive either… Show more

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Cited by 1,973 publications

(1,793 citation statements)
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“…Based on the experience of the 22 patients with early treatment failure who were nonrandomly assigned to receive blinatumomab therapy, the success rate in the salvage setting was low. This outcome supports findings of previous studies that identified high bone marrow blast percentage as a risk factor for blinatumomab resistance…”
Section: Discussionsupporting
confidence: 91%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD).Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD.The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC).Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…Based on the experience of the 22 patients with early treatment failure who were nonrandomly assigned to receive blinatumomab therapy, the success rate in the salvage setting was low. This outcome supports findings of previous studies that identified high bone marrow blast percentage as a risk factor for blinatumomab resistance…”
Section: Discussionsupporting
confidence: 91%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD).Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD.The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC).Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…In the present study, most patients experienced grade ≥3 TEAEs, consistent with that previously reported in Japanese patients and in global studies, including the expanded access international study of pediatric patients (RIALTO) and the global study in adult patients (TOWER) [36‒41]. The most frequent grade ≥3 TEAEs and AEs of interest such as nausea, febrile neutropenia, neutropenia, pyrexia, and CRS reported in this study were consistent with the phase 1b/2 and phase 1b studies in the Japanese adult and pediatric patients, respectively, and the global studies (Table 5) [36‒41]. In the current study, grade ≥3 neurotoxicity and CRS were not observed in adult patients and were limited to 1 pediatric patient.…”
Section: Discussionsupporting
confidence: 91%
“…Owing to the improved efficacy in adult patients, a higher proportion of adult patients (79%) received HSCT compared with pediatric patients (12%). However, the response rates reported in the Japanese patients in this expansion cohort study were as expected and comparable to those previously reported in Japanese and Asian patients, as well as those reported in global studies (Table 5)[36][37][38][39][40][41]43].…”
Section: Discussionsupporting
confidence: 91%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD).Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD.The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC).Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…The duration of OS multivariately increased with increasing exposure, supporting the clinical benefit of blinatumomab in prolonging the duration of OS. This is consistent with the findings from the phase 3 study, which reported an HR for OS of 0.71 (95% CI: 0.55–0.93; P = .01) for blinatumomab treatment vs SOC treatment…”
Section: Discussionsupporting
confidence: 91%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD).Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD.The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC).Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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