Subcutaneous Blinatumomab in Relapsed/Refractory B-ALL: Clinical Promise and the Future of Delivery Modalities

Highlights

  • Subcutaneous blinatumomab achieved high remission rates (75-79%) in adults with relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL).
  • Both evaluated dosing regimens exhibited manageable safety profiles, with primary toxicities consistent with known blinatumomab effects.
  • The 250 μg/500 μg subcutaneous regimen was selected as the recommended phase 2 dose due to balanced efficacy and tolerability.
  • Subcutaneous administration offers logistical and potentially economic advantages that may drive a future trend in immunotherapy delivery.

Clinical Background and Disease Burden

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