TO THE EDITOR:
Tyrosine kinase inhibitors (TKIs) have profoundly affected the outcome of Philadelphia chromosome–positive acute lymphoblastic leukemia (Ph+ ALL).1-7 In the recent front-line GIMEMA LAL2116 protocol for adult patients with Ph+ ALL, with no upper age limit, induction of dasatinib was followed by a consolidation with 2 to 5 cycles of the bispecific monoclonal antibody blinatumomab.8,9
With this targeted and immunotherapeutic induction-consolidation strategy devoid of systemic chemotherapy, a complete hematologic response was observed in 98.4% of cases and a molecular response, identified by the number of BCR/ABL1 copies in 60% of patients after 2 cycles of blinatumomab, the primary end point of the study.10 Molecular responses further increased after additional blinatumomab cycles. Overall survival and disease-free survival were 95.2% and 88.3%, respectively, at a median follow-up of 18 months.10 We hereby report extensive...
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