Durable MRD-negative remission with blinatumomab and venetoclax in heavily pretreated relapsed/refractory Philadelphia chromosome-positive acute lymphoblastic leukemia

Document Type

Report

Department

Medical College Pakistan

Abstract

Introduction: Tyrosine kinase inhibitors (TKIs) are standard therapy for Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL); however, relapsed or refractory disease remains challenging due to resistance driven by ABL kinase domain mutations.
Methods: We report the case of a heavily pretreated patient with relapsed/refractory Ph+ ALL treated with blinatumomab and venetoclax without concurrent TKI therapy.
Results: The patient achieved complete remission and remains in a deep, durable remission exceeding 1 year.
Conclusion: This case highlights a potential kinase-independent, TKI-free strategy for relapsed/refractory Ph+ ALL, warranting further investigation.

Publication (Name of Journal)

eJHaem

DOI

10.1002/jha2.70317

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