Review Article | | Peer-Reviewed

Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review

Received: 11 December 2023     Accepted: 2 January 2024     Published: 11 January 2024
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Abstract

Purpose: Antibody-drug conjugate has certain advantages in the treatment of childhood leukemia, which can improve the therapeutic effect and reduce toxic side effects. In this review, we try to collect all available human and pre-clinical data from 2021 to 2023 in this field. Methods: The search was done in PubMed database, using the following keywords: "Leukemia," "Inotuzumab ozogamicin," "Gemtuzumab ozogamicin," "Antibody drug conjugate," "Pediatric," "Children," "Childhood," In vitro studies, animal studies or clinical studies focusing solely on pharmacokinetics, pharmacoeconomics or safety were discarded. This review focuses on clinical outcomes including the assessment of complete response rate, adverse drug reactions and event free survival. Other clinical outcomes taken into account were adjunctive medications, relapse or motality. Results: Based on 16 included studies in this review, the vast majority of patients achieved hematologic remission with ADC therapy. The adverse reactions caused by ADC recorded in all studies include: neutropenia with fever, gastrointestinal symptoms, VOD, cytokine syndrome, infection, sepsis, gastrointestinal symptoms, hyperglycemia, hyperphosphatemia, anemia, thrombocytopenia, tumor lysis syndrome, liver function damage, altered mental state and abdominal swelling. Conclusion: Further studies are required to determine the optimal dose, duration, and the best formulation of ADC to prevent and/or manage chemotherapy-induced complications.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 10, Issue 1)
DOI 10.11648/j.ijcems.20241001.11
Page(s) 1-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Antibody-Drug Conjugate, Leukemia, Gemtuzumab Ozogamicin, Inotuzumab Ozogamicin, Adverse Reactions

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Cite This Article
  • APA Style

    Liu, Z., Fan, L., Fan, X., Hu, S., Zhou, M. (2024). Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review. International Journal of Clinical and Experimental Medical Sciences, 10(1), 1-10. https://doi.org/10.11648/j.ijcems.20241001.11

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    ACS Style

    Liu, Z.; Fan, L.; Fan, X.; Hu, S.; Zhou, M. Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review. Int. J. Clin. Exp. Med. Sci. 2024, 10(1), 1-10. doi: 10.11648/j.ijcems.20241001.11

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    AMA Style

    Liu Z, Fan L, Fan X, Hu S, Zhou M. Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review. Int J Clin Exp Med Sci. 2024;10(1):1-10. doi: 10.11648/j.ijcems.20241001.11

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  • @article{10.11648/j.ijcems.20241001.11,
      author = {Zhe Liu and Liyan Fan and Xuchen Fan and Shaoyan Hu and Mi Zhou},
      title = {Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {10},
      number = {1},
      pages = {1-10},
      doi = {10.11648/j.ijcems.20241001.11},
      url = {https://doi.org/10.11648/j.ijcems.20241001.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20241001.11},
      abstract = {Purpose: Antibody-drug conjugate has certain advantages in the treatment of childhood leukemia, which can improve the therapeutic effect and reduce toxic side effects. In this review, we try to collect all available human and pre-clinical data from 2021 to 2023 in this field. Methods: The search was done in PubMed database, using the following keywords: "Leukemia," "Inotuzumab ozogamicin," "Gemtuzumab ozogamicin," "Antibody drug conjugate," "Pediatric," "Children," "Childhood," In vitro studies, animal studies or clinical studies focusing solely on pharmacokinetics, pharmacoeconomics or safety were discarded. This review focuses on clinical outcomes including the assessment of complete response rate, adverse drug reactions and event free survival. Other clinical outcomes taken into account were adjunctive medications, relapse or motality. Results: Based on 16 included studies in this review, the vast majority of patients achieved hematologic remission with ADC therapy. The adverse reactions caused by ADC recorded in all studies include: neutropenia with fever, gastrointestinal symptoms, VOD, cytokine syndrome, infection, sepsis, gastrointestinal symptoms, hyperglycemia, hyperphosphatemia, anemia, thrombocytopenia, tumor lysis syndrome, liver function damage, altered mental state and abdominal swelling. Conclusion: Further studies are required to determine the optimal dose, duration, and the best formulation of ADC to prevent and/or manage chemotherapy-induced complications.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Antibody-Drug Conjugate in the Treatment of Pediatric AML and ALL: A Review
    AU  - Zhe Liu
    AU  - Liyan Fan
    AU  - Xuchen Fan
    AU  - Shaoyan Hu
    AU  - Mi Zhou
    Y1  - 2024/01/11
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijcems.20241001.11
    DO  - 10.11648/j.ijcems.20241001.11
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 1
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20241001.11
    AB  - Purpose: Antibody-drug conjugate has certain advantages in the treatment of childhood leukemia, which can improve the therapeutic effect and reduce toxic side effects. In this review, we try to collect all available human and pre-clinical data from 2021 to 2023 in this field. Methods: The search was done in PubMed database, using the following keywords: "Leukemia," "Inotuzumab ozogamicin," "Gemtuzumab ozogamicin," "Antibody drug conjugate," "Pediatric," "Children," "Childhood," In vitro studies, animal studies or clinical studies focusing solely on pharmacokinetics, pharmacoeconomics or safety were discarded. This review focuses on clinical outcomes including the assessment of complete response rate, adverse drug reactions and event free survival. Other clinical outcomes taken into account were adjunctive medications, relapse or motality. Results: Based on 16 included studies in this review, the vast majority of patients achieved hematologic remission with ADC therapy. The adverse reactions caused by ADC recorded in all studies include: neutropenia with fever, gastrointestinal symptoms, VOD, cytokine syndrome, infection, sepsis, gastrointestinal symptoms, hyperglycemia, hyperphosphatemia, anemia, thrombocytopenia, tumor lysis syndrome, liver function damage, altered mental state and abdominal swelling. Conclusion: Further studies are required to determine the optimal dose, duration, and the best formulation of ADC to prevent and/or manage chemotherapy-induced complications.
    
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Pharmacy, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China

  • Department of Hematology, Children's Hospital of Soochow University, Suzhou, China

  • Department of Pharmacy, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China

  • Department of Hematology, Children's Hospital of Soochow University, Suzhou, China

  • Department of Pharmacy, Children's Hospital of Soochow University, Suzhou, China

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