Blinatumomab

Blinatumomab (Blincyto, Amgen Europe B.V.) has 6 EU-approved indications in 1 tumour type. Each needs a biomarker result: CD19 (6).
Approved indications of Blinatumomab
Biomarker requirementRegimenSettingConditions
Acute lymphoblastic leukaemia6
CD19-positive, Philadelphia chromosome-negative
Monotherapy
1L
B-cell precursor ALL only; In first or second complete remission with minimal residual disease (MRD) ≥ 0.1%
CD19-positive, Philadelphia chromosome-negative
Monotherapy
Consol.
B-cell precursor ALL only; Children and adolescents only; Aged 1 month or older; high-risk
CD19-positive, Philadelphia chromosome-negative
Monotherapy
Consol.
B-cell precursor ALL only
CD19-positive, Philadelphia chromosome-negative
Monotherapy
2L
B-cell precursor ALL only
CD19-positive, Philadelphia chromosome-negative
Monotherapy
2L
B-cell precursor ALL only; Children and adolescents only; After at least two prior therapies, or prior allogeneic haematopoietic stem cell transplantation; Aged 1 month or older
CD19-positive, Philadelphia chromosome-positive
Monotherapy
3L+
B-cell precursor ALL only; Failed treatment with at least 2 tyrosine kinase inhibitors (TKIs); No alternative treatment options
Full text of section 4.1 (therapeutic indications)

BLINCYTO is indicated as monotherapy for the treatment of adults with CD19 positive relapsed or refractory B-cell precursor acute lymphoblastic leukaemia (ALL). Patients with Philadelphia chromosome-positive B-cell precursor ALL should have failed treatment with at least 2 tyrosine kinase inhibitors (TKIs) and have no alternative treatment options. BLINCYTO is indicated as monotherapy for the treatment of adults with Philadelphia chromosome-negative CD19 positive B-cell precursor ALL in first or second complete remission with minimal residual disease (MRD) greater than or equal to 0.1%. BLINCYTO is indicated as monotherapy for the treatment of paediatric patients aged 1 month or older with Philadelphia chromosome-negative CD19 positive B-cell precursor ALL which is refractory or in relapse after receiving at least two prior therapies or in relapse after receiving prior allogeneic haematopoietic stem cell transplantation. BLINCYTO is indicated as monotherapy for the treatment of paediatric patients aged 1 month or older with high-risk first relapsed Philadelphia chromosome-negative CD19 positive B-cell precursor ALL as part of the consolidation therapy (see section 4.2). BLINCYTO is indicated as monotherapy as part of consolidation therapy for the treatment of adult patients with newly diagnosed Philadelphia chromosome negative CD19 positive B-cell precursor ALL.

Label history

26 changes to the Blincyto label since 2016, 5 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Changes