COVID-19 infection during blinatumomab therapy: Is safety a dilemma?

SAGE Open Med Case Rep. 2023 Jan 10:11:2050313X221148548. doi: 10.1177/2050313X221148548. eCollection 2023.

Abstract

Patients with acute lymphoblastic leukemia may be particularly vulnerable to SARS-CoV-2 infection and severe illness. The mainstay of current treatment is the use of blinatumomab in patients with refractory or relapsed B-cell precursor acute lymphoblastic leukemia. We discuss the case of a patient with relapsed acute lymphoblastic leukemia who became positive for SARS-CoV-2 during blinatumomab therapy. There are no formal recommendations on the decision to continue, withhold, or delay blinatumomab treatment in these patients. More studies exploring this issue are warranted, as SARS-CoV-2 is expected to be here to stay.

Keywords: Blinatumomab; COVID-19; SARS-CoV-2; precursor cell lymphoblastic leukemia-lymphoma.

Publication types

  • Case Reports