Welcome to the BLINCYTO® Resource Hub

Treating patients with B-ALL can be challenging but we have made accessing all the information you need about BLINCYTO® in order to optimise your patient outcomes easy with this comprehensive resource hub.

BLINCYTO® is indicated for the treatment of:1

  • Minimal residual disease positive (MRD+) B-ALL in patients in complete haematological remission.
  • Relapsed or refractory B-ALL.

BLINCYTO® is the first PBS-approved BiTE® immunotherapy1-5

BLINCYTO® is a bispecific T-cell engager (BiTE®) antibody construct that binds to CD19 on the surface of cells of B-lineage origin, and CD3 expressed on the surface of T-cells.1-3 BLINCYTO® mediates the formation of a bridge in the form of an immune synapse between the T-cell and malignant B-cell.1-3

Subsequent lytic proteins released by the T-cell induce target cell death.1-3

BLINCYTO® – an immunotherapy that uses BiTE® technology to engage the body’s own immune system to target malignant cells1-4

View the BLINCYTO® mode of action video
View the video demonstrating the activity of BLINCYTO®in vitro

Accessing BLINCYTO®

Accessing on the PBS

BLINCYTO® is available on the PBS for the treatment of MRD+ B-ALL and R/R B-ALL via an AUTHORITY prescription.5
BLINCYTO® is the only PBS-listed therapy for the treatment of MRD+ B-ALL.5

Learn more about accessing PBS-listed BLINCYTO® for your patients with
MRD+ B-ALL.
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Learn more about accessing PBS-listed BLINCYTO® for your patients with
R/R B-ALL.
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Learn more about the BLINCYTO® purchasing procedure
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Ordering

BLINCYTO® vials MUST be purchased direct from Amgen via the DHL Customer Service Team using a dedicated account set up solely for this purpose.

 

Dosing and administration1

Use of BLINCYTO® should be restricted to physicians experienced in the treatment of haematological malignancies.

  • Because of its short half-life (<3 hours), BLINCYTO® must be adminstered as a continuous IV (cIV) infusion delivered at a constant flow rate using an infusion pump
  • A single cycle is 4 weeks of BLINCYTO® cIV infusion
  • Each cycle is separated by a 2-week treatment-free interval
  • Patients with R/R B-ALL may receive up to a maximum of 5 cycles of BLINCYTO® treatment
  • For maintenance therapy, a cycle of treatment of BLINCYTO® consists of 28 days of cIV infusion followed by a 56-day treatment-free interval (maintenance therapy with BLINCYTO® is not covered under the PBS listing)
  • Patients with MRD+ B-ALL may receive up to a maximum of 4 cycles of BLINCYTO® treatment
Learn more about dosing and administration of BLINCYTO® in patients with R/R B-ALL
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Learn more about dosing and administration of BLINCYTO® in patients with MRD+ B-ALL
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Learn more about the BLINCYTO® infusion process
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Learn more about BLINCYTO® risk minimisation information for pharmacists
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Watch an overview on how to prepare BLINCYTO® for use in your patients

Clinical Data

Please see summaries of the key BLINCYTO® studies below. If you are interested in receiving slides for educational purposes please contact Amgen Med Info here.

Adult Ph- R/R B-ALL

Phase III TOWER study7

Kantarjian H, et al. N Engl J Med. 2017;376:836–847.

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Adult Ph+ R/R B-ALL

Phase II ALCANTARA study8

Martinelli G et al. J Clin Oncol 2017;35:1795–802.

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Adult MRD+ B-ALL

Phase II BLAST study9

Gökbuget N et al. Blood 2018;131:1522–31.

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Paediatric
Ph- R/R B-ALL

Phase I/II 205 Study10

von Stackelberg A et al. J Clin Oncol 2016;34:4381–9.

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Fact sheet

Learn more about overall survival with BLINCYTO®

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View a video of Professor Nicola Gökbuget explaining the importance of MRD testing in ALL

Patient Management

Adverse events may be clinically managed with treatment interruption and/or dose adjustments1
BLINCYTO® can be restarted when the AE is resolved or no more than Grade 1 (mild), depending on the type of AE.1

BLINCYTO® should be permanently discontinued if any of the following occur:1
  • Grade 4* (life-threatening) neurologic event
  • More than one seizure
  • Neurologic event leading to treatment interruption that requires greater than a week to resolve
  • Grade 3* (severe) neurologic event that occurs at 9 mcg/day dose in patients weighing ≥45 kg or 5 mcg/m2/day dose in those weighing <45 kg leading to treatment interruption
  • Any Grade 4* event
*Grading based on NCI CTCAE 4.0. Grade 3 is severe, and grade 4 is life-threatening.

Warning: The following have occurred in patients receiving BLINCYTO®:1

  • Cytokine Release Syndrome, which may be life-threatening or fatal
  • Neurological toxicities, which may be severe, life-threatening, or fatal
  • Reactivation of JC viral infection

Interrupt or discontinue BLINCYTO® as recommended if any of these adverse events occur.1

A benefit–risk assessment is recommended to determine whether to reinitiate or permanently discontinue BLINCYTO® treatment.1
  • Patients should be closely monitored for signs or symptoms of1:
    • Cytokine release syndrome (CRS)
    • Neurological events
    • Infections
    • Tumour lysis syndrome (TLS)
  • The following should also be monitored during BLINCYTO® infusion and treated appropriately:1
    • Laboratory parameters (including, but not limited to white blood cell count [WBC] and absolute neutrophil count [ANC])
    • Alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), and total blood bilirubin

Patient management resources

Learn more about BLINCYTO® adverse event management
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Learn more about the BLINCYTO® adverse event monitoring checklist
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Learn more about BLINCYTO® dose adjustments for managing adverse events
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Learn more about use of outpatient care in patients treated with BLINCYTO®
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Learn more about BLINCYTO® risk minimisation information for doctors
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Learn more about BLINCYTO® risk minimisation information for nurses
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Learn more about BLINCYTO® risk minimisation information for pharmacists
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For additional information on safety profile and AE management,
please refer to the BLINCYTO® Approved Product Information at www.amgen.com.au/Blincyto.PI

Patient materials

These guides have been developed for your patients with B-ALL who are treated with BLINCYTO® to help answer some of their questions about their condition and explain what their treatment may be like.

A guide for your adult patients with R/R B-ALL.
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Guides for your MRD+ B-ALL adult patients or parents / carers of children with MRD+ B-ALL.
Adult MRD+ Paediatric MRD+
Information for patients on BLINCYTO® dosing and side effects.
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Learn more about BLINCYTO® risk minimisation information for patients and caregivers
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