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Updated: Jun 21, 2026

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Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
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Infant acute lymphoblastic leukaemia-Progress from worldwide clinical efforts
Neil Barrett1, Tanja A Gruber2, Takako Miyamura3
1Department of Haematology, Children's Health Ireland, Dublin, Ireland.
British Journal of Haematology
|October 1, 2025
Summary
Infant acute lymphoblastic leukaemia (ALL) with KMT2A rearrangement is aggressive. Novel immunotherapies and targeted treatments like blinatumomab offer new hope, though challenges remain.
Area of Science:
- Hematology
- Pediatric Oncology
- Cancer Biology
Background:
- Infant acute lymphoblastic leukaemia (ALL) with KMT2A rearrangement presents a significant clinical challenge.
- Outcomes for infant ALL, particularly with KMT2A rearrangements, have lagged behind advances seen in childhood ALL.
- Traditional chemotherapy regimens have shown limited efficacy in this aggressive subtype.
Purpose of the Study:
- To review the current understanding and treatment landscape of KMT2A-rearranged infant ALL.
- To highlight recent advancements in therapeutic strategies, including immunotherapy and targeted agents.
- To discuss the challenges associated with novel treatment approaches.
Main Methods:
- Literature review focusing on KMT2A-rearranged infant ALL.
- Analysis of historical treatment outcomes.
- Evaluation of emerging immunotherapies and targeted therapies currently in clinical trials.
Main Results:
- Novel immunotherapies, such as blinatumomab, are being integrated into clinical trials for KMT2A-rearranged infant ALL.
- Targeted therapies, including venetoclax and menin inhibitors, show promise based on a deeper understanding of the disease biology.
- Despite progress, challenges in immunotherapy application require further investigation.
Conclusions:
- Significant progress has been made in understanding and treating KMT2A-rearranged infant ALL.
- Emerging therapies offer renewed optimism for improved patient outcomes.
- Addressing challenges in immunotherapy is crucial for future therapeutic success.
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