Liver elastography for risk-assessment of liver toxicity and risk factors for Sinusoidal obstruction syndrome in patients with acute lymphoblastic leukemia receiving inotuzumab ozogamicin - Takeaways - MDSpire

Liver elastography for risk-assessment of liver toxicity and risk factors for Sinusoidal obstruction syndrome in patients with acute lymphoblastic leukemia receiving inotuzumab ozogamicin

  • By

  • Jayastu Senapati

  • Elias Jabbour

  • Nicholas J. Short

  • Nitin Jain

  • Fadi Haddad

  • Tharakeswara Bathala

  • Iuliia Kovalenko

  • Aram Bidikian

  • Farhad Ravandi

  • Issa Khouri

  • Tapan M. Kadia

  • Rebecca Garris

  • Guillermo Montalban Bravo

  • Kelly Chien

  • Elizabeth Shpall

  • Partow Kebriaei

  • Hagop M. Kantarjian

  • August 7, 2024

  • 0 min

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  • 1

    Inotuzumab ozogamicin (InO) significantly improves outcomes in B-cell acute lymphoblastic leukemia but is associated with hepatic toxicity.

  • 2

    The rate of sinusoidal obstruction syndrome (SOS) was 14% in the InO arm compared to 2% in the standard of care arm in the INO-VATE trial.

  • 3

    Liver elastography is a non-invasive method that can detect liver toxicity and SOS in patients receiving InO for B-cell ALL.

  • 4

    In a study, 78% of patients had normal liver stiffness measurements, and only 2% developed SOS after treatment with InO.

  • 5

    Factors such as age, prior liver disease, and cumulative InO dosage are associated with increased risk of SOS in patients undergoing HSCT.

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