Case Study

Ambulatory use of blinatumomab in paediatric patients with relapsed or refractory B-cell acute lymphoblastic leukaemia at a single centre in South Africa

Nadia Beringer, Kate Gwynneth Bennett
South African Journal of Oncology | Vol 10 | a365 | DOI: https://doi.org/10.4102/sajo.v10i0.365 | © 2026 Nadia Beringer, Kate Gwynneth Bennett | This work is licensed under CC Attribution 4.0
Submitted: 16 November 2025 | Published: 12 May 2026

About the author(s)

Nadia Beringer, Department of Paediatric Oncology, Wits Donald Gordon Medical Centre, Johannesburg, South Africa
Kate Gwynneth Bennett, Department of Paediatric Oncology, Wits Donald Gordon Medical Centre, Johannesburg, South Africa

Abstract

Acute lymphoblastic leukaemia (ALL) is the most common childhood cancer, with B-ALL comprising approximately 85% of all cases. Despite a high cure rate, those with refractory disease and/or relapsed (R/R) B-ALL have an inferior overall survival. Blinatumomab, a novel therapy, is a bispecific cluster of differentiation (CD)19-directed CD3 T-cell engager that has proven efficacy in children with R/R B-ALL. It is administered as a 28-day infusion with associated prolonged hospital admissions. To date, there are few publications on its use in paediatric B-ALL, including its use in the outpatient setting.
Contribution: This case series offers additional context and understanding in this regard.


Keywords

relapsed/refractory; B-cell acute lymphoblastic leukaemia; blinatumomab; privately funded insurance; MRD; HSCT

Sustainable Development Goal

Goal 3: Good health and well-being

Metrics

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