Kyriakidis Ioannis, Vasileiou Eleni, Rossig Claudia, Roilides Emmanuel, Groll Andreas H, Tragiannidis Athanasios
Pediatric and Adolescent Hematology-Oncology Unit, 2nd Department of Pediatrics, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, Greece.
Department of Pediatric Hematology and Oncology, University Children's Hospital Münster, D-48149 Münster, Germany.
J Fungi (Basel). 2021 Mar 5;7(3):186. doi: 10.3390/jof7030186.
Since 1985 when the first agent targeting antigens on the surface of lymphocytes was approved (muromonab-CD3), a multitude of such therapies have been used in children with hematologic malignancies. A detailed literature review until January 2021 was conducted regarding pediatric patient populations treated with agents that target CD2 (alefacept), CD3 (bispecific T-cell engager [BiTE] blinatumomab), CD19 (denintuzumab mafodotin, B43, BiTEs blinatumomab and DT2219ARL, the immunotoxin combotox, and chimeric antigen receptor [CAR] T-cell therapies tisagenlecleucel and axicabtagene ciloleucel), CD20 (rituximab and biosimilars, Y-ibritumomab tiuxetan, ofatumumab, and obinutuzumab), CD22 (epratuzumab, inotuzumab ozogamicin, moxetumomab pasudotox, BiTE DT2219ARL, and the immunotoxin combotox), CD25 (basiliximab and inolimomab), CD30 (brentuximab vedotin and iratumumab), CD33 (gemtuzumab ozogamicin), CD38 (daratumumab and isatuximab), CD52 (alemtuzumab), CD66b (Y-labelled BW 250/183), CD248 (ontuxizumab) and immune checkpoint inhibitors against CTLA-4 (CD152; abatacept, ipilimumab and tremelimumab) or with PD-1/PD-L1 blockade (CD279/CD274; atezolizumab, avelumab, camrelizumab, durvalumab, nivolumab and pembrolizumab). The aim of this narrative review is to describe treatment-related invasive fungal diseases (IFDs) of each category of agents. IFDs are very common in patients under blinatumomab, inotuzumab ozogamicin, basiliximab, gemtuzumab ozogamicin, alemtuzumab, and tisagenlecleucel and uncommon in patients treated with moxetumomab pasudotox, brentuximab vedotin, abatacept, ipilimumab, pembrolizumab and avelumab. Although this new era of precision medicine shows promising outcomes of targeted therapies in children with leukemia or lymphoma, the results of this review stress the necessity for ongoing surveillance and suggest the need for antifungal prophylaxis in cases where IFDs are very common complications.
Expert Opin Investig Drugs. 2015-4-21
Leuk Res Rep. 2022-5-18
Clin Microbiol Infect. 2022-10
Clin Microbiol Infect. 2018-3-20
Commun Med (Lond). 2024-6-13
J Hematol Oncol. 2017-8-18
Cancers (Basel). 2022-10-14
Front Oncol. 2025-4-29
Clin Microbiol Rev. 2023-12-20
Front Pharmacol. 2023-4-19
J Fungi (Basel). 2023-1-17
Curr Clin Microbiol Rep. 2020-12
Anticancer Res. 2020-12
Clin Oncol (R Coll Radiol). 2021-2
Pediatr Blood Cancer. 2021-5