May 2026: $$ Blinatumomab in Combined Immune Thrombocytopenia and Antiphospholipid Syndrome

Journal: The New England Journal of Medicine
Author: Dr. Adrian Gottschlich
Institution: Department of Medicine III, LMU University Hospital
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Project description:

When two rare autoimmune diseases develop simultaneously — immune thrombocytopenia (ITP), in which the immune system attacks the body's own platelets, and antiphospholipid syndrome (APS), which causes life-threatening blood clots — a dangerous dilemma arises: the body risks bleeding and clotting at the same time.
A team at LMU University Hospital Munich has now shown that the bispecific antibody blinatumomab can treat these conditions at their root cause. It activates the body's own T cells, which selectively eliminate the diseased immune cells that produce the harmful antibodies.
In a young patient who had not responded to any therapy for nine years, the autoantibodies disappeared completely after treatment — and for the first time in years, her long-term medication could be discontinued. The results have been published in the New England Journal of Medicine.

Publication:
Gottschlich A, Bücklein V, El-Marouk V, Kaiser V, Schmid M, Janert TA, Winkelmann M, Ziemann F, Hänel G, Handtke S, Thiele T, Wichmann C, Kobold K, Zugmaier G, Rausch C, Schulze-Koops H, Lindner LH, Spiekermann K**, von Bergwelt-Baildon** M & Subklewe M**
Blinatumomab in combined Immune Thrombocytopenia and Antiphospholipid Syndrome
N Engl J Med. Mar 5 2026.


Paper: https://www.nejm.org/doi/full/10.1056/NEJMc2516228
 

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