New Drug: Pivekimab Sunirine for Blastic Plasmacytoid Dendritic Cell Neoplasm

Pivekimab Sunirine showed high response rates in patients with frontline de novo blastic plasmacytoid dendritic cell neoplasm, with a composite complete response rate of 75% and a median overall survival of 16.6 months. In relapsed or refractory cases, the response rate was lower at 14% with a median overall survival of 5.8 months. The treatment was generally well tolerated with manageable safety concerns, making it a promising option for patients with limited treatment alternatives.

  • Study

    Phase I/II, open-label, multicenter study [NCT03386513]
    Adult patients with frontline or relapsed/refractory BPDCN
    Pivekimab Sunirine 0.045 mg/kg once every 3 weeks



  • Efficacy

    CR + clinical CR: 75% in frontline de novo vs 14% in relapsed/refractory
    mOS: 16.6 mos vs 5.8 mos



  • Safety

    Serious AEs: Pneumonia (6%), febrile neutropenia (5%)
    VOD: 2 cases reported


  • J Clin Oncol. Published online February 11, 2026

    Pemmaraju N, Marconi G, Montesinos P Pivekimab Sunirine in Blastic Plasmacytoid Dendritic Cell Neoplasm

    http://doi.org/10.1200/JCO-25-02083

    Reviewed by Ulas D. Bayraktar, MD on Mar 12, 2026

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