00:00The platform is called BITE, Bite Specific T-Cell Engager, and it is an extremely innovative platform,
00:11characterized by the possibility of creating a link between the toxic tissue lymphocyte,
00:18the CD3, and the tumor cell, which in the case of Vinatumumab is the CD19,
00:24expressed on the surface of the tumor cell, the acute lymphoblastic leukemia lymphoblast.
00:30Thanks to this link, the potential toxic tissue of the T lymphocyte is activated,
00:36which creates an opening within the tumor cell and releases enzymes that induce the apoptosis of the tumor cell.
00:45This apoptosis is a serial apoptosis, a serial lysis, therefore continuous, of the tumor cell,
00:52and at the same time there is also a proliferation of the toxic tissue lymphocytes,
00:57so basically the weapon against the tumor cell multiplies and induces this serial lysis of the tumor cell.
01:05Amgen, in the development of this platform, had an extremely innovative approach,
01:10based on the unprecedented connection between biology and technology.
01:16It started, of course, from acute lymphoblastic leukemia, in the recidivism phase,
01:24and then advanced towards the earlier phases of the disease,
01:30passing through the so-called minimal residue disease, that is, leukemic clones present in minimal quantity,
01:36but which inevitably lead to the clinical and hematological relapse of the patient,
01:43up to the early development.
01:46All this was possible thanks to Amgen's innovative approach,
01:50but also thanks to the fundamental and decisive contribution of the international hematological community,
01:57and in particular of the Italian hematological community,
02:00whose contribution has allowed us to reach these goals in the development of the drug.
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