Source:http://linkedlifedata.com/resource/pubmed/id/11911416
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2002-3-25
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pubmed:abstractText |
Infusion related adverse events (AE) with day 1 rituximab in patients with B-cell non-Hodgkin's lymphoma (NHL) are common. The purpose of this study was to evaluate the AE occurring in patients with malignant B-cell lymphocytosis who received rituximab. Patients with a > or = 3 x 10(9)/L absolute lymphocyte count (ALC) receiving rituximab from 1998 to 1999 or participating in a phase I study of rituximab and interleukin-12 were reviewed. The AE occurring on the day of rituximab, the treatment provided (including hospitalization), and the subsequent ALC responses were recorded. Twenty-seven patients were identified; 14 had NHL, one Waldenstrom's macroglobulinemia, and 12 patients had chronic lymphocytic leukemia. The baseline median ALC was 9.58 x 10(9)/L (mean, 49.31; range, 3.56-380.95). All patients received rituximab as an outpatient. There were only two AE > or = grade 3. One patient was hospitalized for 1 day for i.v. fluids to treat an increase in creatinine that occurred with tumor lysis. A second patient developed a pulmonary syndrome five days after day 1 rituximab and required mechanical ventilation, but had no long-term lung toxicity. This study demonstrates that patients with high numbers of circulating blood B-lymphocytes can usually safely receive rituximab as outpatients. Patients who experience a rapid drop in ALC should be monitored closely for tumor lysis and the pulmonary syndrome.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1042-8194
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1329-37
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:11911416-Adult,
pubmed-meshheading:11911416-Aged,
pubmed-meshheading:11911416-Aged, 80 and over,
pubmed-meshheading:11911416-Antibodies, Monoclonal,
pubmed-meshheading:11911416-Antibodies, Monoclonal, Murine-Derived,
pubmed-meshheading:11911416-Antineoplastic Agents,
pubmed-meshheading:11911416-Female,
pubmed-meshheading:11911416-Humans,
pubmed-meshheading:11911416-Leukemia, Lymphocytic, Chronic, B-Cell,
pubmed-meshheading:11911416-Lymphocytosis,
pubmed-meshheading:11911416-Lymphoma, Mantle-Cell,
pubmed-meshheading:11911416-Male,
pubmed-meshheading:11911416-Middle Aged
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pubmed:articleTitle |
Rituximab toxicity in patients with peripheral blood malignant B-cell lymphocytosis.
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pubmed:affiliation |
Faculty of Medicine, Charles University, Hradec Kralove, Czech Republic.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Clinical Trial, Phase I
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