Source:http://linkedlifedata.com/resource/pubmed/id/12476271
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2002-12-11
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pubmed:abstractText |
The anti-CD52 (Campath-1) monoclonal antibodies (Mabs) have a substantial history of use for controlling graft-versus-host disease in allogeneic bone marrow transplantation. Now, with the availability of a humanised form, alemtuzumab (Campath-1H), and the demonstration that this agent can reduce the tumour burden in B-CLL, a new niche may be found - as a potentially curative agent in which its tumour purging ability in vivo combines with its role as a conditioning agent in nonmyeloablative transplantation. Review of the literature shows that alemtuzumab has unique advantages as a method of depleting malignant lymphocytes, including those in patients resistant to conventional chemotherapy. Alemtuzumab can also be used in BMT for depletion of normal T and B lymphocytes of both the recipient and donor for prevention of graft rejection and GVHD. It allows good stem cell recovery with resultant rapid engraftment, has a low risk of EBV-triggered secondary malignancy and does not interfere with blood stem cell mobilisation. As a method of eliminating the malignant clone in B-CLL, alemtuzumab has shown remarkable efficacy in heavily pre-treated patients, a number of whom have progressed to autologous or allogeneic transplantation. Efficacy data are shown within the context of other transplantation data for B-CLL. These results indicate that the combination of tumour-depleting and immunosuppressive properties of alemtuzumab should be explored, with the hope of providing improved treatment options for elderly patients with advanced B-CLL or indolent lymphoma whose prognosis is too poor currently to allow treatment with traditional regimens of high-dose myeloablative chemotherapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal, Humanized,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Neoplasm,
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Vidarabine,
http://linkedlifedata.com/resource/pubmed/chemical/alemtuzumab,
http://linkedlifedata.com/resource/pubmed/chemical/fludarabine
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
797-804
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:12476271-Adult,
pubmed-meshheading:12476271-Aged,
pubmed-meshheading:12476271-Antibodies, Monoclonal,
pubmed-meshheading:12476271-Antibodies, Monoclonal, Humanized,
pubmed-meshheading:12476271-Antibodies, Neoplasm,
pubmed-meshheading:12476271-Antineoplastic Agents,
pubmed-meshheading:12476271-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:12476271-Bone Marrow Purging,
pubmed-meshheading:12476271-Bone Marrow Transplantation,
pubmed-meshheading:12476271-Cyclophosphamide,
pubmed-meshheading:12476271-Female,
pubmed-meshheading:12476271-Graft Survival,
pubmed-meshheading:12476271-Graft vs Host Disease,
pubmed-meshheading:12476271-Humans,
pubmed-meshheading:12476271-Leukemia, Lymphocytic, Chronic, B-Cell,
pubmed-meshheading:12476271-Lymphocyte Depletion,
pubmed-meshheading:12476271-Lymphoma,
pubmed-meshheading:12476271-Male,
pubmed-meshheading:12476271-Middle Aged,
pubmed-meshheading:12476271-Survival Analysis,
pubmed-meshheading:12476271-Transplantation Conditioning,
pubmed-meshheading:12476271-Treatment Outcome,
pubmed-meshheading:12476271-Vidarabine
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pubmed:year |
2002
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pubmed:articleTitle |
Alemtuzumab (Campath-1H) for treatment of lymphoid malignancies in the age of nonmyeloablative conditioning?
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pubmed:affiliation |
Sir William Dunn School of Pathology, University of Oxford, Oxford, UK.
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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