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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1994-9-9
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pubmed:abstractText |
Fifteen children with steroid-resistant acute graft-versus-host disease (GVHD, grade II-IV) were treated with a murine monoclonal antibody (BT 563) specific for the alpha subunit of the interleukin-2 receptor (IL-2R). All had inherited diseases of the bone marrow and had received T cell-depleted marrow from a partially matched related donor. BT 563 antibody was given at a daily dose of 0.2 mg/kg. Treatment was continued until GVHD was controlled and the methylprednisolone administration was tapered to < or = 2 mg/kg/day. No side-effects were noted. Eleven of the 15 patients reached complete remission and a partial remission occurred in two. This good response rate was associated with early treatment (mean time after GVHD onset 7.7 +/- 5.3 days) and prolonged treatment (mean 25.9 +/- 10.6 days) compared with previously published data on BT 563 antibody usage. Relapses occurred in six of the 13 responders but a further remission was induced by the same treatment. Chronic GVHD developed in six cases and one of them died of GVHD-associated infection. Ten of the 15 patients are long-term survivors and are free of chronic GVHD. The results of this pilot study indicate that early and lengthy treatment with anti-IL-2R monoclonal antibody is both safe and effective against steroid-resistant GVHD in young children and indicate that further trials of anti-IL-2R antibody as first-line therapy of acute GVHD are warranted.
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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:month |
May
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
563-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8054909-Acute Disease,
pubmed-meshheading:8054909-Antibodies, Monoclonal,
pubmed-meshheading:8054909-Bone Marrow Transplantation,
pubmed-meshheading:8054909-Child, Preschool,
pubmed-meshheading:8054909-Drug Resistance,
pubmed-meshheading:8054909-Female,
pubmed-meshheading:8054909-Graft vs Host Disease,
pubmed-meshheading:8054909-Humans,
pubmed-meshheading:8054909-Infant,
pubmed-meshheading:8054909-Lymphocyte Depletion,
pubmed-meshheading:8054909-Male,
pubmed-meshheading:8054909-Methylprednisolone,
pubmed-meshheading:8054909-Pilot Projects,
pubmed-meshheading:8054909-Receptors, Interleukin-2,
pubmed-meshheading:8054909-T-Lymphocytes
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pubmed:year |
1994
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pubmed:articleTitle |
Treatment of steroid-resistant acute graft-versus-host disease with an anti-IL-2-receptor monoclonal antibody (BT 563) in children who received T cell-depleted, partially matched, related bone marrow transplants.
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pubmed:affiliation |
Département de Pédiatrie, Hôpital des Enfants Malades, Paris, France.
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pubmed:publicationType |
Journal Article
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