Low-dose thalidomide and donor lymphocyte infusion as adoptive immunotherapy after allogeneic stem cell transplantation in patients with multiple myeloma.
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Low-dose thalidomide and donor lymphocyte infusion as adoptive immunotherapy after allogeneic stem cell transplantation in patients with multiple myeloma. / Kröger, Nicolaus-Martin; Shimoni, Avichai; Zagrivnaja, Maria; Ayuketang Ayuk, Francis; Lioznov, Michael; Schieder, Heike; Renges, Helmut-Hans; Fehse, Boris; Zabelina, Tatjana; Nagler, Arnon; Zander, Axel.
In: BLOOD, Vol. 104, No. 10, 10, 2004, p. 3361-3363.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Low-dose thalidomide and donor lymphocyte infusion as adoptive immunotherapy after allogeneic stem cell transplantation in patients with multiple myeloma.
AU - Kröger, Nicolaus-Martin
AU - Shimoni, Avichai
AU - Zagrivnaja, Maria
AU - Ayuketang Ayuk, Francis
AU - Lioznov, Michael
AU - Schieder, Heike
AU - Renges, Helmut-Hans
AU - Fehse, Boris
AU - Zabelina, Tatjana
AU - Nagler, Arnon
AU - Zander, Axel
PY - 2004
Y1 - 2004
N2 - To improve the antimyeloma effect of donor lymphocyte infusion (DLI) after allogeneic stem cell transplantation in multiple myeloma, we investigated in a phase 1/2 study the effect of low-dose thalidomide (100 mg) followed by DLI in 18 patients with progressive disease or residual disease and prior ineffective DLI after allografting. The overall response rate was 67%, including 22% complete remission. Major toxicity of thalidomide was weakness grade I/II (68%) and peripheral neuropathy grade I/II (28%). Only 2 patients experienced mild grade I acute graft versus host disease (aGvHD) of the skin, while no grades II to IV aGvHD was seen. De novo limited chronic GvHD (cGvHD) was seen in 2 patients (11%). The 2-year estimated overall and progression-free survival were 100% and 84%, respectively. Adoptive immunotherapy with low-dose thalidomide and DLI induces a strong antimyeloma effect with low incidence of graft versus host disease.
AB - To improve the antimyeloma effect of donor lymphocyte infusion (DLI) after allogeneic stem cell transplantation in multiple myeloma, we investigated in a phase 1/2 study the effect of low-dose thalidomide (100 mg) followed by DLI in 18 patients with progressive disease or residual disease and prior ineffective DLI after allografting. The overall response rate was 67%, including 22% complete remission. Major toxicity of thalidomide was weakness grade I/II (68%) and peripheral neuropathy grade I/II (28%). Only 2 patients experienced mild grade I acute graft versus host disease (aGvHD) of the skin, while no grades II to IV aGvHD was seen. De novo limited chronic GvHD (cGvHD) was seen in 2 patients (11%). The 2-year estimated overall and progression-free survival were 100% and 84%, respectively. Adoptive immunotherapy with low-dose thalidomide and DLI induces a strong antimyeloma effect with low incidence of graft versus host disease.
M3 - SCORING: Zeitschriftenaufsatz
VL - 104
SP - 3361
EP - 3363
JO - BLOOD
JF - BLOOD
SN - 0006-4971
IS - 10
M1 - 10
ER -