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Rituximab can be useful as treatment for minimal residual disease in bcr-abl-positive acute lymphoblastic leukemia

Abstract

We report the results of administering CD20 monoclonal antibody (MoAb) in a 32-year-old man with bcr-abl-positive acute lymphoblastic leukemia. Morphological complete remission was achieved after two lines of chemotherapy with persistence of blast cells (2%) in flow cytometric analysis of marrow cells. Since no HLA-matched donor for allogeneic bone marrow transplantation (BMT) was found, anti-CD20 MoAb therapy was administered for in vivo marrow purging, prior to autologous peripheral blood stem cell (PBSC) harvest and transplantation. After MoAb therapy <0.1% of blast cells were observed and the molecular abnormality (bcr-abl gene rearrangement) disappeared. Bone Marrow Transplantation (2001) 27, 225–227.

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References

  1. Hoelzer D . Treatment of acute lymphoblastic leukemia Semin Hematol 1994 31: 1–15

    CAS  PubMed  Google Scholar 

  2. Atta J, Fauth F, Keyser M et al. Purging in BCR-ABL-positive acute lymphoblastic leukemia using inmunomagnetic beads: comparison of residual leukemia and purging efficiency in bone marrow vs peripheral blood stem cells by semiquantitative polymerase chain reaction Bone Marrow Transplant 2000 25: 97–104

    Article  CAS  Google Scholar 

  3. Canals C, Picón M, Sanchez T et al. Autologous bone marrow transplantation for acute lymphoblastic leukemia: role of bone marrow purging Prog Clin Biol Res 1994 389: 125–132

    CAS  PubMed  Google Scholar 

  4. Gockbuget N, Arnold R, Büchner T et al. Treatment of adult acute lymphoblastic leukemia Schweiz Rundsch Med Prax 1999 88: 407–420

    Google Scholar 

  5. Sierra J, Radich J, Hansen JA et al. Marrow transplant from unrelated donors for treatment of Philadelphia chromosome-positive acute lymphoblastic leukemia Blood 1997 90: 1410–1414

    CAS  PubMed  Google Scholar 

  6. Barrett AJ, Horowitz MM, Ash RC et al. Bone marrow transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia Blood 1992 79: 3067–3070

    CAS  PubMed  Google Scholar 

  7. Radich J, Gehly G, Lee A et al. Detection of bcr-abl transcripts in Philadelphia chromosome-positive acute lymphoblastic leukemia after bone marrow transplantation Blood 1997 89: 2602–2609

    CAS  PubMed  Google Scholar 

  8. Martin H, Atta J, Fauth F et al. Autologous BMT/PBSCT in patients with BCR-ABL-positive acute lymphoblastic leukemia Bone Marrow Transplant 1998 21: (Suppl.) S2

    Google Scholar 

  9. Bast RG, De Fabritiis P, Lipton J et al. Elimination of malignant clonogenic cells from human bone marrow using multiple monoclonal antibodies and complement Cancer Res 1985 45: 499–503

    PubMed  Google Scholar 

  10. Guyotat D, Shi ZH, Campos L et al. Pre-clinical evaluation of anti-lacto-N-fucopentosae III (CD15) monoclonal antibodies for ex vivo bone marrow purging in acute myeloidleukemia Bone Marrow Transplant 1990 6: 385–390

    CAS  PubMed  Google Scholar 

  11. Muñoz L, Lopez O, Martino R et al. Combined use of reverse transcriptase polymerasa chain reaction and flow cytometry to study minimal residual disease in Philadelphia positive acute lymphoblastic leukemia Haematologica 2000 85: 704–710

    PubMed  Google Scholar 

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Jándula, B., Nomdedeu, J., Marín, P. et al. Rituximab can be useful as treatment for minimal residual disease in bcr-abl-positive acute lymphoblastic leukemia. Bone Marrow Transplant 27, 225–227 (2001). https://doi.org/10.1038/sj.bmt.1702706

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