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Development of hepatic veno-occlusive disease after Mylotarg infusion for relapsed acute myeloid leukemia

Abstract

Mylotarg (gemtuzumab zogamicin) is a conjugated monoclonal antibody that has recently become available for use in patients with relapsing or refractory acute myeloid leukemia. Reversible hepatotoxicity is common after administration. We describe the first report of hepatic veno-occlusive disease (HVOD) developing after Mylotarg infusion in a patient who underwent hematopoietic stem cell transplantation 8 months earlier. Certain antineoplastic agents have been implicated as a cause of HVOD, but the disease is most commonly seen within 30 days after hematopoietic stem cell transplantation. The possible association between Mylotarg infusion and HVOD is discussed. Bone Marrow Transplantation (2001) 28, 895–897.

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References

  1. Sievers EL, Applebaum FR, Spielberger RT et al. Selective ablation of acute myeloid leukemia using antibody-targeted chemotherapy: a phase I study of an anti-CD33 calicheamicin immunoconjugate Blood 1999 93: 3678–3684

    CAS  PubMed  Google Scholar 

  2. Sievers EL, Larson RA, Estey E et al. Interim analysis of the efficacy and safety of CMA-676 in patients with AML in first relapse Blood 1998 92 (Suppl. 1): 613a (Abstr.)

    Google Scholar 

  3. Richardson P, Guinan E . The pathology, diagnosis, and treatment of hepatic veno-occlusive disease: current status and novel approaches Br J Haematol 1999 107: 485–493

    Article  CAS  Google Scholar 

  4. Feldman M, Sleisenger MH, Scharschmidt BF (eds). Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, 6th edn WB Saunders Company: Philadelphia 1998

    Google Scholar 

  5. Bearman SI . The syndrome of hepatic veno-occlusive disease after marrow transplantation Blood 1995 85: 3005–3020

    CAS  Google Scholar 

  6. Appelbaum FR . Antibody-targeted therapy for myeloid leukemia Semin Hematol 1999 36 (Suppl. 6): 2–8

    Google Scholar 

  7. Anon Celltech/Wyeth to file CMA 676NDA in third quarter FDC Reports: The Pink Sheet 1999 61: 18–19

  8. Sato Y, Asada Y, Hara S et al. Hepatic stellate cells (Ito cells) in veno-occlusive disease of the liver after allogeneic bone marrow transplantation Histopathology 1999 34: 66–70

    Article  CAS  Google Scholar 

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Tack, D., Letendre, L., Kamath, P. et al. Development of hepatic veno-occlusive disease after Mylotarg infusion for relapsed acute myeloid leukemia. Bone Marrow Transplant 28, 895–897 (2001). https://doi.org/10.1038/sj.bmt.1703242

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