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Prepublished online as a Blood First Edition Paper on January 9, 2003; DOI 10.1182/blood-2002-07-1952.
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Blood, 1 May 2003, Vol. 101, No. 9, pp. 3413-3415
CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Brief report
Experience with alemtuzumab plus rituximab in patients with
relapsed and refractory lymphoid malignancies
Stefan Faderl,
Deborah A. Thomas,
Susan O'Brien,
Guillermo Garcia-Manero,
Hagop M. Kantarjian,
Francis J. Giles,
Charles Koller,
Alessandra Ferrajoli,
Srdan Verstovsek,
Barbara Pro,
Michael Andreeff,
Miloslav Beran,
Jorge Cortes,
William Wierda,
Ngoc Tran, and
Michael J. Keating
From the Department of Leukemia, The University of
Texas MD Anderson Cancer Center, Houston.
We explored the safety and efficacy of rituximab plus alemtuzumab
in patients with relapsed or refractory lymphoid malignancies. Forty-eight patients were treated and were assessable for response (32 with chronic lymphocytic leukemia [CLL], 9 with CLL/prolymphocytic leukemia [PLL], 1 with PLL, 4 with mantle cell leukemia/lymphoma, 2 with Richter transformation). The overall response rate was 52%
(complete remission, 8%; nodular partial response, 4%;
partial response, 40%). With a median follow-up of 6.5 months (range, 1-20 months), the median time to progression was 6 months (range, 1-20 months); median survival, 11 months (11+ months for responders vs 6 months for nonresponders). Most toxicities were grade 2 or lower and
infusion-related. Infections occurred in 52% of the patients.
Cytomegalovirus (CMV) antigenemia assays were positive in 27%
of the patients, but only 15% were symptomatic and required therapy.
The combination of rituximab and alemtuzumab is feasible, has an
acceptable safety profile, and has clinical activity with a short
course in a group of patients with poor prognoses.

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