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Graft-versus-myeloma effect: proof of principle
G Tricot, DH Vesole, S Jagannath, J Hilton, N Munshi and B Barlogie
Division of Hematology/Oncology, University of Arkansas for Medical
Sciences, Little Rock, USA.
The presence of a graft-versus-tumor effect has been well established in
leukemia but not in multiple myeloma. A 40-year-old patient with myeloma
refractory to standard chemotherapy and autologous transplantation received
a matched unrelated T-cell-depleted transplant after conditioning with
fractionated total-body irradiation, thiotepa, and cyclophosphamide. This
procedure resulted in a transient and incomplete response with evidence of
rapidly progressive disease within 2.5 months posttransplantation. The
patient then received a small number of donor peripheral blood (PB)
mononuclear cells (CD3 cells 1.2 x 10(6)/kg) without any further cytotoxic
therapy. A complete remission was attained, lasting now for more than 14
months. The procedure was associated with severe acute and subsequently
limited chronic graft- versus-host disease (GVHD). This report provides the
first direct evidence of a graft-versus-myeloma effect after allogenic
transplantation.
Volume 87,
Issue 3,
pp. 1196-1198,
02/01/1996
Copyright © 1996 by The American Society of Hematology

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