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Blood, 1 August 2004, Vol. 104, No. 3, pp. 655-658.
Prepublished online as a Blood First Edition Paper on April 8, 2004; DOI 10.1182/blood-2003-07-2345.


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CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Brief report

Cardiac toxicity of alemtuzumab in patients with mycosis fungoides/Sézary syndrome

Daniel J. Lenihan, Alvaro J. Alencar, Deborah Yang, Razelle Kurzrock, Michael J. Keating, and Madeleine Duvic

From the Departments of Cardiology, Dermatology, Leukemia, and Bioimmunotherapy, The University of Texas M.D. Anderson Cancer Center, Houston.

Alemtuzumab is a monoclonal antibody to CD52 that has activity in T-cell leukemia and lymphoma. This study aims to describe the complications and outcomes of a subset of patients with mycosis fungoides/Sézary syndrome who were treated with alemtuzumab. Four of 8 patients, with no prior history of cardiac problems, developed significant cardiac toxicity (congestive heart failure or arrhythmia) that mostly improved after alemtuzumab discontinuation. The role of this agent in potentially inducing important cardiac side effects is suggested and argues for further investigation.


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