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Prepublished online as a Blood First Edition Paper on January 9, 2003; DOI 10.1182/blood-2002-07-1952.

Submitted July 2, 2002
Accepted November 1, 2002
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
Department of Leukemia, The University of Texas M. D. Anderson Cancer Center, Houston, TX, USA
* Corresponding author; email: sfaderl{at}mdanderson.org.
We explored the safety and efficacy of rituximab plus alemtuzumab in patients with relapsed/refractory lymphoid malignancies. Forty-eight patients have been treated and are assessable for response (32 CLL, 9 CLL/PLL, 1 PLL, 4 mantle cell leukemia/lymphoma, 2 Richter's transformation). The overall response rate was 52% (CR 8%, nPR 4%, PR 40%). With a median follow up of 6.5 months (range 1-20 months), the median time to progression is 6 months (range 1-20), and median survival 11 months (11+ months for responders versus 6 months for non-responders). Most toxicities were grade 2 and infusion-related. Infections occurred in 52% of the patients. CMV antigenemia was positive in 27%, but only 15% of the patients were symptomatic requiring therapy. The combination of rituximab and alemtuzumab is feasible, has an acceptable safety profile, and has clinical activity with a short course in a poor prognosis group of patients.

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