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Blood, 1 February 2007, Vol. 109, No. 3, pp. 951-953.
Prepublished online as a Blood First Edition Paper on October 10, 2006; DOI 10.1182/blood-2006-03-013136.
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Submitted March 28, 2006
Accepted August 27, 2006
Humoral Immune Response and Immunoglobulin G Fc Receptor Genotype are associated with better clinical outcome following idiotype vaccination in follicular lymphoma patients regardless of their response to induction chemotherapy
Wen-Kai Weng*, Debra Czerwinski, and Ronald Levy
Dept of Internal Medicine, Stanford University School of Medicine, Stanford, CA
* Corresponding author; email: wkweng{at}stanford.edu.
We have reported that anti-idiotype antibody response and Fc RIIIa 158 Valine/Valine (V/V) genotype both correlate with better outcome in a group of 136 follicular lymphoma patients receiving idiotype vaccination after induction chemotherapy. Here, we examined whether this correlation is related in any way to the chemotherapy response. In CR patients, the 5-year progression free survival (PFS) was 69% for patients with antibody response and/or V/V genotype while only 40% for patients with neither, median time to progression (TTP) 10.47 vs 3.46 years (p=0.012). In PR patients, the 5-year PFS was 57% for patients with antibody response and/or V/V genotype and 17% for patients with neither, median TTP not reached vs 1.31 years (p=0.0001). This study further confirms the strong association of clinical outcome with antibody response and with the functionally more active form of the Fc receptor in patients receiving idiotype vaccination regardless their response to induction chemotherapy.

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