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DRUG CLASS:

CD52 inhibitor

8d
Sarcoidosis after Alemtuzumab therapy: Is Alemtuzumab posing a threat to its patients? (PubMed, Sarcoidosis Vasc Diffuse Lung Dis)
However, in the past few years, few cases have come forward in which after treatment with a monoclonal antibody, Alemtuzumab, patients developed sarcoidosis. This antibody targets the pan-lymphocyte CD52 antigen found on both human lymphoid and myeloid cells and is used in the treatment of Relapsing Remitting Multiple Sclerosis, leukemia, etc. Patients, in these cases, after a few years of treatment developed sarcoidosis but fortunately responded well to the treatment, if needed.
Journal
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CD52 (CD52 Molecule)
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Campath (alemtuzumab) • Lemtrada (alemtuzumab)
20d
Nonmyeloablative Peripheral Blood Mobilized Hematopoietic Precursor Cell Transplantation for Sickle Cell Disease and Beta-thalassemia in People With Higher Risk of Transplant Failure (clinicaltrials.gov)
P2, N=56, Active, not recruiting, National Heart, Lung, and Blood Institute (NHLBI) | Recruiting --> Active, not recruiting | N=162 --> 56
Enrollment closed • Enrollment change
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cyclophosphamide • Campath (alemtuzumab) • sirolimus • pentostatin • Neupogen (filgrastim)
24d
Early Human Leukocyte Antigen (HLA) Matched Sibling Hematopoietic Stem Cell Transplantation (clinicaltrials.gov)
P2, N=43, Active, not recruiting, Emory University | Recruiting --> Active, not recruiting
Enrollment closed
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Campath (alemtuzumab) • fludarabine IV • captisol-enabled melphalan
1m
Methotrexate, Hydrocortisone, Vincristine, Sobuzoxane, and Etoposide Is an Effective Option for Relapsed T-cell Prolymphocytic Leukemia with Loss of CD52 Expression after Retreatment with Alemtuzumab. (PubMed, JMA J)
He was administered alemtuzumab twice (at the time of initial treatment and relapse) and cyclophosphamide, vincristine, and hydrocortisone chemotherapy. Furthermore, novel therapeutic drugs (venetoclax and tofacitinib) were administered based on previous case reports...Consideration should be given to suspending treatment, adjusting the administration interval, or administering G-CSF if necessary. The treatment interval can be appropriately adjusted, making it a valuable treatment option for refractory T-PLL.
Journal
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CD52 (CD52 Molecule)
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CD52 expression
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Venclexta (venetoclax) • cyclophosphamide • etoposide IV • methotrexate • Campath (alemtuzumab) • vincristine • tofacitinib
1m
PolyTreg Immunotherapy in Islet Transplantation (clinicaltrials.gov)
P1, N=18, Active, not recruiting, University of Alberta | Trial completion date: Oct 2024 --> Jan 2025
Trial completion date
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Campath (alemtuzumab)
2ms
T-PLL: Observatory of Prolymphocytic Leukemia T (clinicaltrials.gov)
P=N/A, N=50, Recruiting, French Innovative Leukemia Organisation | Trial primary completion date: Jun 2023 --> Jun 2025
Trial primary completion date
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Campath (alemtuzumab)
3ms
NCI-2019-03203: Itacitinib and Alemtuzumab in Treating Patients with T-Cell Prolymphocytic Leukemia (clinicaltrials.gov)
P1, N=15, Completed, M.D. Anderson Cancer Center | Active, not recruiting --> Completed | Trial completion date: Dec 2026 --> Sep 2024 | Trial primary completion date: Dec 2026 --> Sep 2024
Trial completion • Trial completion date • Trial primary completion date
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Campath (alemtuzumab) • itacitinib (INCB039110)
4ms
Radiation- and Alkylator-free Bone Marrow Transplantation Regimen for Patients With Dyskeratosis Congenita (clinicaltrials.gov)
P2, N=40, Active, not recruiting, Boston Children's Hospital | Trial primary completion date: Apr 2024 --> Dec 2024
Trial primary completion date
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TERT (Telomerase Reverse Transcriptase) • HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B) • DKC1 (Dyskerin Pseudouridine Synthase 1) • ZCCHC8 (Zinc Finger CCHC-Type Containing 8) • HLA-C (Major Histocompatibility Complex, Class I, C)
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Campath (alemtuzumab) • fludarabine IV • cyclosporin A microemulsion
4ms
Does a subset of mature T-cell leukemias with features akin to T-cell prolymphocytic leukemia but lacking rearrangement of the TCL1 represent peripheral T-cell lymphoma, NOS in a leukemic phase? (PubMed, EJHaem)
We present a patient diagnosed with T-PLL with MTCP1 rearrangement who was successfully treated with alemtuzumab followed by consolidative allogeneic unrelated donor stem cell transplantation...However, the lymphoma cells were clonally related to those at presentation. Currently, literature on T-PLL-like cases lacking the rearrangement of TCL1A is limited, and the possibility of whether a proportion of such cases could represent PTCL, NOS (with leukemic involvement) needs consideration.
Journal
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GATA3 (GATA binding protein 3) • TCL1A (TCL1 Family AKT Coactivator A)
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Campath (alemtuzumab)
4ms
Reduced Intensity Transplantation for Severe Sickle Cell Disease (clinicaltrials.gov)
P2, N=40, Suspended, St. Jude Children's Research Hospital | Trial completion date: Jul 2025 --> Aug 2027 | Trial primary completion date: Jul 2024 --> Aug 2026
Trial completion date • Trial primary completion date
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cyclophosphamide • Campath (alemtuzumab) • sirolimus • hydroxyurea • thiotepa • plerixafor
4ms
PolyTreg Immunotherapy in Islet Transplantation (clinicaltrials.gov)
P1, N=18, Active, not recruiting, University of Alberta | Trial completion date: May 2024 --> Oct 2024 | Trial primary completion date: Aug 2022 --> Aug 2024
Trial completion date • Trial primary completion date
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Campath (alemtuzumab)
5ms
T-cell dysfunction in CLL is mediated through expression of SIGLEC-10 ligands CD24 and CD52 on CLL cells. (PubMed, Blood Adv)
Inhibition of kinases involved in the CD40-signaling cascade revealed that the SRC-kinase inhibitor dasatinib prevented rescue of T-cell function independent of CD40-mediated increased levels of costimulatory and adhesion ligands on CLL cells...These results demonstrate that T cells derived from CLL patients can be reinvigorated by manipulating CLL-T cell interactions. Targeting CD24- and CD52-mediated CLL-T cell interaction could be a promising therapeutic strategy to enhance T-cell function in CLL.
Journal • IO biomarker
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CD24 (CD24 Molecule) • CD52 (CD52 Molecule) • CD40 (CD40 Molecule)
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dasatinib
5ms
Ph I/II Study of Allogeneic SCT for Clinically Aggressive Sickle Cell Disease (SCD) (clinicaltrials.gov)
P1/2, N=45, Active, not recruiting, University of Illinois at Chicago | Recruiting --> Active, not recruiting | N=15 --> 45
Enrollment closed • Enrollment change
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Campath (alemtuzumab) • sirolimus
5ms
New P2 trial
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cyclophosphamide • fludarabine IV • ALLO-647
6ms
Safety and Efficacy of ALLO-605 an Anti-BCMA Allogeneic CAR T Cell Therapy in Patients With Relapsed/Refractory Multiple Myeloma (clinicaltrials.gov)
P1/2, N=6, Terminated, Allogene Therapeutics | N=136 --> 6 | Trial completion date: Jul 2025 --> Oct 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Jul 2025 --> Oct 2023; Terminated (Halted Prematurely)
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV • ALLO-605 • ALLO-647
6ms
NCI-2022-03571: TMLI and Alemtuzumab for Treatment of Sickle Cell Disease (clinicaltrials.gov)
P1, N=20, Recruiting, City of Hope Medical Center | Trial completion date: Oct 2028 --> Dec 2026 | Trial primary completion date: Oct 2028 --> Dec 2026
Trial completion date • Trial primary completion date
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HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1)
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Campath (alemtuzumab) • sirolimus
6ms
Stem Cell Transplant in Sickle Cell Disease and Thalassemia (clinicaltrials.gov)
P2, N=53, Active, not recruiting, Columbia University | Trial completion date: Dec 2023 --> Feb 2025 | Trial primary completion date: Dec 2023 --> Feb 2025
Trial completion date • Trial primary completion date
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Campath (alemtuzumab) • fludarabine IV • busulfan
7ms
CD52 knockdown inhibits aerobic glycolysis and malignant behavior of NSCLC cells through AKT signaling pathway. (PubMed, J Cancer)
Furthermore, aerobic glycolysis induced by 2-DG inhibited the proliferation of NSCLC cells. In conclusion, CD52 knockdown inhibited aerobic glycolysis and malignant behavior of NSCLC cells through AKT signaling pathway, which may be employed in an alternative therapeutic target for NSCLC.
Journal
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CD52 (CD52 Molecule)
7ms
EXPAND: Evaluation of Lymphodepletion With ALLO-647 in Adults With R/R Large B Cell Lymphoma Receiving ALLO-501A Allogeneic CAR T Cell Therapy (clinicaltrials.gov)
P2, N=70, Active, not recruiting, Allogene Therapeutics | Recruiting --> Active, not recruiting | Trial primary completion date: Apr 2025 --> Feb 2024
Enrollment closed • Trial primary completion date • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV • cemacabtagene ansegedleucel (ALLO-501A) • ALLO-647
7ms
Letermovir for the Prevention of Cytomegalovirus Reactivation in Patients With Hematological Malignancies Treated With Alemtuzumab (clinicaltrials.gov)
P2, N=6, Active, not recruiting, Ohio State University Comprehensive Cancer Center | Recruiting --> Active, not recruiting | N=25 --> 6 | Trial primary completion date: Dec 2024 --> Apr 2024
Enrollment closed • Enrollment change • Trial primary completion date
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Campath (alemtuzumab)
7ms
Intestinal & Multivisceral Transplantation for Unresectable Mucinous Carcinoma Peritonei (TRANSCAPE) (clinicaltrials.gov)
P2, N=20, Not yet recruiting, Case Comprehensive Cancer Center | Initiation date: Apr 2024 --> Oct 2024
Trial initiation date
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Campath (alemtuzumab) • sirolimus
7ms
NCI-2019-03203: Itacitinib and Alemtuzumab in Treating Patients With T-Cell Prolymphocytic Leukemia (clinicaltrials.gov)
P1, N=15, Active, not recruiting, M.D. Anderson Cancer Center | Trial completion date: Dec 2023 --> Dec 2026 | Trial primary completion date: Dec 2023 --> Dec 2026
Trial completion date • Trial primary completion date
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Campath (alemtuzumab) • itacitinib (INCB039110)
7ms
Ph I/II Study of Allogeneic SCT for Clinically Aggressive Sickle Cell Disease (SCD) (clinicaltrials.gov)
P1/2, N=15, Recruiting, University of Illinois at Chicago | Trial primary completion date: Jan 2024 --> Jan 2025
Trial primary completion date
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Campath (alemtuzumab) • sirolimus
8ms
High-dose Alemtuzumab-Cyclosporine vs Tacrolimus-Methotrexate-Sirolimus for Chronic Graft-versus-Host Disease Prevention. (PubMed, Blood Adv)
However, increased infections and relapse resulted in a lack of survival benefit after long-term follow-up. ClinicalTrials.gov identifier: NCT00520130.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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methotrexate • Campath (alemtuzumab) • sirolimus • cyclosporine
8ms
Early recovery of natural killer cells post T-cell depleted allogeneic stem cell transplantation using alemtuzumab "in the bag". (PubMed, Transpl Immunol)
This study of ex vivo T-cell depleted SCT's demonstrates that NK cells recover quicker when compared to those receiving unfractionated grafts. These results may have implications for GvHD and the GvL effect which warrants further study.
Journal
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NCAM1 (Neural cell adhesion molecule 1)
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cyclophosphamide • Campath (alemtuzumab)
9ms
Alemtuzumab-Ofatumumab in Previously Untreated Symptomatic Chronic Lymphocytic Leukemia (clinicaltrials.gov)
P2, N=53, Active, not recruiting, Northwestern University | Trial completion date: May 2023 --> May 2027
Trial completion date
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CD20 (Membrane Spanning 4-Domains A1) • CD5 (CD5 Molecule) • CD52 (CD52 Molecule) • FCER2 (Fc Fragment Of IgE Receptor II)
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CD19 expression
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Campath (alemtuzumab) • Arzerra (ofatumumab)
9ms
ADAs to Alemtuzumab (clinicaltrials.gov)
P=N/A, N=15, Active, not recruiting, Queen Mary University of London
New trial
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Lemtrada (alemtuzumab)
10ms
Improving the Results of Bone Marrow Transplantation for Patients With Severe Congenital Anemias (clinicaltrials.gov)
P1/2, N=130, Active, not recruiting, National Heart, Lung, and Blood Institute (NHLBI) | Recruiting --> Active, not recruiting | Trial completion date: Jan 2024 --> Jan 2026
Enrollment closed • Trial completion date
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Campath (alemtuzumab) • sirolimus
10ms
Reduced Intensity Conditioning (RIC) Regimen for Patients With Non-malignant Disorders (clinicaltrials.gov)
P2, N=75, Active, not recruiting, Children's Hospital of Philadelphia | Recruiting --> Active, not recruiting
Enrollment closed
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Campath (alemtuzumab) • melphalan • busulfan
10ms
ROSETTE: Reduced-dose Alemtuzumab for Kidney Transplant Rejection (clinicaltrials.gov)
P=N/A, N=25, Recruiting, Erasmus Medical Center | Not yet recruiting --> Recruiting
Enrollment open
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Campath (alemtuzumab)
10ms
Letermovir for the Prevention of Cytomegalovirus Reactivation in Patients With Hematological Malignancies Treated With Alemtuzumab (clinicaltrials.gov)
P2, N=25, Recruiting, Ohio State University Comprehensive Cancer Center | Trial primary completion date: Dec 2023 --> Dec 2024
Trial primary completion date
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Campath (alemtuzumab)
10ms
Trial primary completion date
|
cyclophosphamide • Campath (alemtuzumab) • sirolimus • pentostatin
10ms
Radiation- and Alkylator-free Bone Marrow Transplantation Regimen for Patients With Dyskeratosis Congenita (clinicaltrials.gov)
P2, N=40, Active, not recruiting, Boston Children's Hospital | Trial primary completion date: Jan 2024 --> Apr 2024
Trial primary completion date
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TERT (Telomerase Reverse Transcriptase) • HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B) • DKC1 (Dyskerin Pseudouridine Synthase 1) • ZCCHC8 (Zinc Finger CCHC-Type Containing 8) • HLA-C (Major Histocompatibility Complex, Class I, C)
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TERT mutation
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Campath (alemtuzumab) • fludarabine IV
11ms
Durable remission of T-cell prolymphocytic leukemia with CLEC16A::IL2 after allogeneic hematopoietic stem cell transplantation (PubMed, Rinsho Ketsueki)
Abnormal cells in BM and PB became undetectable on microscopy and FCM, and the CNS lesion disappeared on MRI after second-line therapy with alemtuzumab...Allogeneic hematopoietic stem-cell transplantation was performed, and the fusion mRNA has now been undetectable for more than 5 years since transplantation. This is the first report of a T-PLL case with a CLEC16A::IL2 fusion gene.
Journal • IO biomarker
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • IL2 (Interleukin 2) • TCL1A (TCL1 Family AKT Coactivator A)
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Campath (alemtuzumab)
11ms
Allogeneic Hematopoietic Stem Cell Transplant for Patients With Primary Immune Deficiencies (clinicaltrials.gov)
P=N/A, N=30, Recruiting, Masonic Cancer Center, University of Minnesota | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2024 --> Dec 2025
Trial completion date • Trial primary completion date
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cyclophosphamide • Campath (alemtuzumab) • melphalan • fludarabine IV • busulfan
11ms
Surface CD52, CD84, and PTGER2 mark mature PMN-MDSCs from cancer patients and G-CSF-treated donors. (PubMed, Cell Rep Med)
Analysis of such a gene signature uncovers a specific transcriptional program associated with mPMN-MDSC differentiation and allows us to identify that, in patients with either solid or hematologic tumors and in GDs, CD52, CD84, and prostaglandin E receptor 2 (PTGER2) represent potential mPMN-MDSC-associated markers. Altogether, our findings indicate that mature PMN-MDSCs distinctively undergo specific reprogramming during differentiation and lay the groundwork for selective immunomonitoring, and eventually targeting, of mature PMN-MDSCs.
Journal
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CD52 (CD52 Molecule) • CEACAM8 (CEA Cell Adhesion Molecule 8) • PTGER2 (Prostaglandin E Receptor 2) • PTGER4 (Prostaglandin E Receptor 4)
11ms
Nonmyeloablative Peripheral Blood Mobilized Hematopoietic Precursor Cell Transplantation for Sickle Cell Disease and Beta-thalassemia in People With Higher Risk of Transplant Failure (clinicaltrials.gov)
P2, N=162, Recruiting, National Heart, Lung, and Blood Institute (NHLBI) | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date
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cyclophosphamide • Campath (alemtuzumab) • sirolimus • pentostatin
12ms
Non-myeloablative Haploidentical HCT Study for Patients With Sickle Cell Disease, Including Compromised Organ Function (clinicaltrials.gov)
P1/2, N=72, Recruiting, National Heart, Lung, and Blood Institute (NHLBI) | Not yet recruiting --> Recruiting
Enrollment open
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Campath (alemtuzumab) • sirolimus • briquilimab (JSP191)
almost1year
Reduced-Intensity Conditioning (RIC) and Myeloablative Conditioning (MAC) for HSCT in AML/MDS (clinicaltrials.gov)
P2, N=22, Completed, Randy Windreich | Active, not recruiting --> Completed | Trial completion date: Nov 2023 --> Apr 2023 | Trial primary completion date: Nov 2023 --> Apr 2023
Trial completion • Trial completion date • Trial primary completion date
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FLT3 (Fms-related tyrosine kinase 3) • CD34 (CD34 molecule)
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FLT3 positive
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Campath (alemtuzumab) • melphalan • fludarabine IV • hydroxyurea • thiotepa • busulfan
1year
SUN: Minimizing Toxicity in HLA-identical Related Donor Transplantation for Children With Sickle Cell Disease (clinicaltrials.gov)
P2, N=30, Recruiting, Robert Nickel | Trial primary completion date: Dec 2024 --> Nov 2025
Trial primary completion date
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Campath (alemtuzumab) • sirolimus
1year
Chronic GVHD: review advances in prevention, novel endpoints, and targeted strategies. (PubMed, Hematology Am Soc Hematol Educ Program)
Approaches to prevent GVHD include pharmacologic strategies such as calcineurin inhibitors (cyclosporine, tacrolimus) combined with methotrexate or mTOR inhibitors (sirolimus), and IMP dehydrogenase inhibitors (mycophenolate mofetil). Increasingly, posttransplant cyclophosphamide is emerging as a promising strategy for GVCHD prevention especially in a setting of reduced intensity conditioning. Other approaches include serotherapy (ATG, Campath) and graft manipulation strategies...Targeted therapies including Bruton's tyrosine kinase inhibition, JAK1/2 inhibition, and ROCK2 inhibitors have improved cGVHD therapy, especially in the steroid refractory setting. Continued improvement in prophylactic strategies for cGVHD, identification of accurate cGVHD treatment endpoints, and access to novel therapeutic agents are expected to improve cGVHD outcomes.
Review • Journal
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JAK1 (Janus Kinase 1)
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cyclophosphamide • methotrexate • Campath (alemtuzumab) • sirolimus
1year
Unrelated and Haploidentical Peripheral Stem Cell Transplant with Tcrαβ/CD19 Depletion for the Treatment of Pediatric Patients with Inborn Errors of Immunity (TCT-ASTCT-CIBMTR 2024)
Conditioning was myeloablative busulfan with pharmacokinetic monitoring and fludarabine +/- cyclophosphamide/thiotepa or a reduced intensity melphalan-based regimen with fludarabine. All patients received serotherapy with ATG or alemtuzumab. Post-PSCT immune suppression was none or mycophenolate mofetil (MMF) and/or a calcineurin inhibitor (CNI)... 41 patients with a variety of IEIs were included (Figure 1). At a median follow-up of 2.5 years, OS was 85% (95% CI 75-97%) and EFS 80% (95% CI 69-94%), but was variable by underlying disease (Figure 2). Three patients experienced graft failure (7.3%), two requiring a second transplant and one receiving donor lymphocyte infusion only.
Clinical
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CD4 (CD4 Molecule)
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cyclophosphamide • Campath (alemtuzumab) • melphalan • fludarabine IV • thiotepa • busulfan