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About:
Feasibility of conditioning with thymoglobulin and reduced intensity TBI to reduce acute GVHD in recipients of allogeneic SCT
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research paper
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Feasibility of conditioning with thymoglobulin and reduced intensity TBI to reduce acute GVHD in recipients of allogeneic SCT
Creator
Smith, S
Bauml, M
Bonilla, B
Kini, A
Mathews, H
Mohideen, N
Norton, J
Parthasarathy, M
Petrowsky, C
Rodriguez, T
Senitzer, D
Shanti, S
Stiff, P
Toor, A
source
PMC
abstract
Murine studies using anti-T-cell antibodies for conditioning in allogeneic SCT demonstrate engraftment with low rates of GVHD. On the basis of this preclinical model, we conditioned 30 patients with advanced hematologic malignancies with rabbit antithymocyte globulin (ATG) and TBI, to reduce rates of fatal acute GVHD. Patients were enrolled in two sequential groups: cohort 1 received ATG 10 mg/kg in divided doses (days −4 to −1)+200 cGy TBI (n=16), and cohort 2 received ATG (days −10 to −7)+450 cGy TBI (n=14). Median donor blood chimerism for the combined group was 94, 93 and 93% in the first, second and third months after transplant. Only three developed grade II acute GVHD despite 43% of patients receiving unrelated donor transplants. One-year survival was 71±11 and 54±14%, respectively, in recipients of related and unrelated donor SCT. Donor lymphocyte infusions were needed in 12 patients for the management of relapse and for mixed donor–recipient chimerism in 4 patients. We conclude that 10 mg/kg ATG and TBI allows engraftment with a low risk of acute GVHD; however, further dose optimization of ATG is required to achieve a balance between GVHD and disease relapse.
has issue date
2008-08-18
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bibo:doi
10.1038/bmt.2008.244
bibo:pmid
18711352
has license
no-cc
sha1sum (hex)
dcc27e479115365accb550f7a525d3a8471c1a9c
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https://doi.org/10.1038/bmt.2008.244
resource representing a document's title
Feasibility of conditioning with thymoglobulin and reduced intensity TBI to reduce acute GVHD in recipients of allogeneic SCT
has PubMed Central identifier
PMC7101790
has PubMed identifier
18711352
schema:publication
Bone Marrow Transplant
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covid:dcc27e479115365accb550f7a525d3a8471c1a9c#body_text
is
schema:about
of
named entity 'patients'
named entity 'hematologic malignancies'
named entity 'GVHD'
named entity 'grade II'
named entity 'TBI'
named entity 'ALLOGENEIC'
named entity 'DOSES'
named entity 'RISK OF'
named entity 'T-CELL'
named entity 'CHIMERISM'
named entity 'SECOND'
named entity 'GVHD'
named entity 'chimerism'
named entity 'ATG'
named entity 'acute'
named entity 'donor'
named entity 'chimerism'
named entity 'ATG'
named entity 'antibodies'
named entity 'GVHD'
named entity 'ATG'
named entity 'GVHD'
named entity 'antithymocyte globulin'
named entity 'relapse'
named entity 'ATG'
named entity 'thymoglobulin'
named entity 'ATG'
named entity 'conditioning'
named entity 'immunostimulatory'
named entity 'chimerism'
named entity 'relapse'
named entity 'relapse'
named entity 'Chicago'
named entity 'TBI'
named entity 'thymic involution'
named entity 'elimination half-life'
named entity 'DLI'
named entity 'blood donor'
named entity 'GVHD'
named entity 'CD8'
named entity 'liver enzyme elevation'
named entity 'phase II studies'
named entity 'ATG'
named entity 'GVHD'
named entity 'IFN-g'
named entity 'refractory'
named entity 'multiple myeloma'
named entity 'CD3'
named entity 'solid organ'
named entity 'TBI'
named entity 'prognosis'
named entity 'chimeric'
named entity 'CsA'
named entity 'murine'
named entity 'thymic'
named entity 'CD16'
named entity 'Disease-specific'
named entity 'lymphocyte'
named entity 'Beckman Coulter Inc.'
named entity 'DLI'
named entity 'MHC'
named entity 'T-cell depletion'
named entity 'relapse'
named entity 'flow cytometer'
named entity 'TBI'
named entity 'murine'
named entity 'chemotherapy'
named entity 'allografts'
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