| Online-Ressource |
Verfasst von: | Schlegel, Patrick [VerfasserIn]  |
| Teltschik, Heiko-Manuel [VerfasserIn]  |
| Pfeiffer, Matthias [VerfasserIn]  |
| Handgretinger, Rupert [VerfasserIn]  |
| Schumm, Michael [VerfasserIn]  |
| Koscielniak, Ewa [VerfasserIn]  |
| Feuchtinger, Tobias [VerfasserIn]  |
| Klingebiel, Thomas [VerfasserIn]  |
| Bader, Peter [VerfasserIn]  |
| Schlegel, Paul-Gerhardt [VerfasserIn]  |
| Greil, Johann [VerfasserIn]  |
| Lang, Peter [VerfasserIn]  |
Titel: | Long-term IL-2 therapy after transplantation of T cell depleted stem cells from alternative donors in children |
Verf.angabe: | Patrick Schlegel, Heiko-Manuel Teltschik, Matthias Pfeiffer, Rupert Handgretinger, Michael Schumm, Ewa Koscielniak, Tobias Feuchtinger, Thomas Klingebiel, Peter Bader, Paul-Gerhard Schlegel, Johann Greil, Peter Lang |
E-Jahr: | 2011 |
Jahr: | 25 June 2011 |
Umfang: | 10 S. |
Fussnoten: | Gesehen am 12.10.2022 |
Titel Quelle: | Enthalten in: Best practice & research |
Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1999 |
Jahr Quelle: | 2011 |
Band/Heft Quelle: | 24(2011), 3, Seite 443-452 |
ISSN Quelle: | 1532-1924 |
Abstract: | The aim of this pilot study was to evaluate the feasibility of long-term subcutaneous application of low-dose IL-2 in children with malignancies at very high risk of relapse who underwent highly T cell and B cell depleted HLA-identical (MUD) or full haplotype mismatched related hematopoetic stem cell transplantation. We studied 11 patients with acute leukemias/myelodysplastic syndrome and juvenile myelomonocytic leukemia (active disease and/or second stem cell transplantation, n = 8; ≥CR 2, n = 2) and relapsed or progressive Ewings sarcoma (n = 2) who received prophylactic IL-2 treatment for a high probability of disease recurrence after allo-HSCT. Toxicities from IL-2 were transient fever, fatigue and local inflammation. In one patient GvHD grade III with no clear association to IL-2 administration occurred. IL-2 administration was started at median day 57 (range 13-154) post-transplant for a mean duration of 28 days (range 15-250). IL-2 administration clearly increased NK cell activity. 3 of 11 patients (ALL, AML, multifocal Ewings sarcoma) survived with a follow-up of ten years. In conclusion, long-term low-dose IL-2 subcutaneous application is feasible in children due to a low side effect profile even after HLA mismatched transplantation and may be a strategy to prevent relapse in pediatric malignancies with extremely high risk of relapse. |
DOI: | doi:10.1016/j.beha.2011.04.007 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.beha.2011.04.007 |
| Volltext: https://www.sciencedirect.com/science/article/pii/S1521692611000430 |
| DOI: https://doi.org/10.1016/j.beha.2011.04.007 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Interleukin-2 |
| natural killer cell activity |
| prevention of relapse |
| T cell depleted stem cells |
| very high risk malignancies |
K10plus-PPN: | 1818780992 |
Verknüpfungen: | → Zeitschrift |
Long-term IL-2 therapy after transplantation of T cell depleted stem cells from alternative donors in children / Schlegel, Patrick [VerfasserIn]; 25 June 2011 (Online-Ressource)