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10.1182/blood-2014-07-587519

http://scihub22266oqcxt.onion/10.1182/blood-2014-07-587519
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suck abstract from ncbi


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pmid25145344
      Blood 2014 ; 124 (14 ): 2306-12
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  • BFR (bendamustine, fludarabine, and rituximab) allogeneic conditioning for chronic lymphocytic leukemia/lymphoma: reduced myelosuppression and GVHD #MMPMID25145344
  • Khouri IF ; Wei W ; Korbling M ; Turturro F ; Ahmed S ; Alousi A ; Anderlini P ; Ciurea S ; Jabbour E ; Oran B ; Popat UR ; Rondon G ; Bassett RL Jr ; Gulbis A
  • Blood 2014[Oct]; 124 (14 ): 2306-12 PMID25145344 show ga
  • Myelosuppression, graft-versus-host disease (GVHD), and relapse remain major causes of morbidity after stem cell transplantation for relapsed lymphoma. In this phase 1/2 study, we tested the safety and efficacy of escalating doses of bendamustine (70, 90, 110, and 130 mg/m2 per day for 3 days), coupled with our historical fixed doses of fludarabine and rituximab (BFR), as a nonmyeloablative allogeneic conditioning regimen for patients with relapsed lymphoma (n = 41) and chronic lymphocytic leukemia (CLL) (n = 15). Ten patients entered the phase 1 study; none experienced a dose-limiting toxicity. Forty-six additional patients were then treated in the phase 2 study at the maximum dose of 130 mg/m2 per day for 3 days. The proportions of transplants from matched siblings or unrelated donors were 54% and 46%. Remarkably, 55% of patients did not experience severe neutropenia. Forty-nine patients (88%) did not require platelet transfusion. The incidence of acute grade II-IV GVHD was 11%. The 2-year rate of extensive chronic GVHD was 26%. After a median follow-up duration of 26 months (range, 6-50 months), the 2-year overall and progression-free survival rates were 90% and 75%. In conclusion, our new BFR regimen is safe and effective for relapsed CLL and lymphoma patients.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Monoclonal, Murine-Derived/*administration & dosage [MESH]
  • |Bendamustine Hydrochloride [MESH]
  • |Combined Modality Therapy/methods [MESH]
  • |Drug Combinations [MESH]
  • |Female [MESH]
  • |Graft vs Host Disease/*immunology [MESH]
  • |Humans [MESH]
  • |Leukemia, Lymphocytic, Chronic, B-Cell/*drug therapy/*immunology [MESH]
  • |Lymphoma/*drug therapy/*immunology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Nitrogen Mustard Compounds/*administration & dosage [MESH]
  • |Recurrence [MESH]
  • |Rituximab [MESH]
  • |Transplantation Conditioning [MESH]
  • |Transplantation, Homologous [MESH]


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