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suck abstract from ncbi


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pmid29379171
      Bone+Marrow+Transplant 2018 ; 53 (7 ): 852-862
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  • Effective treatment of steroid and therapy-refractory acute graft-versus-host disease with a novel mesenchymal stromal cell product (MSC-FFM) #MMPMID29379171
  • Bader P ; Kuçi Z ; Bakhtiar S ; Basu O ; Bug G ; Dennis M ; Greil J ; Barta A ; Kállay KM ; Lang P ; Lucchini G ; Pol R ; Schulz A ; Sykora KW ; von Luettichau I ; Herter-Sprie G ; Uddin MA ; Jenkin P ; Alsultan A ; Buechner J ; Stein J ; Kelemen A ; Jarisch A ; Soerensen J ; Salzmann-Manrique E ; Hutter M ; Schäfer R ; Seifried E ; Klingebiel T ; Bonig H ; Kuçi S
  • Bone Marrow Transplant 2018[Jul]; 53 (7 ): 852-862 PMID29379171 show ga
  • The inability to generate mesenchymal stromal cells (MSCs) of consistent potency likely is responsible for inconsistent clinical outcomes of patients with aGvHD receiving MSC products. We developed a novel MSC manufacturing protocol characterized by high in vitro potency and near-identity of individual doses, referred to as "MSC-Frankfurt am Main (MSC-FFM)". Herein, we report outcomes of the 69 patients who have received MSC-FFM. These were 51 children and 18 adults with refractory aGvHD grade II (4%), III (36%) or IV (59%). Patients were refractory either to frontline therapy (steroids) (29%) or to steroids and 1-5 additional lines of immunosuppressants (71%) were given infusions in four weekly intervals. The day 28 overall response rate was 83%; at the last follow-up, 61% and 25% of patients were in complete or partial remission. The median follow-up was 8.1 months. Six-month estimate for cumulative incidence of non-relapse mortality was 27% (range, 16-38); leukemia relapse mortality was 2% (range, 0-5). This was associated with a superior six-month overall survival (OS) probability rate of 71% (range, 61-83), compared to the outcome of patients not treated with MSC-FFM. This novel product was effective in children and adults, suggesting that MSC-FFM represents a promising therapy for steroid refractory aGvHD.
  • |Acute Disease [MESH]
  • |Adolescent [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Female [MESH]
  • |Graft vs Host Disease/mortality/pathology/*therapy [MESH]
  • |Humans [MESH]
  • |Infant [MESH]
  • |Infant, Newborn [MESH]
  • |Male [MESH]
  • |Mesenchymal Stem Cell Transplantation/*methods [MESH]
  • |Steroids/*therapeutic use [MESH]
  • |Survival Rate [MESH]


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