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2018 ; 53
(7
): 852-862
Nephropedia Template TP
gab.com Text
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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]