Abstract
Hepatosplenic T-cell non-Hodgkin's lymphoma (HSTCL) is a rare, aggressive form of NHL, with a median survival of approximately 8 months. We were able to successfully induce complete remission in a patient with alpha/beta HSTCL who was refractory to multiple prior chemotherapy regimens, using the humanized anti-CD52 monoclonal antibody alemtuzumab (Campath). Once disease was controlled, the patient was able to undergo allogeneic stem cell transplantation (SCT), which resulted in complete remission. Furthermore, upon relapse, we were able to re-induce complete clinical and molecular remission with donor lymphocyte infusions. At Day 655 (post-SCT), the patient remains in complete remission. These data suggest a potential role for alemtuzumab and allogeneic SCT in the treatment of T-cell NHL.
MeSH terms
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Adult
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Alemtuzumab
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Antibodies, Monoclonal / therapeutic use*
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Antibodies, Monoclonal, Humanized
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Antibodies, Neoplasm / therapeutic use*
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Antineoplastic Agents / therapeutic use
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Humans
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Liver Neoplasms / metabolism
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Liver Neoplasms / mortality
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Liver Neoplasms / therapy*
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Lymphocyte Transfusion*
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Lymphoma, T-Cell / metabolism
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Lymphoma, T-Cell / mortality
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Lymphoma, T-Cell / therapy*
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Male
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Receptors, Antigen, T-Cell, alpha-beta / metabolism
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Remission Induction
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Salvage Therapy*
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Splenic Neoplasms / metabolism
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Splenic Neoplasms / mortality
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Splenic Neoplasms / therapy*
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Stem Cell Transplantation*
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Survival Rate
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Time Factors
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Tissue Donors
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Transplantation, Autologous
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Antibodies, Neoplasm
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Antineoplastic Agents
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Receptors, Antigen, T-Cell, alpha-beta
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Alemtuzumab