Low-dose subcutaneous alemtuzumab is a safe and effective treatment for chronic acquired pure red cell aplasia
Three patients with pure red cell aplasia, with or without co-existing large granular lymphocytic leukaemia, who remained transfusion-dependent despite treatment with established first-line therapy, were treated with low-dose subcutaneous alemtuzumab 15 mg twice to thrice per week, for 3 to 4 weeks....
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Veröffentlicht in: | Hong Kong medical journal = Xianggang yi xue za zhi 2013-12, Vol.19 (6), p.549-552 |
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container_title | Hong Kong medical journal = Xianggang yi xue za zhi |
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creator | Chow, Jason K W Chan, T K |
description | Three patients with pure red cell aplasia, with or without co-existing large granular lymphocytic leukaemia, who remained transfusion-dependent despite treatment with established first-line therapy, were treated with low-dose subcutaneous alemtuzumab 15 mg twice to thrice per week, for 3 to 4 weeks. The mean response time was 17 days compared with a response time of at least 61 days on standard first-line therapy. There were no serious side-effects and the mean duration of remission was 13 months. Low-dose subcutaneous alemtuzumab is a safe and effective treatment for pure red cell aplasia and further trials should be conducted to compare the long-term effectiveness of this treatment with conventional therapy. |
doi_str_mv | 10.12809/hkmj133798 |
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The mean response time was 17 days compared with a response time of at least 61 days on standard first-line therapy. There were no serious side-effects and the mean duration of remission was 13 months. Low-dose subcutaneous alemtuzumab is a safe and effective treatment for pure red cell aplasia and further trials should be conducted to compare the long-term effectiveness of this treatment with conventional therapy.</description><identifier>ISSN: 1024-2708</identifier><identifier>EISSN: 2226-8707</identifier><identifier>DOI: 10.12809/hkmj133798</identifier><identifier>PMID: 24310664</identifier><language>eng</language><publisher>China: Hong Kong Academy of Medicine</publisher><subject>Aged ; Alemtuzumab ; Antibodies, Monoclonal, Humanized - administration & dosage ; Antibodies, Monoclonal, Humanized - adverse effects ; Antibodies, Monoclonal, Humanized - therapeutic use ; Chronic Disease ; Dose-Response Relationship, Drug ; Humans ; Injections, Subcutaneous ; Male ; Middle Aged ; Red-Cell Aplasia, Pure - drug therapy ; Remission Induction - methods ; Time Factors ; Treatment Outcome</subject><ispartof>Hong Kong medical journal = Xianggang yi xue za zhi, 2013-12, Vol.19 (6), p.549-552</ispartof><rights>2013. 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The mean response time was 17 days compared with a response time of at least 61 days on standard first-line therapy. There were no serious side-effects and the mean duration of remission was 13 months. 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Chan, T K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-39844d3f45c50ac47716a706474da462481627cb8fb3e720d00817255f8cb39b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Alemtuzumab</topic><topic>Antibodies, Monoclonal, Humanized - administration & dosage</topic><topic>Antibodies, Monoclonal, Humanized - adverse effects</topic><topic>Antibodies, Monoclonal, Humanized - therapeutic use</topic><topic>Chronic Disease</topic><topic>Dose-Response Relationship, Drug</topic><topic>Humans</topic><topic>Injections, Subcutaneous</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Red-Cell Aplasia, Pure - drug therapy</topic><topic>Remission Induction - methods</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chow, Jason K W</creatorcontrib><creatorcontrib>Chan, T K</creatorcontrib><creatorcontrib>Department of Oncology, Charing Cross Hospital, Fulham Palace Road, London, United Kingdom</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chow, Jason K W</au><au>Chan, T K</au><aucorp>Department of Oncology, Charing Cross Hospital, Fulham Palace Road, London, United Kingdom</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-dose subcutaneous alemtuzumab is a safe and effective treatment for chronic acquired pure red cell aplasia</atitle><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle><addtitle>Hong Kong Med J</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>19</volume><issue>6</issue><spage>549</spage><epage>552</epage><pages>549-552</pages><issn>1024-2708</issn><eissn>2226-8707</eissn><abstract>Three patients with pure red cell aplasia, with or without co-existing large granular lymphocytic leukaemia, who remained transfusion-dependent despite treatment with established first-line therapy, were treated with low-dose subcutaneous alemtuzumab 15 mg twice to thrice per week, for 3 to 4 weeks. 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subjects | Aged Alemtuzumab Antibodies, Monoclonal, Humanized - administration & dosage Antibodies, Monoclonal, Humanized - adverse effects Antibodies, Monoclonal, Humanized - therapeutic use Chronic Disease Dose-Response Relationship, Drug Humans Injections, Subcutaneous Male Middle Aged Red-Cell Aplasia, Pure - drug therapy Remission Induction - methods Time Factors Treatment Outcome |
title | Low-dose subcutaneous alemtuzumab is a safe and effective treatment for chronic acquired pure red cell aplasia |
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