Porcine anti-human lymphocyte globulin plus cyclosporine A therapy for severe aplastic anemia

To evaluate the efficacy of porcine anti-human lymphocyte globulin (P-ALG) plus cyclosporine A (CsA) therapy for severe aplastic anemia (SAA). Forty-eight SAA patients (31 males, 17 females) including 17 very severe aplastic anemias (vSAA) were treated with ALG plus CsA between 1999 to 2009 in our h...

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Veröffentlicht in:Zhōnghuá xuèyèxué zázhì 2011-04, Vol.32 (4), p.241-244
Hauptverfasser: Han, Bing, Yan, Si-yi, Zou, Nong, Zhang, Wei, Li, Jian, Duan, Ming-hui, Jiao, Li, Zhuang, Jun-ling, Wang, Shu-jie, Zhou, Dao-bin, Zhu, Tie-nan, Xu, Ying, Zhao, Yong-qiang, Shen, Ti
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container_title Zhōnghuá xuèyèxué zázhì
container_volume 32
creator Han, Bing
Yan, Si-yi
Zou, Nong
Zhang, Wei
Li, Jian
Duan, Ming-hui
Jiao, Li
Zhuang, Jun-ling
Wang, Shu-jie
Zhou, Dao-bin
Zhu, Tie-nan
Xu, Ying
Zhao, Yong-qiang
Shen, Ti
description To evaluate the efficacy of porcine anti-human lymphocyte globulin (P-ALG) plus cyclosporine A (CsA) therapy for severe aplastic anemia (SAA). Forty-eight SAA patients (31 males, 17 females) including 17 very severe aplastic anemias (vSAA) were treated with ALG plus CsA between 1999 to 2009 in our hospital and the outcomes were analyzed retrospectively for early mortality, response rate and quality, survival rate, toxicity and complications. The median age was 28 (13 - 64) years. The interval from diagnosis to treatment was 45 days. The median neutrophil count at diagnosis was 0.178 × 10(9)/L. Overall response was 83.3% (54.2% complete, 29.2% partial) with a median time of 90 (23 - 380) days. 10.4% died of infection within 30 days mainly of fungi infection. Only 1 patient relapsed 2 years after treatment. No clonal disease was found. The 1.5-year survival rate was 87.5%. vSAAs had less response, higher early mortality and less survival (64.7%, 29.4% and 51.8%, respectively) compared to that of SAA (93.5%, 0,
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subjects Adolescent
Adult
Anemia, Aplastic - drug therapy
Animals
Antilymphocyte Serum - therapeutic use
Cyclosporine - therapeutic use
Female
Humans
Immunosuppressive Agents - therapeutic use
Lymphocytes - immunology
Male
Middle Aged
Retrospective Studies
Swine
Treatment Outcome
Young Adult
title Porcine anti-human lymphocyte globulin plus cyclosporine A therapy for severe aplastic anemia
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