Graft failure after donor leucocyte infusion in relapsed chronic myeloid leukaemia: successful treatment with cyclophosphamide and antithymocyte globulin followed by peripheral blood stem cell infusion

Br J Haematol. 1996 Jul;94(1):120-2. doi: 10.1046/j.1365-2141.1996.d01-1770.x.

Abstract

We report a patient with chronic myeloid leukaemia who underwent allogeneic marrow transplantation (BMT) but had a molecular relapse 5 months and haematological relapse 15 months after BMT. Since therapy with alpha-interferon had been ineffective he received leucocyte infusions from his sibling donor. He developed acute graft-versus-host disease and became aplastic 6 weeks later. Despite donor marrow infusion and cytokine stimulation marrow aplasia persisted for 13 weeks. Then, donors' peripheral blood stem cells were given after conditioning with cyclophosphamide and antithymocyte globulin resulting in trilineage engraftment of donor haemopoiesis. Since then, the patient has been in continuous molecular remission for 11 months.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antilymphocyte Serum / therapeutic use*
  • Cyclophosphamide / therapeutic use*
  • Fusion Proteins, bcr-abl / analysis
  • Graft Rejection*
  • Graft vs Host Disease / therapy*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / therapy*
  • Leukocyte Transfusion*
  • Male
  • Middle Aged
  • Recurrence
  • Stem Cell Transplantation
  • Transplantation Chimera

Substances

  • Antilymphocyte Serum
  • Immunosuppressive Agents
  • Cyclophosphamide
  • Fusion Proteins, bcr-abl