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ENHANCED REGENERATION OF NATURAL KILLER CELLS IN PATIENTS UNDERGOING MAFOSFAMIDE PURGED AUTOGRAFTS Vittorio Rizzoli, Lina Mangoni, Camillo Almici, Daniela Garau, Cecilia Caramatti, Carmelo Carlo-Stella Department of Hematology, Bone Marrow Transplantation Unit, University of Parma, Parma, Italy INTRODUCTION Autologous bone marrow transplantation (ABMT) after high-dose chemotherapy and/or total body irradiation is increasingly used as consolidation for patients with acute myeloblastic leukemia (AML), acute lymphoblastic leukemia (ALL) and non-Hodgkin's lymphoma (NHL) °- 2) . Because of the theoretical possibility that the reinfused marrow may be contaminated with residual malignant cells (3> , in vitro marrow purging with pharmacological agents, such as 4- Hydroperoxycyclophosphamide (4-HC) or mafosfamide (Asta-Z 7557), has been proposed in order to achieve elimination of residual neoplastic cells from the graft
MATERIALS AND METHODS Patients. Fifteen consecutive patients undergoing ABMT were included in this study: 6 patients with acute myeloid leukemia (AML), 3 with acute lymphoid leukemia (ALL) and 6 non-Hodgkin's lymphoma (NHL). Table 1 shows the main clinical and hematologic data of the patients at the time of autograft. The median age was 42 years (range, 20 to 56). The median follow-up time post- ABMT was 12 months (range, 2 to 28). All patients were transplanted in complete remission. AML and ALL patients as well as 3 out of 6 patients with NHL were autografted with mafosfamide purged marrow. The method of adjusted dose marrow purging ao) was performed on an individual basis aimed at evaluating mafosfamide-induced growth inhibition of primitive adherent blast colony-forming unit (CFU-Blast). Marrow was purged with the concentration of mafosfamide resulting in 50% inhibition of CFU-Blast growth (ID^). With this technique the value of CFU-Blast ID50 has been shown to be significantly higher (P
Page 1: Autologous Bone Marrow Transplantat
Page 5 and 6: CONTENTS nviAum TMLHTA'I OTT! 7 A l
Page 7 and 8: AUTOLOGOUS BONE MARROW TRANSPLANTAT
Page 9 and 10: TREATMENT OF NONSMALL CELL LUNG CAN
Page 11: SUMMARY OF THE NON HODGKIN LYMPHOMA
Page 15: Session I: Leukemia
Page 18 and 19: TRIAL PROGRESS The trial opened in
Page 20 and 21: Table 1. Achievement of Second Remi
Page 22 and 23: ALLOGENEIC VERSUS AUTOLOGOUS BONE M
Page 24 and 25: pts). The other 56 pts are too earl
Page 26 and 27: Figure 1 EORTC-GIMEMA AML 8 A EORTC
Page 28 and 29: PATIENTS AND METHODS Patients The B
Page 30 and 31: Thus, as the results of some ongoin
Page 32 and 33: COMPARISON OF INTENSIVE CONSOLIDATI
Page 34 and 35: over, 13 pts who had received ICC1
Page 37: Session II: Future Directions
Page 40 and 41: in a previous report 3 . Analysis a
Page 42 and 43: Engraftment of granulocyte, monocyt
Page 44 and 45: 0.2 - 0.1 - ABMT with mAb purging f
Page 48 and 49: RESULTS The in vivo immune effects
Page 50 and 51: 16. Rizzoli V, Mangoni L, Carlo-Ste
Page 52 and 53: hydroperoxycyclophosphamide (4HC)-t
Page 54 and 55: survival in patients undergoing ABM
Page 56 and 57: IMMUNOTHERAPY OF AML AFTER ABMT - S
Page 58 and 59: Otherwise toxicity was mild to mode
Page 60 and 61: Therapy. Amsterdam Elsevier 1987;89
Page 62 and 63: 200 IL6 in serum 44 SIXTH INTERNATI
Page 64 and 65: sodes), fewer days of i.v. antibiot
Page 67: Session III: Myeloma
Page 70 and 71: trary, in case of adequate collecti
Page 72 and 73: tion is considered, and all the mor
Page 74 and 75: Table 3: Cost effectiveness of high
Page 77: Session W: Lymphoma
Page 80 and 81: METHODS Selection of patients and t
Page 82 and 83: marrow treatment. Am J Med 85:829,1
Page 84 and 85: HIGH DOSE THERAPY WITH HEMATOPOIETI
Page 86 and 87: in TC 19 medium (Flobio), with an h
Page 88 and 89: progression for a long time after A
Page 90 and 91: Table 2. STATUS AT GRAFT Remission
Page 92 and 93: IL Figura 3 70 SIXTH INTERNATIONAL
Page 94 and 95: ( 5 ) lowed by ABMT than refractory
Page 96 and 97:
74 Figure 4 Low grade lymphoma - pr
Page 98 and 99:
(range 15-55); 68 males and 32 fema
Page 100 and 101:
our experience, this has a seven-ye
Page 102 and 103:
30. Colombat P, Gorin NC, Lemonnier
Page 104 and 105:
82 OVERALL SURUIWL from ABUT (accor
Page 107 and 108:
PROGNOSTIC FACTORS IN ADVANCED STAG
Page 109 and 110:
REFERENCES 1. Chopra R, Mc Millan A
Page 111 and 112:
lished data to attempt to assess th
Page 113 and 114:
1992;10:175-7. 3. McMillan A, Golds
Page 115 and 116:
B. DAILY DAY AGENT DOSE -7 -6 -5 -4
Page 117 and 118:
cohort with HR treated with BEC-2 i
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p R 0 P O R T I 0 N 1 0.9 0.8 0.7 0
Page 121 and 122:
TABLE 3. TOXICITY BEC TAVe TMJ as 2
Page 123 and 124:
ies. 10 Longer blood half-lives hav
Page 125 and 126:
agents have been developed cautious
Page 127 and 128:
Table 1. Radioisotopes for RIT. Pur
Page 129 and 130:
The treatment criterion in this stu
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more than 80% of the cases. Patient
Page 133 and 134:
Disease Free Survival 800 Time •
Page 135:
Session VI: Breast Cancer
Page 138 and 139:
achieved a complete remission survi
Page 140 and 141:
acil, vincristine, prednisone (CMFV
Page 142 and 143:
t: 3 en a in S « J •S •> c ai
Page 144 and 145:
LONG TERM FOLLOW UP OF POOR PROGNOS
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tors both for progression-free surv
Page 148 and 149:
222 INDUCTION PHASE ESTROGEN RECEPT
Page 150 and 151:
THE PHARMACOLOGY OF INTENSIVE CYCLO
Page 152 and 153:
PK VARIABILITY OF CPA/CDDP/BCNU Whe
Page 154 and 155:
5. Groshow LB, Piantadosi S, Santos
Page 157 and 158:
- Tn'üTiifi'.m'jii.'yjKJiHtyiwiT T
Page 159 and 160:
normal CD34+ progenitor cells
Page 161 and 162:
sequence analysis of the human haem
Page 163 and 164:
Bielefeld, FRG) or control medium w
Page 165 and 166:
3. Koeffler HP, and Golde DW: Chron
Page 167 and 168:
ply infected with supernatants from
Page 169 and 170:
controls must be carefully matched
Page 171 and 172:
Fig. IB: GPI isozyme analysis of 2
Page 173 and 174:
PROCESSING OF STEM CELLS FOR TRANSP
Page 175 and 176:
in progress using marker genes to l
Page 177 and 178:
Table 1. Factors Affecting Quality
Page 179:
Figure 2 .2 A Refractory/Relapsed L
Page 183 and 184:
HIGH DOSE CHEMOTHERAPY IN GERM CELL
Page 185 and 186:
carboplatin and etoposide with auto
Page 187 and 188:
HIGH DOSE THERAPY IN GERM CELL TUMO
Page 189 and 190:
Confusing data come out from early
Page 191:
Session Mill: Lung Cancer
Page 194 and 195:
Of the 14 limited stage patients in
Page 196 and 197:
esponses with persistent nodular di
Page 198 and 199:
hanced, detection of initial failur
Page 200 and 201:
Cellules. Bull Cancer 1987;74:587-5
Page 202 and 203:
30 36 42 48 54 60 66 72 78 84 12 18
Page 204 and 205:
Table 2: Toxicity of CBP Regimen fo
Page 206 and 207:
TREATMENT OF NONSMALL CELL LUNG CAN
Page 208 and 209:
Table 1. Combination Chemotherapy R
Page 210 and 211:
Table 6. Hematological Data of the
Page 212 and 213:
ence in survival among the three hi
Page 215:
Session IX: Ovarian Cancer
Page 218 and 219:
lymph node involvement or parenchym
Page 220 and 221:
higher frequencies of neurotoxicity
Page 222 and 223:
12. Ovarian Cancer Meta-Analysis Pr
Page 224 and 225:
Table 2. Randomized Trials Employin
Page 226 and 227:
BONE MARROW TRANSPLANTATION FOR OVA
Page 228 and 229:
1). Data from the survey was combin
Page 230 and 231:
carboplatinum and ifosfamide. The s
Page 233:
Session X: Sarcoma
Page 236 and 237:
ated doses in a recent Pediatric On
Page 238 and 239:
cytokines to reduce hospitalization
Page 240 and 241:
TABLE 2 Dose Escalation Schedule Do
Page 243 and 244:
CHRONIC MYELOGENOUS LEUKEMIA WITH B
Page 245 and 246:
DISCUSSION In this study, the use o
Page 247 and 248:
AUTOGRAFTING IN CHRONIC MYELOID LEU
Page 249 and 250:
Table 1 Remission Deaths Graft Hema
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16 (800 mg/m2 per day for two conse
Page 253:
Session XII: CNS
Page 256 and 257:
1.2 Description of the study The tr
Page 258 and 259:
3. Conclusion In conclusion, treatm
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3. Conclusion Hematological toxicit
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Session XIII: Peripheral Stem Cells
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Crouse, 1992). In the present repor
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with no evidence of systemic diseas
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Administration of rhSCF at doses of
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In summary, the ligand for c-kit ha
Page 274 and 275:
AUTOGRAFTING WITH G-CSF-MOBILIZED B
Page 276 and 277:
cells and CD34+ cells observed in t
Page 278 and 279:
6. Brugger W, Bross K, Frisch J, et
Page 280 and 281:
100 -l Collection Efficiency Figure
Page 282 and 283:
MATERIALS AND METHODS PATIENTS. Pat
Page 284 and 285:
None of the patients included in ar
Page 286 and 287:
9. Aurer I, Ribas A, Gale RP. What
Page 288 and 289:
246 o 0.6 b 0.1 B1 Figure 2 p = 0.0
Page 291 and 292:
AUTOLOGOUS BONE MARROW TRANSPLANTAT
Page 293 and 294:
SUMMARY OF THE NON HODGKIN LYMPHOMA
Page 295 and 296:
SUMMARY: AUTOLOGOUS MARROW TRANSPLA
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mor. The obverse of this coin is po
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treated at Memorial Hospital in New
Page 301 and 302:
Contributors and Participants Tause
Page 303 and 304:
Leonard Kalman, Hematology/Oncology
Page 305:
D.R. Sutherland, Oncology Research,
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