To the Editor: Treatment of chronic lymphocytic leukemia (CLL)with fludarabine results in a higher remission rate and longerprogression-free survival than do alkylating agents.1 Patientswho have no response to fludarabine have a dismal prognosis,with a median survival of 10 months.2 In these patients theantiCD52 antibody alemtuzumab (Campath-1H, MabCampath)has recently shown promising results, with an overall responserate of 33 percent.3 The molecular mechanisms of its actionand the biologic factors associated with the clinical responseare not well defined.
A 72-year-old woman was given a diagnosis of CLL, Binet stageA, in August 1997. Because . . . [Full Text of this Article]
This article has been cited by other articles:
Zenz, T., Krober, A., Scherer, K., Habe, S., Buhler, A., Benner, A., Denzel, T., Winkler, D., Edelmann, J., Schwanen, C., Dohner, H., Stilgenbauer, S.
(2008). Monoallelic TP53 inactivation is associated with poor prognosis in chronic lymphocytic leukemia: results from a detailed genetic characterization with long-term follow-up. Blood
112: 3322-3329
[Abstract][Full Text]
Hallek, M., Cheson, B. D., Catovsky, D., Caligaris-Cappio, F., Dighiero, G., Dohner, H., Hillmen, P., Keating, M. J., Montserrat, E., Rai, K. R., Kipps, T. J.
(2008). Guidelines for the diagnosis and treatment of chronic lymphocytic leukemia: a report from the International Workshop on Chronic Lymphocytic Leukemia updating the National Cancer Institute-Working Group 1996 guidelines. Blood
111: 5446-5456
[Abstract][Full Text]
Hewamana, S., Alghazal, S., Lin, T. T., Clement, M., Jenkins, C., Guzman, M. L., Jordan, C. T., Neelakantan, S., Crooks, P. A., Burnett, A. K., Pratt, G., Fegan, C., Rowntree, C., Brennan, P., Pepper, C.
(2008). The NF-{kappa}B subunit Rel A is associated with in vitro survival and clinical disease progression in chronic lymphocytic leukemia and represents a promising therapeutic target. Blood
111: 4681-4689
[Abstract][Full Text]
Hauswirth, A. W., Jager, U.
(2008). Impact of cytogenetic and molecular prognostic markers on the clinical management of chronic lymphocytic leukemia. haematol
93: 14-19
[Full Text]
Kipps, T. J.
(2008). Chronic Lymphocytic Leukemia: Prognostic Markers and Revised Criteria for Treatment and Response Assessment. Am Soc Clin Oncol Ed Book
2008: 286-290
[Abstract][Full Text]
Wierda, W. G.
(2008). Treatments for Patients with Chronic Lymphocytic Leukemia. Am Soc Clin Oncol Ed Book
2008: 297-305
[Abstract][Full Text]
Hillmen, P., Skotnicki, A. B., Robak, T., Jaksic, B., Dmoszynska, A., Wu, J., Sirard, C., Mayer, J.
(2007). Alemtuzumab Compared With Chlorambucil As First-Line Therapy for Chronic Lymphocytic Leukemia. JCO
25: 5616-5623
[Abstract][Full Text]
Datta, A., Bellon, M., Sinha-Datta, U., Bazarbachi, A., Lepelletier, Y., Canioni, D., Waldmann, T. A., Hermine, O., Nicot, C.
(2006). Persistent inhibition of telomerase reprograms adult T-cell leukemia to p53-dependent senescence. Blood
108: 1021-1029
[Abstract][Full Text]
Montserrat, E., Moreno, C., Esteve, J., Urbano-Ispizua, A., Gine, E., Bosch, F.
(2006). How I treat refractory CLL. Blood
107: 1276-1283
[Abstract][Full Text]
Wierda, W. G.
(2006). Current and Investigational Therapies for Patients with CLL. ASH Education Book
2006: 285-294
[Abstract][Full Text]
Mone, A., Puhalla, S., Whitman, S., Baiocchi, R. A., Cruz, J., Vukosavljevic, T., Banks, A., Eisenbeis, C. F., Byrd, J. C., Caligiuri, M. A., Porcu, P.
(2005). Durable hematologic complete response and suppression of HTLV-1 viral load following alemtuzumab in zidovudine/IFN-{alpha}-refractory adult T-cell leukemia. Blood
106: 3380-3382
[Abstract][Full Text]
Wierda, W. G., Kipps, T. J., Keating, M. J.
(2005). Novel Immune-Based Treatment Strategies for Chronic Lymphocytic Leukemia. JCO
23: 6325-6332
[Abstract][Full Text]
Hallek, M., On Behalf Of The German CLL Study Group,
(2005). Chronic Lymphocytic Leukemia (CLL): First-Line Treatment. ASH Education Book
2005: 285-291
[Abstract][Full Text]
Gribben, J. G.
(2005). Salvage Therapy for CLL and the Role of Stem Cell Transplantation. ASH Education Book
2005: 292-298
[Abstract][Full Text]
Lin, T. S., Flinn, I. W., Modali, R., Lehman, T. A., Webb, J., Waymer, S., Moran, M. E., Lucas, M. S., Farag, S. S., Byrd, J. C.
(2005). FCGR3A and FCGR2A polymorphisms may not correlate with response to alemtuzumab in chronic lymphocytic leukemia. Blood
105: 289-291
[Abstract][Full Text]
Osuji, N., Del Giudice, I., Matutes, E., Dearden, C., Catovsky, D.
(2004). Alemtuzumab for Chronic Lymphocytic Leukemia with and without p53 Deletions.. ASH ANNUAL MEETING ABSTRACTS
104: 2510-2510
[Abstract]
Rosenwald, A., Chuang, E. Y., Davis, R. E., Wiestner, A., Alizadeh, A. A., Arthur, D. C., Mitchell, J. B., Marti, G. E., Fowler, D. H., Wilson, W. H., Staudt, L. M.
(2004). Fludarabine treatment of patients with chronic lymphocytic leukemia induces a p53-dependent gene expression response. Blood
104: 1428-1434
[Abstract][Full Text]
Lozanski, G., Heerema, N. A., Flinn, I. W., Smith, L., Harbison, J., Webb, J., Moran, M., Lucas, M., Lin, T., Hackbarth, M. L., Proffitt, J. H., Lucas, D., Grever, M. R., Byrd, J. C.
(2004). Alemtuzumab is an effective therapy for chronic lymphocytic leukemia with p53 mutations and deletions. Blood
103: 3278-3281
[Abstract][Full Text]
Byrd, J. C., Stilgenbauer, S., Flinn, I. W.
(2004). Chronic Lymphocytic Leukemia. ASH Education Book
2004: 163-183
[Abstract][Full Text]
Keating, M. J., Chiorazzi, N., Messmer, B., Damle, R. N., Allen, S. L., Rai, K. R., Ferrarini, M., Kipps, T. J.
(2003). Biology and Treatment of Chronic Lymphocytic Leukemia. ASH Education Book
2003: 153-175
[Abstract][Full Text]