Phase I study of a neutralizing monoclonal anti-CTLA4 antibody (MDX-010) in patients with relapse of malignancy after allogeneic hematopoietic stem cell transplantation
“…Ipilimumab has also been studied in a phase I trial for leukemia and lymphoma patients following relapse from allogeneic stem cell transplant [253]. Seventeen patients were treated and one patient with Hodgkin lymphoma had a complete response and one patient with mantle cell lymphoma had a partial response.…”
“…Ipilimumab has also been studied in a phase I trial for leukemia and lymphoma patients following relapse from allogeneic stem cell transplant [253]. Seventeen patients were treated and one patient with Hodgkin lymphoma had a complete response and one patient with mantle cell lymphoma had a partial response.…”
“…Other approaches include the blockade of CTLA-4 (a negative regulator of T cells) by a neutralizing human monoclonal antibody (ipilimumab). 77 There is some evidence that DLI collected after mobilization with G-CSF results in a reduction of GvHD without a loss of GvL. 78 This approach has been used with some success, even in the setting of haploidentical transplants, particularly if post-DLI immunosuppression is given in addition.…”
The management of acute leukaemia which relapses following an allogeneic stem cell transplant remains a major challenge. In this review we summarize the outcomes of the currently available treatment modalities and discuss emerging novel approaches.
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