Rapid tumor lysis in a patient with B-cell chronic lymphocytic leukemia and lymphocytosis treated with an anti-CD20 monoclonal antibody (IDEC-C2B8, rituximab)

被引:77
作者
Jensen, M [1 ]
Winkler, U [1 ]
Manzke, O [1 ]
Diehl, V [1 ]
Engert, A [1 ]
机构
[1] Univ Cologne, Dept Internal Med 1, D-50931 Cologne, Germany
关键词
chronic lymphocytic leukemia; IDEC-C2B8; rituximab; tumor lysis syndrome; immunotherapy;
D O I
10.1007/s002770050419
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this report we present a patient with B-cell chronic lymphocytic leukemia who developed an acute tumor lysis syndrome after administration of the human anti-CD20 antibody IDEC-C2B8 (RITUXIMAB) in standard dose of 375 mg/m(2). IDEC-C2B8 has been demonstrated to have only mild and tolerable side effects in patients with follicular lymphoma. In these trials patients with lymphocytosis > 5000/mu l were excluded. Physicians must be aware of this hitherto unreported phenomenon in patients with high CD20-positive blood counts.
引用
收藏
页码:89 / 91
页数:3
相关论文
共 7 条
  • [1] IDEC-C2B8: Results of a phase I multiple-dose trial in patients with relapsed non-Hodgkin's lymphoma
    Maloney, DG
    GrilloLopez, AJ
    Bodkin, DJ
    White, CA
    Liles, TM
    Royston, I
    Varns, C
    Rosenberg, J
    Levy, R
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (10) : 3266 - 3274
  • [2] Maloney DG, 1997, BLOOD, V90, P2188
  • [3] McLaughlin P, 1996, BLOOD, V88, P349
  • [4] NADLER LM, 1980, CANCER RES, V40, P3147
  • [5] Phase II multicenter study of human CD52 antibody in previously treated chronic lymphocytic leukemia
    Osterborg, A
    Dyer, MJS
    Bunjes, D
    Pangalis, GA
    Bastion, Y
    Catovsky, D
    Mellstedt, H
    Rankin, E
    Tsekouras, C
    Pangalis, GA
    Cavalli, F
    Sessa, C
    Huhn, D
    Marcus, R
    Maughan, T
    Poynton, C
    Nissen, N
    Carney, D
    Brittinger, G
    Uppenkamp, M
    Elonen, E
    Teerenhovi, L
    Engert
    Willemze, R
    KluinNelemans, J
    Thomas, J
    Epenetos, AA
    Nethersell, A
    Dyer, M
    Catovsky, D
    Dicato, M
    Bastion, Y
    Coiffier, B
    Ranada, JMF
    Crowther, D
    Woll, P
    Raemakaers, J
    dePauw, B
    Degos, L
    Gissellbrecht
    Reiffers, J
    Mellstedt, H
    Fassas, A
    Anagnostopoulos, A
    Bunjes, D
    Jaeger, U
    Stahel, RA
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (04) : 1567 - 1574
  • [6] REFF ME, 1994, BLOOD, V83, P435
  • [7] RESHAPING HUMAN-ANTIBODIES FOR THERAPY
    RIECHMANN, L
    CLARK, M
    WALDMANN, H
    WINTER, G
    [J]. NATURE, 1988, 332 (6162) : 323 - 327