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102


E. Arons & R. J. Kreitman


Table I. Complete remission (or clearing of bone marrow biopsy with resolutions of blood counts) achieved by immunotherapy with or without chemotherapy for HCLv or VH4-34þ HCL.


Open


Patient ID VH Diagnosis Treatment* BL14


BL18 BL26 BH32 RG01 RG02 RG04


VH4-31 HCLv BL22 VH4-34 HCLv BL22 VH4-34 HCLv BL22 VH4-34 HCLc BL22


clinical trial 07-C-0130


07-C-0130 07-C-0130 07-C-0130


Unknown HCLv CDAR 09-C-0005 Unknown HCLv CDAR 09-C-0005 VH4-34 HCLv CDAR 09-C-0005


*HA22, also called CAT-8015 or moxetumomab pasudotox, is a higher-affinity version of BL22 which is now undergoing testing for HCL, protocol 07-C-0130. HCLv, hairy cell leukemia variant; HCLc, classic hairy cell leukemia; CDAR, cladribine þ rituximab.


induce complete remission (CR) in HCLv. As shown in Table I, we have also observed frequent complete remissions in patients treated with monoclonal anti- body (mAb)-based therapy, including BL22 [13,14] and also the combination of rituximab and cladribine (CDAR) [15]. We believe it is potentially valuable to determine the molecular status of patients with HCL, and also to develop new therapies for patients who have recognized poor-prognosis variants.


Acknowledgements


This work was supported in part by the National Cancer Institute, Intramural Program. A portion of this research was originally published in Blood by Arons et al. (see ref 9).


Potential conflict of interest: Disclosure forms provided by the authors are available with the full text of this article at www.informahealthcare.com/lal.


References


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11. Brezinschek HP, Foster SJ, Brezinschek RI, Dorner T, Domiati-Saad R, Lipsky PE. Analysis of the human VH gene repertoire. Differential effects of selection and somatic


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hypermutation on human peripheral CD5(þ)/IgMþ and CD5(7)/IgMþ B cells. J Clin Invest 1997;99:2488–2501.


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