Negative immunomagnetic ex vivo purging combined with high-dose chemotherapy with peripheral blood progenitor cell autograft in follicular lymphoma patients: Evidence for long-term clinical and molecular remissions

C. Tarella, P. Corradini, M. Astolfi, P. Bondesan, D. Caracciolo, C. Cherasco, M. Ladetto, F. Giaretta, I. Ricca, U. Vitolo, A. Pileri, D. Ferrero

Research output: Contribution to journalArticle

Abstract

The feasibility and efficacy of a novel immunomagnetic ex vivo negative purging method was evaluated on peripheral blood progenitor cells (PBPC) from 13 non-Hodgkin's lymphoma patients (eight follicular, FL; three mantle cell, MCL; two FL with histologic transformation). A peculiar feature of the study was the collection of PBPC after prolonged tumor debulking. Our method included a stem cell enrichment phase followed by cell incubation with anti-B cell MoAbs (anti-CD19, CD20, CD22, CD23), addition of immunobeads, and then positive cell removal by passage on a Max-Sep (Baxter Immunotherapy) cell separator. Engraftment was rapid and stable. Hematological values were assessed 1 and 2 years after the autograft. Purging efficacy was molecularly assessed in a panel of 11 patients who showed persistence of PCR-detectable lymphoma cells on PBPC harvests despite intensified chemotherapeutic debulking. PCR-negativity was obtained in vitro and persisted in vivo after autograft in three FL patients; five more FL patients, whose purged PBPC were PCR+, converted to stable (3 patients) or fluctuating (two patients) PCR negativity after autograft. MCL patients never reached PCR negativity. Thus, ex vivo purging may have a role for FL patients harvesting PCR-positive PBPC after intensified chemotherapy. In contrast, the addition of ex vivo purging seems to be of little if any benefit for MCL patients.

Original languageEnglish
Pages (from-to)1456-1462
Number of pages7
JournalLeukemia
Volume13
Issue number9
Publication statusPublished - 1999

Keywords

  • Ex vivo purging
  • Molecular remission
  • Non-Hodgkin's lymphoma
  • PBPC autograft

ASJC Scopus subject areas

  • Hematology
  • Cancer Research

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    Tarella, C., Corradini, P., Astolfi, M., Bondesan, P., Caracciolo, D., Cherasco, C., Ladetto, M., Giaretta, F., Ricca, I., Vitolo, U., Pileri, A., & Ferrero, D. (1999). Negative immunomagnetic ex vivo purging combined with high-dose chemotherapy with peripheral blood progenitor cell autograft in follicular lymphoma patients: Evidence for long-term clinical and molecular remissions. Leukemia, 13(9), 1456-1462.