134 results on '"M. Attal"'
Search Results
2. Temporal variability in detrital 10Be concentrations in a large Himalayan catchment
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E. H. Dingle, H. D. Sinclair, M. Attal, Á. Rodés, and V. Singh
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lcsh:Dynamic and structural geology ,lcsh:QE500-639.5 - Abstract
Accurately quantifying sediment fluxes in large rivers draining tectonically active landscapes is complicated by the stochastic nature of sediment inputs. Cosmogenic 10Be concentrations measured in modern river sands have been used to estimate 102- to 104-year sediment fluxes in these types of catchments, where upstream drainage areas are often in excess of 10 000 km2. It is commonly assumed that within large catchments, the effects of stochastic sediment inputs are buffered such that 10Be concentrations at the catchment outlet are relatively stable in time. We present 18 new 10Be concentrations of modern river and dated Holocene terrace and floodplain deposits from the Ganga River near to the Himalayan mountain front (or outlet). We demonstrate that 10Be concentrations measured in modern Ganga River sediments display a notable degree of variability, with concentrations ranging between ∼ 9000 and 19 000 atoms g−1. We propose that this observed variability is driven by two factors. Firstly, by the nature of stochastic inputs of sediment (e.g. the dominant erosional process, surface production rates, depth of landsliding, degree of mixing) and, secondly, by the evacuation timescale of individual sediment deposits which buffer their impact on catchment-averaged concentrations. Despite intensification of the Indian Summer Monsoon and subsequent doubling of sediment delivery to the Bay of Bengal between ∼ 11 and 7 ka, we also find that Holocene sediment 10Be concentrations documented at the Ganga outlet have remained within the variability of modern river concentrations. We demonstrate that, in certain systems, sediment flux cannot be simply approximated by converting detrital concentration into mean erosion rates and multiplying by catchment area as it is possible to generate larger volumetric sediment fluxes whilst maintaining comparable average 10Be concentrations.
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- 2018
3. Isolated pyosalpinx in a pre-teen with bicornuate uterus
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Ayman T. Alghasham, Muhanad M. Attal, Mukul R. Kothari, and Muhammad Afzal
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Gynecology ,medicine.medical_specialty ,Bicornuate uterus ,animal structures ,RD1-811 ,business.industry ,media_common.quotation_subject ,Pyosalpinx ,food and beverages ,Virginity ,medicine.disease ,Pediatrics ,RJ1-570 ,Sexually active ,Pediatrics, Perinatology and Child Health ,medicine ,Surgery ,Girl ,business ,reproductive and urinary physiology ,Inflammatory pelvic disease ,media_common - Abstract
Pyosalpinx is a condition usually seen in a sexually active female. In literature, only a few cases have been reported in a virginal girl presenting with pyosalpinx. Herein we report a case of an 11-year-old virginal girl with pyosalpinx treated by laparoscopic drainage and antibiotics.
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- 2021
4. The SESAME materials science beamline for XRD applications
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Luca Rebuffi, M. Attal, T. Abu-Hanieh, Mahmoud Abdellatief, G. Paolucci, M. Najdawi, and H. Khosroabadi
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0301 basic medicine ,Diffraction ,030103 biophysics ,Radiation ,Materials science ,business.industry ,Resolution (electron density) ,Synchrotron radiation ,Mineralogy ,Condensed Matter Physics ,03 medical and health sciences ,Optics ,Beamline ,General Materials Science ,Ray tracing (graphics) ,business ,Instrumentation ,Storage ring ,Powder diffraction ,Swiss Light Source - Abstract
We present a detailed description of the SESAME Materials Science (MS) beamline for X-ray diffraction (XRD) applications, presently under construction in Allan, Jordan. The beamline is based on components previously installed at the Swiss Light Source, but modifications in the beamline design have been introduced to match the characteristics of the SESAME storage ring. The SESAME MS beamline will accommodate XRD experiments in the energy range between 5 and 25 keV. The beamline ray tracing analysis at 10 keV estimates the flux at the sample to be of the order of 1013 (photons s−1), the energy resolution is about 2 eV and the effective beam size at the sample of 300 × 2800 µm2. Investigations of microstruture will be possible as the instrumental broadening, resulted from simulating the diffraction pattern for a standard material, is of the order of 0.01° at 15 keV. A wide range of applications will be possible at the beamline, such as powder diffraction studies, single crystals and in situ XRD. The commisioning of the beamline is expected to be in the second half of 2017.
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- 2017
5. Effects of level of bedding on lying behavior in stalled horses
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R. Trice, J. Baker, M. Attal, S. Elmore, Kimberly A Guay, A. Christie, T. Garcia, and M. Fuentes
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Paleontology ,Bedding ,Equine ,Lying ,Geology - Published
- 2019
6. Expressed fusion gene landscape and its impact in multiple myeloma
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S. Minvielle, M. Attal, M. Kemal Samur, S. Robiou du Pont, Philippe Moreau, Eileen M Boyle, Giovanni Parmigiani, Nikhil C. Munshi, KC Anderson, Raphael Szalat, Marie-Lorraine Chretien, Hervé Avet-Loiseau, Alice Cleynen, Jill Corre, Laure Buisson, Institut Montpelliérain Alexander Grothendieck (IMAG), Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM), Dana-Farber Cancer Institute [Boston], Centre de Recherches en Cancérologie de Toulouse (CRCT), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), CHU Dijon, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Centre hospitalier universitaire de Nantes (CHU Nantes), Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), and université de Bourgogne, LNC
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0301 basic medicine ,Male ,Sequence analysis ,Science ,General Physics and Astronomy ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Biology ,Plasma cell ,Immunoglobulin light chain ,Malignancy ,medicine.disease_cause ,General Biochemistry, Genetics and Molecular Biology ,Article ,Translocation, Genetic ,Fusion gene ,03 medical and health sciences ,Immunoglobulin kappa-Chains ,0302 clinical medicine ,[SDV.CAN] Life Sciences [q-bio]/Cancer ,Immunoglobulin lambda-Chains ,medicine ,Humans ,lcsh:Science ,Gene ,Multiple myeloma ,Aged ,Multidisciplinary ,Sequence Analysis, RNA ,General Chemistry ,Middle Aged ,medicine.disease ,3. Good health ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Cancer research ,lcsh:Q ,Female ,Gene Fusion ,Carcinogenesis ,Immunoglobulin Heavy Chains ,Multiple Myeloma - Abstract
Multiple myeloma is a plasma cell malignancy characterized by recurrent IgH translocations and well described genomic heterogeneity. Although transcriptome profiles in multiple myeloma has been described, landscape of expressed fusion genes and their clinical impact remains unknown. To provide a comprehensive and detailed fusion gene cartography and suggest new mechanisms of tumorigenesis in multiple myeloma, we performed RNA sequencing in a cohort of 255 newly diagnosed and homogeneously treated multiple myeloma patients with long follow-up. Here, we report that patients have on average 5.5 expressed fusion genes. Kappa and lambda light chains and IgH genes are main partners in a third of all fusion genes. We also identify recurrent fusion genes that significantly impact both progression-free and overall survival and may act as drivers of the disease. Lastly, we find a correlation between the number of fusions, the age of patients and the clinical outcome, strongly suggesting that genomic instability drives prognosis of the disease., Multiple myeloma is a malignancy of plasma cells in the blood. Here, the authors establish the landscape of fusion genes within this disease, identifying novel recurrent fusion genes that impact survival and may drive disease progression.
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- 2017
7. Combining fluorescent in situ hybridization data with ISS staging improves risk assessment in myeloma: an International Myeloma Working Group collaborative project
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Bart Barlogie, J.J. Lahuerta, Brian G.M. Durie, Fiona M. Ross, Roman Hájek, Orhan Sezer, Norma C. Gutiérrez, Nicoletta Testoni, Pieter Sonneveld, Jeff Haessler, John Crowley, Michele Cavo, Philippe Moreau, R Fonseca, S.V. Rajkumar, Hervé Avet-Loiseau, M. Attal, Je-Hwan Lee, H. Goldschmidt, Gareth J. Morgan, Hematology, H Avet-Loiseau, B G M Durie, M Cavo, M Attal, N Gutierrez, J Haessler, H Goldschmidt, R Hajek, J H Lee, O Sezer, B Barlogie, J Crowley, R Fonseca, N Testoni, F Ro, S V Rajkumar, P Sonneveld, J Lahuerta, P Moreau, and G Morgan
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Adult ,Male ,Oncology ,Cancer Research ,medicine.medical_specialty ,Pathology ,health care facilities, manpower, and services ,Myeloma ,Biology ,Risk Assessment ,Article ,Young Adult ,FISH ,Patient age ,health services administration ,Internal medicine ,medicine ,Humans ,Stage (cooking) ,Survival rate ,Staging system ,In Situ Hybridization, Fluorescence ,Multiple myeloma ,Aged ,Neoplasm Staging ,Retrospective Studies ,Aged, 80 and over ,Chromosome Aberrations ,ISS staging ,Cytogenetics ,International Agencies ,Retrospective cohort study ,Hematology ,Middle Aged ,Prognosis ,medicine.disease ,Survival Rate ,fluorescent in situ hybridization ,Female ,Multiple Myeloma ,Risk assessment - Abstract
The combination of serum β2-microglobulin and albumin levels has been shown to be highly prognostic in myeloma as the International Staging System (ISS). The aim of this study was to assess the independent contributions of ISS stage and cytogenetic abnormalities in predicting outcomes. A retrospective analysis of international studies looking at both ISS and cytogenetic abnormalities was performed in order to assess the potential role of combining ISS stage and cytogenetics to predict survival. This international effort used the International Myeloma Working Group database of 12 137 patients treated worldwide for myeloma at diagnosis, of whom 2309 had cytogenetic studies and 5387 had analyses by fluorescent in situ hybridization (iFISH). Comprehensive analyses used 2642 patients with sufficient iFISH data available. Using the comprehensive iFISH data, combining both t(4;14) and deletion (17p), along with ISS stage, significantly improved the prognostic assessment in terms of progression-free survival and overall survival. The additional impact of patient age and use of high-dose therapy was also demonstrated. In conclusion, the combination of iFISH data with ISS staging significantly improves risk assessment in myeloma.
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- 2013
8. Second primary malignancies in multiple myeloma: an overview and IMWG consensus
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KC Anderson, Philippe Moreau, Ashraf Badros, Pellegrino Musto, J F San Miguel, Eloisa Riva, Wenming Chen, S V Rajkumar, Anuj Mahindra, Alessandra Larocca, Ola Landgren, Paul G. Richardson, Amitabha Mazumder, J. Hou, E. Terpos, M. Attal, Giuseppe Pietrantuono, Michele Cavo, Juan Du, A. Reiman, J.J. Lahuerta, Amara Nouel, Heinz Ludwig, P.L. McCarthy, H. Einsele, Saad Z. Usmani, Antonio Palumbo, Ingemar Turesson, O. Sezer, Jens Hillengass, Raymond L. Comenzo, Brian G.M. Durie, Brendan M. Weiss, Laurent Garderet, Robert A. Kyle, Musto, P, Anderson, K C, Attal, M, Richardson, P G, Badros, A, Hou, J, Comenzo, R, Du, J, Durie, B G M, San Miguel, J, Einsele, H, Chen, W M, Garderet, L, Pietrantuono, G, Hillengass, J, Kyle, R A, Moreau, P, Lahuerta, J J, Landgren, O, Ludwig, H, Larocca, A, Mahindra, A, Cavo, M, Mazumder, A, Mccarthy, P L, Nouel, A, Rajkumar, S V, Reiman, A, Serra, E R, Sezer, O, Terpos, E, Turesson, I, Usmani, S, Weiss, B M, and Palumbo, A
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International Myeloma Working Group ,SPM ,lenalidomide ,multiple myeloma ,risk factors ,second primary malignancy ,Melphalan ,Oncology ,medicine.medical_specialty ,Context (language use) ,03 medical and health sciences ,0302 clinical medicine ,Autologous stem-cell transplantation ,Internal medicine ,medicine ,Humans ,Dexamethasone ,Multiple myeloma ,Lenalidomide ,Bortezomib ,business.industry ,Incidence ,Neoplasms, Second Primary ,Hematology ,medicine.disease ,Thalidomide ,risk factor ,030220 oncology & carcinogenesis ,Immunology ,business ,030215 immunology ,medicine.drug - Abstract
Background Therapeutic advancements following the introduction of autologous stem cell transplantation and ‘novel’ agents have significantly improved clinical outcomes for patients with multiple myeloma (MM). Increased life expectancy, however, has led to renewed concerns about the long-term risk of second primary malignancies (SPMs). This review outlines the most up-to-date knowledge of possible host-, disease-, and treatment-related risk factors for the development of SPMs in patients with MM, and provides practical recommendations to assist physicians. Design A Panel of International Myeloma Working Group members reviewed the most relevant data published in the literature as full papers, or presented at meetings of the American Society of Clinical Oncology, American Society of Hematology, European Hematology Association, or International Myeloma Workshops, up to June 2016. Here, we present the recommendations of the Panel, based on this literature review. Results Overall, the risk of SPMs in MM is low, multifactorial, and partially related to the length of patients’ survival and MM intrinsic susceptibility. Studies suggest a significantly increased incidence of SPMs when lenalidomide is administered either following, or concurrently with, oral melphalan. Increased SPM incidence has also been reported with lenalidomide maintenance following high-dose melphalan, albeit to a lesser degree. In both cases, the risk of death from MM was significantly higher than the risk of death from SPMs, with lenalidomide possibly providing a survival benefit. No increase in SPM incidence was reported with lenalidomide plus dexamethasone (without melphalan), or with bortezomib plus oral melphalan, dexamethasone, or thalidomide. Conclusion In general, the risk of SPMs should not alter the current therapeutic decision-making process in MM. However, regimens such as lenalidomide plus dexamethasone should be preferred to prolonged exposure to lenalidomide plus oral melphalan. SPM risk should be carefully discussed with the patient in the context of benefits and risks of different treatment options.
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- 2017
9. Heavy+light chain monitoring correlates with clinical outcome in multiple myeloma patients
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Hélène Caillon, Mauricette Michallet, M. Attal, Mohamad Sobh, Hervé Avet-Loiseau, Philippe Moreau, C Lombard, C Chapuis-Cellier, and Thomas Dejoie
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Immunofixation ,Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Concordance ,Patient response ,Immunoglobulin light chain ,Gastroenterology ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Progression-free survival ,Immunoelectrophoresis ,Volume concentration ,Complete response ,Multiple myeloma ,Aged ,biology ,business.industry ,Hematology ,Middle Aged ,medicine.disease ,Prognosis ,Progression-Free Survival ,3. Good health ,Surgery ,Myeloma Proteins ,Oncology ,030220 oncology & carcinogenesis ,biology.protein ,Female ,Immunoglobulin Light Chains ,Original Article ,business ,Immunoglobulin Heavy Chains ,Multiple Myeloma ,030215 immunology - Abstract
Novel anti-myeloma agents have improved patient response rates, which are historically based on reductions of the M-protein. These methods can be inaccurate for quantifying M-proteins at low concentrations. We compared the consistency and clinical impact of response assignment by electrophoretic and heavy+light chain (HLC) immunoassays post-consolidation in 463 newly diagnosed patients. The two methods gave similar assignments in patients with partial (PR; 79% agreement) or complete response (⩾CR; 92%). However, in patients achieving very good PR (VGPR) there was poor concordance between methods (45%). Median progression-free survival (PFS) for standard VGPR patients was 34.5 months; HLC responses stratified these patients further into PR, VGPR and ⩾CR, with median PFS of 21.3, 28.9 months and not reached, respectively; P
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- 2017
10. S825 EVALUATION OF AMG 420, AN ANTI-BCMA BISPECIFIC T-CELL ENGAGER (BITE®) IMMUNOTHERAPY, IN R/R MULTIPLE MYELOMA (MM) PATIENTS: UPDATED RESULTS OF A FIRST-IN-HUMAN (FIH) PHASE 1 DOSE ESCALATION STUDY
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A. Minella, H. Einsele, Max S. Topp, P. Moreau, T. Facon, J. Kroenke, A. Salnikov, M. Attal, C. Langer, J. Duell, G. Zugmaier, E. Rasmussen, R. Lesley, K. Beutner, G. Munzert, J. Kalabus, and K. Riemann
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medicine.anatomical_structure ,business.industry ,T cell ,medicine.medical_treatment ,Dose escalation ,medicine ,Cancer research ,Hematology ,First in human ,Immunotherapy ,medicine.disease ,business ,Multiple myeloma - Published
- 2019
11. S824 A PHASE 3 RANDOMIZED, OPEN-LABEL, MULTICENTER STUDY OF ISATUXIMAB, POMALIDOMIDE, AND LOW-DOSE DEXAMETHASONE VS POMALIDOMIDE AND LOW-DOSE DEXAMETHASONE IN RELAPSED/REFRACTORY MULTIPLE MYELOMA (RRMM)
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M.A. Dimopoulos, J. San-Miguel, J.S.-Y. Huang, Paul G. Richardson, K.C. Anderson, P. Moreau, Fredrik Schjesvold, K.P. Corzo, S.V. Rajkumar, M. Beksac, Ivan Spicka, F. Campana, S. Le-Guennec, H.M. Prince, Michele Cavo, Xavier Leleu, M. Attal, Jiri Minarik, F. Dubin, and S. Mace
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Oncology ,Isatuximab ,medicine.medical_specialty ,business.industry ,Low dose ,Hematology ,Pomalidomide ,medicine.disease ,Multicenter study ,Internal medicine ,Relapsed refractory ,medicine ,Open label ,business ,Multiple myeloma ,Dexamethasone ,medicine.drug - Published
- 2019
12. PF607 MAINTENANCE WITH WEEKLY CARFILZOMIB IN ELDERLY NEWLY DIAGNOSED MULTIPLE MYELOMA (IFM 2012–03)
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G. Fouquet, Brigitte Kolb, T. Facon, Lionel Karlin, Karim Belhadj-Merzoug, H. Avet-Loiseau, A. Duhamel, Pascal Lenain, Pascal Bourquard, P. Moreau, X. Leleu, M. Tiab, M. Attal, Cyrille Hulin, A. Bobin, and A. Jaccard
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Oncology ,medicine.medical_specialty ,chemistry.chemical_compound ,chemistry ,business.industry ,Internal medicine ,medicine ,Hematology ,Newly diagnosed ,business ,medicine.disease ,Carfilzomib ,Multiple myeloma - Published
- 2019
13. Safe and prolonged survival with Long-term exposure to Pomalidomide in Relapsed/Refractory Myeloma
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Brigitte Pegourie, Martine Escoffre-Barbe, Denis Caillot, Philippe Rodon, Olivier Decaux, Laurent Garderet, Claire Mathiot, Brigitte Kolb, Stoppa Am, Anne Banos, Bertrand Arnulf, M. Attal, Thierry Facon, Sabine Brechiniac, Bruno Royer, Guillemette Fouquet, Marc Wetterwald, Hervé Avet-Loiseau, Jean Paul Fermand, Gerald Marit, Murielle Roussel, Lionel Karlin, M. Macro, Lotfi B Benbouker, Valentine Richez, Marie-Odile Petillon, Xavier Leleu, Philippe Moreau, C. Hulin, Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Hôpital Michallon, Laboratoire d'Hématologie Biologique [CHU Caen], Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN), Centre Hospitalier Lyon Sud [CHU - HCL] (CHLS), Hospices Civils de Lyon (HCL), CHU Dijon, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), CHU de Toulouse, Laboratoire d'Hématologie, CHU Toulouse [Toulouse], Hôpital Saint-Louis, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7), Laboratoire d'Hématologie biologique, Institut Curie [Paris], CHU Bordeaux [Bordeaux], Hôpital universitaire Robert Debré [Reims], Institut Paoli-Calmettes, Fédération nationale des Centres de lutte contre le Cancer (FNCLCC), CHU Avicenne, Centre Hospitalier Universitaire de Nice (CHU de Nice), Hopital de Périgueux (CH Périgueux), Hopital de Périgueux, Le CHCB, Centre Hospitalier de la Côte Basque, CH de Dunkerke, CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), CHU Amiens-Picardie, Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Hôpital Universitaire de Tours, Institut de Génétique et Développement de Rennes (IGDR), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Centre National de la Recherche Scientifique (CNRS)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], Centre hospitalier universitaire de Nantes (CHU Nantes), Centre hospitalier universitaire de Poitiers (CHU Poitiers), Université Paris Diderot - Paris 7 (UPD7)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP), Institut Curie, AP-HP - Hôpital Saint-Antoine, Centre hospitalier universitaire d'Amiens (CHU Amiens-Picardie), Service Hématologie - IUCT-Oncopole [CHU Toulouse], Pôle Biologie [CHU Toulouse], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Pôle IUCT [CHU Toulouse], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Centre Hospitalier Universitaire de Nice (CHU Nice), Centre Hospitalier de la Côte Basque (CHCB), and Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )
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Male ,0301 basic medicine ,[SDV]Life Sciences [q-bio] ,Gastroenterology ,Dexamethasone ,Bortezomib ,0302 clinical medicine ,Antineoplastic Combined Chemotherapy Protocols ,Multiple myeloma ,Aged, 80 and over ,education.field_of_study ,Long-term treatment ,Hematology ,Middle Aged ,Thalidomide ,3. Good health ,Oncology ,030220 oncology & carcinogenesis ,Female ,Multiple Myeloma ,medicine.drug ,Adult ,medicine.medical_specialty ,Drug-Related Side Effects and Adverse Reactions ,Population ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Continuous therapy ,[SDV.BC]Life Sciences [q-bio]/Cellular Biology ,Disease-Free Survival ,03 medical and health sciences ,Internal medicine ,medicine ,Humans ,education ,Aged ,business.industry ,medicine.disease ,Pomalidomide ,Confidence interval ,Surgery ,Regimen ,030104 developmental biology ,Drug Resistance, Neoplasm ,Neoplasm Recurrence, Local ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
International audience; Background - The IFM2009-02 trial studied pomalidomide (4 mg daily, 21/28 versus 28/28) and dexamethasone in very advanced relapsed or refractory multiple myeloma (RRMM). We observed that 40% of patients had a prolonged progression-free survival (PFS) and subsequently overall survival (OS). We sought to analyze the characteristics of these patients and study the effect of long exposure to pomalidomide. Design - We separated the studied population into two groups: 3 months to 1 year (
- Published
- 2016
14. Prognostic utility of intact immunoglobulin Ig′κ/Ig′λ ratios in multiple myeloma patients
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M. Attal, Stephen Harding, Hervé Avet-Loiseau, Philippe Moreau, Claire Mathiot, Arthur R. Bradwell, J L Harousseau, and Fourrier N
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Cancer Research ,medicine.diagnostic_test ,biology ,Beta-2 microglobulin ,prognostic factors ,Hematology ,Immunoglobulin lambda-Chains ,Immunoglobulin light chain ,medicine.disease ,Immunoglobulin kappa-Chains ,Molecular biology ,Isotype ,multiple myeloma ,Oncology ,Serum protein electrophoresis ,Immunology ,medicine ,biology.protein ,Original Article ,Antibody ,immunoglobulin ,Multiple myeloma - Abstract
To determine whether isotype matched immunoglobulin (Ig; Ig′κ/Ig′λ) ratios had prognostic significance in patients with intact Ig multiple myeloma (MM). Novel immunoassays measuring serum concentrations of the Ig heavy chain/light chain (HLC) subsets IgGκ, IgGλ, IgAκ and IgAλ were compared with monoclonal protein (‘M-spike') quantification by serum protein electrophoresis, β2-microglobulin (β2-M), albumin, serum free light chain (FLC) and cytogenetic markers in relation to outcome in 339 MM patients. Abnormal IgGκ/IgGλ and IgAκ/IgAλ ratios present in the respective tumor isotypes at clinical presentation were predictive of shorter progression-free survival (PFS) (hazard ratio (HR) 1.9; P=0.0002), predominantly due to the suppression of the uninvolved (polyclonal) Ig of the same isotype as the tumor (HR 1.8; P=0.002). No significant associations were observed between PFS and M-spike concentrations, suppression of non-tumor Igs of different isotypes or FLC κ/λ ratios. β2-M and HLC ratios were independently prognostic (P=0.045 and P=0.001). A staging system using β2-M and extreme HLC ratios (200) had greater prognostic value than the widely used ISS staging system (HR 1.7; P=0.00002 vs HR 1.3; P=0.017). These results suggest that HLC ratios may have a role in clinical management of MM.
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- 2012
15. New developments in conditioning regimens before auto-SCT in multiple myeloma
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Philippe Moreau, J L Harousseau, and M. Attal
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Melphalan ,Transplantation ,medicine.medical_specialty ,Transplantation Conditioning ,Scope (project management) ,business.industry ,MEDLINE ,Hematology ,medicine.disease ,Review article ,Conditioning regimen ,immune system diseases ,hemic and lymphatic diseases ,Immunology ,Humans ,Medicine ,In patient ,Multiple Myeloma ,business ,Intensive care medicine ,Antineoplastic Agents, Alkylating ,Multiple myeloma ,Stem Cell Transplantation ,medicine.drug - Abstract
The current standard conditioning regimen before auto-SCT in patients with multiple myeloma is melphalan 200 mg/m(2). Several attempts have recently been made to improve this aspect of the high-dose therapy procedure. The scope of this review article is to summarize current knowledge on conditioning regimens in this setting.
- Published
- 2011
16. Optimizing the use of lenalidomide in relapsed or refractory multiple myeloma: consensus statement
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Fe. Davies, Jesús F. San-Miguel, Antonio Palumbo, H. Einsele, Ma Dimopoulos, Pieter Sonneveld, F. Leal da Costa, Roman Hájek, Meral Beksac, Gareth J. Morgan, U. H. Mellqvist, Heinz Ludwig, Michel Delforge, Sonja Zweegman, M. Attal, J L Harousseau, Radiology & Nuclear Medicine, Hematology, and CCA - Innovative therapy
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Oncology ,Cancer Research ,medicine.medical_specialty ,Antineoplastic Agents ,03 medical and health sciences ,0302 clinical medicine ,Refractory ,Internal medicine ,medicine ,Humans ,Adverse effect ,Lenalidomide ,Multiple myeloma ,Dexamethasone ,Response rate (survey) ,Hematology ,business.industry ,medicine.disease ,Thalidomide ,3. Good health ,Surgery ,Drug Resistance, Neoplasm ,030220 oncology & carcinogenesis ,Neoplasm Recurrence, Local ,Multiple Myeloma ,business ,030215 immunology ,medicine.drug - Abstract
An expert panel convened to reach a consensus regarding the optimal use of lenalidomide in combination with dexamethasone (Len/Dex) in patients with relapsed or refractory multiple myeloma (RRMM). On the basis of the available evidence, the panel agreed that Len/Dex is a valid and effective treatment option for most patients with RRMM. As with other therapies, using Len/Dex at first relapse is more effective regarding response rate and durability than using it after multiple salvage therapies. Len/Dex may be beneficial regardless of patient age, disease stage and renal function, although the starting dose of lenalidomide should be adjusted for renal impairment and cytopenias. Long-term treatment until there is evidence of disease progression may be recommended at the best-tolerated doses of both lenalidomide and dexamethasone. Recommendations regarding the prevention and management of adverse events, particularly venous thromboembolism and myelosuppression, were provided on the basis of the available evidence and practical experience of panel members. Ongoing trials will provide more insight into the effects of continuous lenalidomide-based therapy in myeloma. © 2011 Macmillan Publishers Limited All rights reserved.
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- 2011
17. Heterogeneity of t(4;14) in multiple myeloma. Long-term follow-up of 100 cases treated with tandem transplantation in IFM99 trials
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Frédéric Garban, Hervé Avet-Loiseau, Serge Leyvraz, Denis Caillot, C Chaleteix, Brigitte Kolb, T. Lamy, Bernard Grosbois, Mauricette Michallet, Catherine Traullé, Marc Wetterwald, Claire Mathiot, Ibrahim Yakoub-Agha, Chantal Doyen, M. Mohty, J L Harousseau, Mamoun Dib, Véronique Dorvaux, Lotfi Benboubker, M. Attal, Jean-Gabriel Fuzibet, Thierry Facon, Gerald Marit, Philippe Moreau, Christian Berthou, Laurent Garderet, C. Hulin, Jérôme Jaubert, and Philippe Casassus
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Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Long term follow up ,Gastroenterology ,Dexamethasone ,Disease-Free Survival ,Translocation, Genetic ,Genetic Heterogeneity ,Hemoglobins ,Intensive therapy ,Immunopathology ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Medicine ,Multiple myeloma ,Aged ,Retrospective Studies ,Chromosomes, Human, Pair 14 ,Very Good Partial Response ,Hematology ,business.industry ,Cytarabine ,Middle Aged ,Prognosis ,medicine.disease ,Surgery ,Transplantation ,Clinical trial ,Oncology ,Vincristine ,Multivariate Analysis ,Female ,Chromosomes, Human, Pair 4 ,Multiple Myeloma ,beta 2-Microglobulin ,business ,Follow-Up Studies - Abstract
One hundred de novo multiple myeloma patients with t(4;14) treated with double intensive therapy according to IFM99 protocols were retrospectively analyzed. The median overall survival (OS) and event-free survival (EFS) were 41.4 and 21 months, respectively, as compared to 65 and 37 for patients included in the IFM99 trials without t(4;14) (P10(-7)). We identified a subgroup of patients presenting at diagnosis with both low beta(2)-microglobulin4 mg/l and high hemoglobin (Hb)/=10 g/l (46% of the cases) with a median OS of 54.6 months and a median EFS of 26 months, respectively, which benefits from high-dose therapy (HDT); conversely patients with one or both adverse prognostic factor (high beta(2)-microglobulin and/or low Hb) had a poor outcome. The achievement of either complete response or very good partial response after HDT was also a powerful independent prognostic factor for both OS and EFS.
- Published
- 2007
18. Consolidation and maintenance therapy for multiple myeloma after autologous transplantation: where do we stand?
- Author
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P.L. McCarthy, Paul G. Richardson, M. Attal, and Mohamad Mohty
- Subjects
Transplantation ,medicine.medical_specialty ,business.industry ,Consolidation Chemotherapy ,Hematology ,medicine.disease ,Disease-Free Survival ,Surgery ,Maintenance Chemotherapy ,Clinical trial ,Survival Rate ,Regimen ,Maintenance therapy ,medicine ,Autologous transplantation ,Humans ,Intensive care medicine ,business ,Autografts ,Multiple Myeloma ,Survival rate ,Multiple myeloma ,Stem Cell Transplantation - Abstract
Novel agents including proteasome inhibitors and immunomodulatory drugs are now routinely utilized as part of the induction regimen before transplantation and this has resulted in substantial improvements in the depth of response achieved before transplant. Given that depth of response is prognostic for overall outcome, a number of studies have been conducted or are ongoing to investigate the use of novel agents as consolidation and maintenance therapy after transplant. Most clinical trials have reported after consolidation and maintenance therapy an increased PFS and even overall survival in some of them. The use of post-autologous stem cell transplant consolidation and maintenance is an increasingly attractive concept. However, some side effects could be observed with such long-term therapy and many open questions are still under debate. The decision to administer consolidation and/or maintenance therapy will likely need to be guided by the individual patient situation. This review aims to analyze the currently available research evidence in this field.
- Published
- 2014
19. Consolidation with VTd significantly improves the complete remission rate and time to progression following VTd induction and single autologous stem cell transplantation in multiple myeloma
- Author
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Benjamin Hebraud, Denis Caillot, Bruno Royer, Bertrand Arnulf, M. Attal, Brigitte Pegourie, Xavier Leleu, Cyrille Touzeau, Thierry Facon, Laurent Garderet, Herve Avet Loiseau, C Regny, Guillemette Fouquet, Lina Benajiba, Stoppa Am, Alexis Caulier, C Chaleteix, P. Moreau, Raphael Szalat, Marie-Lorraine Chretien, Murielle Roussel, Sylvain Garciaz, and Jean-Paul Fermand
- Subjects
Male ,Oncology ,Cancer Research ,medicine.medical_specialty ,medicine.medical_treatment ,Hematopoietic stem cell transplantation ,Transplantation, Autologous ,Dexamethasone ,Bortezomib ,Autologous stem-cell transplantation ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Medicine ,Survival rate ,Multiple myeloma ,Neoplasm Staging ,Retrospective Studies ,business.industry ,Time to progression ,Remission Induction ,Hematopoietic Stem Cell Transplantation ,Complete remission ,Hematology ,Middle Aged ,Prognosis ,medicine.disease ,Boronic Acids ,Combined Modality Therapy ,Thalidomide ,Surgery ,Survival Rate ,Transplantation ,Pyrazines ,Female ,Multiple Myeloma ,business ,Follow-Up Studies ,medicine.drug - Abstract
Consolidation with VTd significantly improves the complete remission rate and time to progression following VTd induction and single autologous stem cell transplantation in multiple myeloma
- Published
- 2013
20. Automated Extraction and Quantification of Human Cytomegalovirus DNA in Whole Blood by Real-Time PCR Assay
- Author
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Jacques Izopet, Jean-Michel Mansuy, Christophe Pasquier, I. Da Silva, Catherine Mengelle, Patrice Massip, Lionel Rostaing, M. Marty, Karine Sandres-Sauné, and M. Attal
- Subjects
Adult ,Male ,Microbiology (medical) ,Human cytomegalovirus ,Cytomegalovirus ,HIV Infections ,Biology ,medicine.disease_cause ,Polymerase Chain Reaction ,Sensitivity and Specificity ,Herpesviridae ,law.invention ,Automation ,chemistry.chemical_compound ,Reference Values ,law ,Betaherpesvirinae ,Virology ,medicine ,Humans ,Transplantation, Homologous ,Lymphocytes ,Polymerase chain reaction ,Bone Marrow Transplantation ,DNA Primers ,Monitoring, Physiologic ,Whole blood ,Base Sequence ,Organ Transplantation ,Middle Aged ,Viral Load ,medicine.disease ,biology.organism_classification ,Real-time polymerase chain reaction ,chemistry ,DNA, Viral ,Regression Analysis ,Female ,Viral load ,DNA - Abstract
The measurement of human cytomegalovirus (HCMV) DNA in blood is becoming the standard method for monitoring HCMV infection in immune-suppressed and unsuppressed patients. As various blood compartments can be used, we have compared the HCMV DNA measured in whole blood (WB), peripheral blood leukocytes (PBL), and plasma by real-time PCR. We tested 286 samples: HCMV DNA was extracted automatically from WB and PBL with the MagNA Pure instrument (Roche Molecular Biochemicals) and manually from plasma samples. The HCMV DNA from WB, PBL, and plasma was measured by real-time Light Cycler PCR. Primers and probe were located in the UL 83 region. HCMV DNA was detected more frequently in WB (88.5%) than in the PBL (65.7%) ( P < 0.0001) or the plasma (55.2%) ( P < 0.0001). There was a good correlation between the positive results in WB and in PBL ( r = 0.68; P < 0.0001), and 3.15 log 10 genome copies in 200,000 PBL, equivalent to the threshold value of 50 pp65-positive polymorphonuclear cells per 200,000 leukocytes, was equivalent to 3.4 log 10 genome copies in 200 μl of WB. WB was shown to be suitable for automated extraction and the quantitation of HCMV DNA by real-time Light Cycler PCR by analysis of serial samples from representative patients of various populations. This system may be very useful for monitoring of immune-suppressed and unsuppressed patients.
- Published
- 2003
21. Use of G-CSF to hasten neutrophil recovery after auto-SCT for AML is not associated with increased relapse incidence: a report from the Acute Leukemia Working Party of the EBMT
- Author
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P.Y. Dumas, Mohamad Mohty, Hendrik Veelken, Sebastian Giebel, Norbert-Claude Gorin, Myriam Labopin, Tomasz Czerw, Robert Foa, Mauricette Michallet, Nicolaas Schaap, M. Attal, C. Bonmati, and Didier Blaise
- Subjects
Adult ,Male ,medicine.medical_specialty ,Transplantation Conditioning ,Myeloid ,Adolescent ,Neutrophils ,Cancer development and immune defence Radboud Institute for Molecular Life Sciences [Radboudumc 2] ,Gastroenterology ,Young Adult ,Recurrence ,Internal medicine ,hemic and lymphatic diseases ,Granulocyte Colony-Stimulating Factor ,medicine ,Humans ,Young adult ,Aged ,Retrospective Studies ,Transplantation ,Acute leukemia ,business.industry ,Incidence ,Incidence (epidemiology) ,Hematopoietic Stem Cell Transplantation ,Retrospective cohort study ,Hematology ,Middle Aged ,medicine.disease ,Leukemia, Myeloid, Acute ,Leukemia ,medicine.anatomical_structure ,Cohort ,Immunology ,Female ,Stem cell ,business - Abstract
Contains fulltext : 137156.pdf (Publisher’s version ) (Closed access) Application of G-CSF in AML is controversial as leukemic blasts may express receptors interacting with the cytokine, which may stimulate leukemia growth. We retrospectively analyzed the impact of G-CSF use to accelerate neutrophil recovery after auto-SCT on outcome. Adults with AML in first CR autografted between 1994 and 2010 were included. Nine hundred and seventy two patients were treated with G-CSF after auto-SCT whereas 1121 were not. BM and PB were used as a source of stem cells in 454 (22%) and 1639 (78%) cases, respectively. The incidence of relapse at 5 years in the BM-auto-SCT group was 38% for patients receiving post-transplant G-CSF and 43% for those not treated with G-CSF, P=0.46. In the PB-auto-SCT cohort, respective probabilities were 48% and 49%, P=0.49. No impact of the use of G-CSF could be demonstrated with respect to the probability of leukemia-free survival: in the BM-auto-SCT group, 51% for G-CSF(+) and 48% for G-CSF(-), P=0.73; in PB-auto-SCT group, 42% for G-CSF(+) and 43% for G-CSF(-), P=0.83. Although G-CSF administration significantly shortened the neutropenic phase, no beneficial effect was observed with regard to non-relapse mortality. In patients with AML, the use of G-CSF after auto-SCT is not associated with increased risk of relapse irrespective of the source of stem cells used.
- Published
- 2014
22. Antineutrophil cytoplasmic antibodies (ANCA) in chronic graft-versus-host disease after allogeneic bone marrow transplantation
- Author
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M. Ecoiffier, Vincent L.M. Esnault, S. J. Martin, M. A. P. Audrain, M. Attal, Noel Milpied, and F. Oksman
- Subjects
Adult ,Male ,Blood transfusion ,Adolescent ,medicine.medical_treatment ,Graft vs Host Disease ,Antibodies, Antineutrophil Cytoplasmic ,Monitoring, Immunologic ,Predictive Value of Tests ,immune system diseases ,hemic and lymphatic diseases ,Immunopathology ,medicine ,Humans ,Transplantation, Homologous ,cardiovascular diseases ,skin and connective tissue diseases ,Bone Marrow Transplantation ,Anti-neutrophil cytoplasmic antibody ,Transplantation ,biology ,business.industry ,Autoantibody ,IIf ,Hematology ,Middle Aged ,medicine.disease ,respiratory tract diseases ,Graft-versus-host disease ,medicine.anatomical_structure ,Chronic Disease ,Immunology ,biology.protein ,Female ,Bone marrow ,Antibody ,business - Abstract
We studied the usefulness of monitoring antineutrophil cytoplasmic antibodies (ANCA) in chronic graft-versus-host disease (cGVHD), a major complication of allogeneic bone marrow transplantation. Antigen-specific ELISA and indirect immunofluorescence (IIF) were used to search for ANCA in 47 allogeneic bone marrow graft recipients who developed cGVHD and in 43 who did not (controls). Eight patients exhibited ANCA IIF positivity in the cGVHD group, but none in the controls. Specificity was confirmed in antigen-specific assays in only two cGVHD patients, both showing antilactoferrin (anti-LF) activity. One of these patients was followed-up, and the antilactoferrin antibodies were found only at the time of active but limited cGVHD. Among three ANCA IIF-positive patients, two had antinuclear autoantibodies and three antineutrophil alloantibodies secondary to blood transfusion, which may have been responsible for false ANCA IIF positivity. It is concluded that ANCA determination is not useful in patients with cGVHD. Polyclonal activation of B lymphocytes could result in ANCA activity during cGVHD. False-positive ANCA could be due to allo-immunization following blood transfusion. Rare patients may present antilactoferrin antibodies of unknown clinical significance.
- Published
- 1997
23. Early allogeneic transplantation favorably influences the outcome of adult patients suffering from acute myeloid leukemia
- Author
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Eliane Gluckman, François Dreyfus, Norbert Ifrah, François Guilhot, M Kuentz, E. Archimbaud, J P Jouet, J L Harousseau, Dominique Maraninchi, E. Jourdan, Marie-Cécile Michallet, Leblond, Molina L, Michel Legros, Pierre Bordigoni, N. Gratecos, Bernard Rio, Bruno Varet, Denis Guyotat, C. Auzanneau, Josy Reiffers, Didier Blaise, Charles Dauriac, Jose-Luis Pico, and M. Attal
- Subjects
Transplantation ,medicine.medical_specialty ,Allogeneic transplantation ,Cyclophosphamide ,business.industry ,Myeloid leukemia ,Hematology ,Disease ,Total body irradiation ,Gastroenterology ,Surgery ,medicine.anatomical_structure ,Internal medicine ,White blood cell ,Cyclosporin a ,medicine ,Methotrexate ,business ,medicine.drug - Abstract
Allogeneic BMT for patients with acute myeloid leukemia (AML) is presently a reference therapy. The indications for this therapy mainly rely upon prognostic factors, and their importance is constantly reassessed. To examine the impact of time from diagnosis to transplant on survival and leukemia-free survival (LFS), we analyzed 109 patients from the database of the SFGM comprising patients who had all received an HLA-identical allogeneic BMT for a diagnosis of AML in first complete remission (CR1) between January 1987 and December 1992. All patients were conditioned with cyclophosphamide (CY) and total body irradiation (TBI) (CYTBI), and methotrexate (MTX) + cyclosporin A (CsA) were used as graft-versus-host disease (GVHD) prophylaxis. Patient characteristics were: age = 33 +/- 9, M/F = 64/45, white blood cell count (WBC) at diagnosis = 27 +/- 42 x 10(9)/l, FAB distribution: M1 and M2 = 55; M3 = 15, M4 and M5 = 33, M0, M6 and M7 = 6. Karyotyping was carried out for 64 patients: 32 had a normal karyotype, 16 had good prognosis abnormalities (t(8;21), t(15;17), inv 16) and 16 patients had other abnormalities. Eleven patients needed two courses of induction to achieve CR. Time between diagnosis and BMT was 120 (64-287) days. Forty-nine patients developed grade > or = 2 acute GVHD (actuarial probability = 46%). With a median follow-up of 50 months (27-100), the 5-year probabilities for transplant-related mortality (TRM), relapse, overall survival and LFS are respectively 25%, 26%, 59% and 55%. A multivariate analysis showed that survival is adversely influenced by three independent factors: time to transplant (> 120 days vs 33 vs < or = 33). LFS is only influenced by the first two of these factors. The favorable impact of a shorter time from diagnosis to transplant should lead to performing the transplant as early as possible. Practically speaking, this means that when such therapy is chosen for a patient with CR1 AML, the search for an allogeneic donor should begin immediately and transplant be performed as soon as possible.
- Published
- 1997
24. Impact of in vivo T-cell depletion on outcome of AML patients in first CR given peripheral blood stem cells and reduced-intensity conditioning allo-SCT from a HLA-identical sibling donor: a report from the Acute Leukemia Working Party of the European Group for Blood and Marrow Transplantation
- Author
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Myriam Labopin, Charles Craddock, Arnon Nagler, Paul Browne, Stephane Vigouroux, Frédéric Baron, Patrice Chevallier, Pavel Jindra, Didier Blaise, R. F. Duarte, Anna Sandstedt, Lucía López-Corral, M. Attal, Mohamad Mohty, Gérard Socié, and Hakan Goker
- Subjects
Adult ,Male ,Myeloid ,Transplantation Conditioning ,T-Lymphocytes ,Graft vs Host Disease ,Human leukocyte antigen ,Antibodies, Monoclonal, Humanized ,Disease-Free Survival ,Young Adult ,In vivo ,HLA Antigens ,Recurrence ,hemic and lymphatic diseases ,medicine ,Humans ,Transplantation, Homologous ,Alemtuzumab ,Melphalan ,Aged ,Antilymphocyte Serum ,Proportional Hazards Models ,Retrospective Studies ,Transplantation ,Acute leukemia ,business.industry ,Incidence ,Siblings ,Stem Cells ,Remission Induction ,Hematology ,Middle Aged ,medicine.disease ,Tissue Donors ,Europe ,Leukemia ,Leukemia, Myeloid, Acute ,surgical procedures, operative ,medicine.anatomical_structure ,Treatment Outcome ,Monoclonal ,Immunology ,Multivariate Analysis ,Female ,business ,medicine.drug - Abstract
The impact of in vivo T-cell depletion on transplantation outcomes in patients transplanted with reduced-intensity conditioning (RIC) remains controversial. This study assessed the outcome of 1250 adult patients with de novo AML in first CR (CR1) given PBSC from HLA-identical siblings after chemotherapy-based RIC. A total of 554 patients did not receive any form of in vivo T-cell depletion (control group), whereas antithymocyte globulin (ATG) and alemtuzumab were given in 444 and 252 patients, respectively. The incidences of grade II-IV acute GVHD were 21.4, 17.6 and 10.2% in control, ATG and alemtuzumab patients, respectively (P0.001). In multivariate analysis, the use of ATG and the use of alemtuzumab were each associated with a lower risk of chronic GVHD (P0.001 each), but a similar risk of relapse, and of nonrelapse mortality, and similar leukemia-free survival and OS. Further, among patients given BU-based RIC, the use of6 mg/kg ATG did not increase the risk of relapse (hazard ratio, HR=1.1), whereas there was a suggestion for higher relapse risk in patients given 6 mg/kg ATG (HR=1.4, P=0.08). In summary, these data suggest that a certain amount of in vivo T-cell depletion can be safely used in the conditioning of AML patients in CR1 given PBSC after chemotherapy-based RIC.
- Published
- 2013
25. Dynamics of three simultaneously stored beams in a storage ring
- Author
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Pascale Brunelle, Marie-Agnès Tordeux, Alexandre Loulergue, M. Attal, Amor Nadji, and Laurent Nadolski
- Subjects
Physics ,Nuclear and High Energy Physics ,Physics and Astronomy (miscellaneous) ,Dynamics (mechanics) ,Physics::Accelerator Physics ,lcsh:QC770-798 ,lcsh:Nuclear and particle physics. Atomic energy. Radioactivity ,Surfaces and Interfaces ,Atomic physics ,Storage ring - Abstract
In this study, the observation of three simultaneously rotating beams in the SOLEIL storage ring is reported. This event occurred in November 2007 while operating in a low momentum compaction factor mode. The dynamics of the three beams is simulated using the longitudinal equations of motion and the longitudinal phase-space Hamiltonian which are extended to include higher-order terms of momentum compaction factor up to the third order. The effect of the transverse oscillation amplitude of the particles is also included in this work. It is shown that this term, which is experimentally very difficult to compensate for very low momentum compaction factor optics, can strongly affect the longitudinal beam dynamics. Finally, an extended formula of the variation of synchrotron frequency with respect to the relative variation of the rf frequency is derived and is used to deduce the higher-order terms of the momentum compaction factor from experimental data.
- Published
- 2013
26. Deletion of the 1p32 region is a major independent prognostic factor in young patients with myeloma: the IFM experience on 1195 patients
- Author
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Benjamin Hebraud, Cecile Fohrer, M. Attal, Valérie Lauwers-Cances, François Guilhot, Jill Corre, T. Lamy, Lionel Karlin, Hervé Avet-Loiseau, Laurent Garderet, Murielle Roussel, Catherine Sebban, C Gentil, Thierry Facon, Christophe Fruchart, Denis Caillot, Frédérique Orsini-Piocelle, Mamoun Dib, Jean Fontan, Jérôme Jaubert, Stoppa Am, Brigitte Pegourie, Gérard Lepeu, Philippe Moreau, Xavier Leleu, Claudine Sohn, C. Hulin, Gerald Marit, Sabine Brechignac, and Margaret Macro
- Subjects
Oncology ,Male ,Cancer Research ,Prognostic factor ,medicine.medical_specialty ,Pathology ,Multivariate analysis ,Article ,Cohort Studies ,Internal medicine ,Medicine ,Humans ,Multiple myeloma ,In Situ Hybridization, Fluorescence ,Univariate analysis ,medicine.diagnostic_test ,business.industry ,Incidence (epidemiology) ,Hematology ,medicine.disease ,Prognosis ,Chromosomes, Human, Pair 1 ,Homogeneous group ,Female ,Chromosome Deletion ,business ,Multiple Myeloma ,Cohort study ,Fluorescence in situ hybridization - Abstract
Deletions of the 1p region appear as a pejorative prognostic factor in multiple myeloma patients (especially 1p22 and 1p32 deletions) but there is a lack of data on the real impact of 1p abnormalities on an important and homogeneous group of patients. To address this issue we studied by fluorescence in situ hybridization (FISH) the incidence and prognostic impact of 1p22 and 1p32 deletions in 1195 patients from the IFM (Institut Francophone du Myelome) cell collection. Chromosome 1p deletions were present in 23.3% of the patients (271): 15.1% (176) for 1p22 and 7.3% (85) for 1p32 regions. In univariate analyses, 1p22 and 1p32 appeared as negative prognostic factors for progression-free survival (PFS): 1p22: 19.8 months vs 33.6 months (P
- Published
- 2013
27. Consolidation treatment of adult acute lymphoblastic leukemia: a prospective, randomized trial comparing allogeneic versus autologous bone marrow transplantation and testing the impact of recombinant interleukin-2 after autologous bone marrow transplantation. BGMT Group
- Author
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Jose-Luis Pico, C Sauvage, M. Attal, Didier Blaise, Xavier Troussard, Marie-Cécile Michallet, Gerald Marit, Catherine Payen, Jean-Paul Vernant, and Gerard Nedellec
- Subjects
Adult ,medicine.medical_specialty ,Immunology ,Transplantation, Autologous ,Biochemistry ,Gastroenterology ,Immunophenotyping ,law.invention ,Randomized controlled trial ,HLA Antigens ,law ,Internal medicine ,Acute lymphocytic leukemia ,medicine ,Humans ,Transplantation, Homologous ,Prospective Studies ,Prospective cohort study ,Survival analysis ,Bone Marrow Transplantation ,business.industry ,Cell Biology ,Hematology ,Middle Aged ,Precursor Cell Lymphoblastic Leukemia-Lymphoma ,medicine.disease ,Combined Modality Therapy ,Survival Analysis ,Surgery ,Regimen ,surgical procedures, operative ,medicine.anatomical_structure ,Histocompatibility ,Adult Acute Lymphoblastic Leukemia ,Interleukin-2 ,Bone marrow ,business - Abstract
A prospective, randomized trial was initiated in adult acute lymphoblastic leukemia (ALL) to compare (1) disease-free survival (DFS) after allogeneic or autologous bone marrow transplantation (BMT) and (2) the relapse rate of patients treated with or without interleukin-2 (IL-2) after autologous BMT. A total of 135 previously untreated patients, aged under 55 years, received the Berlin-Frankfurt-Muster (BFM) induction regimen: 126 patients (93%), of which 120 were HLA- typed, achieved complete remission (CR). According to this genetic randomization, patients with (n = 43) or without an HLA-identical sibling (n = 77) were to receive allogeneic or autologous BMT, respectively. The 3-year post-CR probability of DFS was significantly higher in the HLA-identical sibling group than in the non-HLA-identical sibling group (68% v 26%; P < .001). Eligible patients were randomized to receive (n = 30) or not to receive (n = 30) IL-2 after autologous BMT: the 3-year post-BMT probability of continuous CR was similar in both groups (29% v 27%, respectively). We conclude that, in ALL, early allogeneic BMT after the BFM induction regimen is an effective consolidation treatment and that IL-2 does not decrease the high relapse rate observed after autologous BMT.
- Published
- 1995
28. Allogeneic bone marrow transplantation for chronic myeloid leukemia in first chronic phase: a randomized trial of busulfan-cytoxan versus cytoxan-total body irradiation as preparative regimen: a report from the French Society of Bone Marrow Graft (SFGM)
- Author
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Agnès Devergie, Charles Dauriac, M. Attal, Norbert Ifrah, Pierre Bordigoni, Didier Blaise, J. Y. Cahn, Jean-Pierre Jouet, Jean-Paul Vernant, and JD Tigaud
- Subjects
medicine.medical_specialty ,Chemotherapy ,Cyclophosphamide ,business.industry ,medicine.medical_treatment ,Immunology ,Myeloid leukemia ,Cell Biology ,Hematology ,Total body irradiation ,Biochemistry ,Gastroenterology ,Surgery ,Regimen ,Median follow-up ,Internal medicine ,medicine ,business ,Busulfan ,Preparative Regimen ,medicine.drug - Abstract
From March 1988 to March 1991, 19 French bone marrow transplant (BMT) centers participated in a prospective randomized trial comparing two conditioning regimens for patients with chronic myeloid leukemia transplanted in first chronic phase with an HLA identical sibling donor. A total of 120 consecutive patients were randomized to receive either 120 mg/kg of cyclophosphamide followed by total body irradiation (CY-TBI; n = 55) or 16 mg/kg of busulfan followed by 120 mg/kg of CY (BU-CY; n = 65). Two different TBI regimens were used. Thirteen patients received a 10-Gy single-dose TBI (SDTBI), and 42 received a fractionated TBI (FTBI). Median time between diagnosis and BMT was 315 days. Overall 5-year actuarial survival was 62.9% (65.8% +/- 12.5% for CY-TBI and 60.6 +/- 11.7% for BU-CY; P = .5), and overall disease-free survival was 55% (51% +/- 14% for CY-TBI and 59.1% +/- 11.8% for BU-CY; P = .75). All patients conditioned with CY-TBI experienced sustained engraftment; in contrast, 4 of 65 patients conditioned with BU-CY rejected the graft (P = .18). There was no significant statistical difference between the two groups regarding transplant-related mortality (29% for CY-TBI and 38% for BU-CY; P = .44). So far, with a median follow up of 42 months, 11 patients have relapsed; 9 relapses occurred after CY-TBI, mostly after FTBI (8 of 9) and 2 after BU-CY (P = .02). The actuarial risk of relapse was 4.4% +/- 6.7% after BU-CY, 11.1% +/- 20.8% after SDTBI, and 31.3% +/- 18.1% after FTBI (P = .039). In addition, independently of the conditioning regimen, the increase of posttransplant immunosuppression in 16 patients with an anti- interleukin-2 receptor monoclonal antibody (MoAb) in addition to a short course of methotrexate and cyclosporine was shown to increase the actuarial risk of relapse (57% +/- 30% with MoAb v 9% +/- 7.3% without MoAb; P = .001). We conclude that BU is an acceptable alternative to TBI for patients with chronic myeloid leukemia in first chronic phase receiving BMT from HLA identical sibling donors. Both BU-CY and CY-TBI regimens gave similar transplant-related mortality, and the antileukemic efficiency of BU-CY regimen was either similar or even higher than that of CY-TBI.
- Published
- 1995
29. Allogeneic bone marrow transplantation in adult acute lymphoblastic leukemia in first complete remission: a comparative study. French Group of Therapy of Adult Acute Lymphoblastic Leukemia
- Author
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Eric Lepage, M. Attal, Laurent Sutton, Mauricette Michallet, Dominique Maraninchi, Josy Reiffers, Eliane Gluckman, Catherine Sebban, J P Vernant, and Evelyne Racadot
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Allogeneic transplantation ,Adolescent ,medicine.medical_treatment ,Salvage therapy ,Transplantation, Autologous ,Acute lymphocytic leukemia ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Transplantation, Homologous ,Autologous transplantation ,Cyclophosphamide ,Bone Marrow Transplantation ,Chemotherapy ,business.industry ,Histocompatibility Testing ,Remission Induction ,Precursor Cell Lymphoblastic Leukemia-Lymphoma ,Prognosis ,medicine.disease ,Surgery ,Survival Rate ,Transplantation ,medicine.anatomical_structure ,Oncology ,Vincristine ,Adult Acute Lymphoblastic Leukemia ,Prednisone ,Female ,Bone marrow ,business - Abstract
PURPOSE Optimal postremission therapy remains controversial in adult patients with acute lymphoblastic leukemia (ALL). In a large multicentric trial (LALA87), we compared allogeneic bone marrow transplantation (BMT) with other postremission therapies (chemotherapy or autologous transplantation) using the result of the human leukocyte antigen (HLA) typing as a random allocation. PATIENTS AND METHODS Patient eligibility requirements were as follows: (1) inclusion in LALA87 trial, (2) complete response to induction or salvage therapy, (3) age 15 to 40 years, and (4) at least one potential sibling donor. Patients with an HLA-identical sibling were assigned to the BMT group, while patients without a sibling donor constituted the control group. Allogeneic transplantation was scheduled for patients in the BMT group; in the control group, patients were randomly allocated to receive chemotherapy or autologous transplantation. RESULTS Of 284 eligible points, 257 entered the study: 116 were allocated to the BMT group and 141 to the control group. The 5-year survival rates were not statistically significantly different between the two groups. When only patients with high-risk ALL were considered (those with [1] Philadelphia chromosome [Ph1] ALL, [2] null or undifferentiated ALL, or [3] c-ALL with either age greater than 35 years or WBC count > 30 x 10(9)/L or time to achieve complete remission > 4 weeks), overall survival (P = .03) and disease-free-survival (P = .01) were better for the BMT group compared with the control group (5-year overall survival rates, 44% v 20%; 5-year disease-free survival rates, 39% v 14%). CONCLUSION Allogeneic transplantation does not improve survival in patients with standard-risk ALL and should be recommended only for patients with adverse prognostic factors.
- Published
- 1994
30. Myeloperoxidase: an enzyme involved in intrinsic vincristine resistance in human myeloblastic leukemia
- Author
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M. Attal, AO Sartor, D. Schlaifer, Cooper, Jane B. Trepel, Charles E. Myers, and Guy Laurent
- Subjects
Chemotherapy ,Vincristine ,Vinca ,biology ,Acute myeloblastic leukemia ,business.industry ,medicine.medical_treatment ,Immunology ,Cell Biology ,Hematology ,medicine.disease ,biology.organism_classification ,Biochemistry ,Leukemia ,Cell culture ,Myeloperoxidase ,Cancer research ,biology.protein ,medicine ,business ,Peroxidase ,medicine.drug - Abstract
One of the differences between acute myeloblastic leukemia (AML) and acute lymphoblastic leukemia (ALL) is their sensitivity to vincristine. Although vincristine plays an important role in chemotherapeutic regimens for ALL, it does not possess clinically significant activity in AML. Horseradish peroxidase, a heme-centered peroxidase, oxidatively degrades Vinca derivatives and thereby abrogates their cytotoxic activity. This finding suggested that myeloperoxidase (MPO), a heme- centered peroxidase characteristically found in AML and not in ALL, might also degrade vincristine. We first examined the effects of MPO on vincristine in a cell-free system and demonstrated that this enzyme is capable of catalyzing vincristine's oxidative breakdown. We also observed that vincristine is more rapidly degraded in tissue culture by MPO-positive HL-60 cells than by a MPO-negative HL-60 subclone. The degree of MPO activity in these cell lines correlated in a positive manner with their degree of resistance to vincristine's cytotoxic activity. Moreover, the differential resistance to vincristine observed between these cell lines could be increased by increasing the concentration of H2O2 available to the enzyme. These data support the hypothesis that MPO-mediated oxidation of vincristine accounts in part for this drug's lack of activity in AML.
- Published
- 1993
31. Stem cell collection in patients with de novo multiple myeloma treated with the combination of bortezomib and dexamethasone before autologous stem cell transplantation according to IFM 2005-01 trial
- Author
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Hervé Avet-Loiseau, Christian Berthou, P. Moreau, Mauricette Michallet, Gerald Marit, Lotfi Benboubker, M. Attal, Chantal Doyen, Hervé Maisonneuve, Pascal Lenain, Philippe Casassus, Thierry Facon, Denis Caillot, Claire Mathiot, Serge Leyvraz, Stoppa Am, C. Hulin, Brigitte Pegourie, and J L Harousseau
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,Pathology ,medicine.drug_class ,Transplantation, Autologous ,Dexamethasone ,Bortezomib ,Autologous stem-cell transplantation ,immune system diseases ,hemic and lymphatic diseases ,Internal medicine ,medicine ,Humans ,Leukapheresis ,Multiple myeloma ,Hematology ,business.industry ,Cancer ,medicine.disease ,Hematopoietic Stem Cells ,Boronic Acids ,Hematopoietic Stem Cell Mobilization ,Pyrazines ,Corticosteroid ,Drug Therapy, Combination ,Stem cell ,business ,Multiple Myeloma ,medicine.drug ,Stem Cell Transplantation - Abstract
Stem cell collection in patients with de novo multiple myeloma treated with the combination of bortezomib and dexamethasone before autologous stem cell transplantation according to IFM 2005–01 trial
- Published
- 2010
32. Impact of high-risk cytogenetics and prior therapy on outcomes in patients with advanced relapsed or refractory multiple myeloma treated with lenalidomide plus dexaméthasone
- Author
-
Ibrahim Yakoub-Agha, P. Moreau, Jean Soulier, J. P. Fermand, Véronique Dorvaux, Hervé Avet-Loiseau, Mag groups, M. Attal, C. Hulin, Karim Belhadj, Stephane Minvielle, and Laurent Garderet
- Subjects
Oncology ,Adult ,Male ,Cancer Research ,medicine.medical_specialty ,medicine.drug_class ,medicine.medical_treatment ,Dexamethasone ,Bortezomib ,Refractory ,Internal medicine ,medicine ,Humans ,Lenalidomide ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Aged, 80 and over ,Chromosome Aberrations ,Chemotherapy ,Hematology ,business.industry ,Middle Aged ,Boronic Acids ,Surgery ,Thalidomide ,Treatment Outcome ,Pyrazines ,Multivariate Analysis ,Corticosteroid ,Drug Therapy, Combination ,Female ,business ,Multiple Myeloma ,medicine.drug - Abstract
This retrospective analysis investigated the prognostic value of del(13) and t(4;14) abnormalities and the impact of prior treatment on outcomes in 207 heavily pretreated patients with relapsed or refractory multiple myeloma (MM) treated with lenalidomide plus dexamethasone. Patients with relapsed or refractory MM who had either earlier received thalidomide or bortezomib, or for whom continuation of these agents was contraindicated, and who had fluorescence in situ hybridization data available were included in the analysis. Patients with relapsed or refractory MM who received treatment with lenalidomide plus dexamethasone in the presence of del(13) and t(4;14) chromosomal abnormalities had lower overall response rates (ORRs) and shorter median progression-free survival (PFS) and overall survival (OS) compared with those who did not have these abnormalities. The results also showed that prior treatment with bortezomib was associated with shorter median PFS and OS. Progression during thalidomide therapy was the only significant independent predictor for OS and that the presence of del(13) and hemoglobin levels
- Published
- 2010
33. International myeloma working group (IMWG) consensus statement and guidelines regarding the current status of stem cell collection and high-dose therapy for multiple myeloma and the role of plerixafor (AMD 3100)
- Author
-
Giralt, S. Stadtmauer, E. A. Harousseau, J. L. Palumbo, A. and Bensinger, W. Comenzo, R. L. Kumar, S. Munshi, N. C. and Dispenzieri, A. Kyle, R. Merlini, G. San Miguel, J. and Ludwig, H. Hajek, R. Jagannath, S. Blade, J. Lonial, S. and Dimopoulos, M. A. Einsele, H. Barlogie, B. Anderson, K. C. Gertz, M. Attal, M. Tosi, P. Sonneveld, P. and Boccadoro, M. Morgan, G. Sezer, O. Mateos, M. V. Cavo, M. Joshua, D. Turesson, I. Chen, W. Shimizu, K. and Powles, R. Richardson, P. G. Niesvizky, R. Rajkumar, S. V. and Durie, B. G. M. IMWG
- Subjects
Health Sciences ,Επιστήμες Υγείας - Abstract
Multiple myeloma is the most common indication for high-dose chemotherapy with autologous stem cell support (ASCT) in North America today. Stem cell procurement for ASCT has most commonly been performed with stem cell mobilization using colony-stimulating factors with or without prior chemotherapy. The target CD34+ cell dose to be collected as well as the number of apheresis performed varies throughout the country, but a minimum of 2 million CD34+ cells/kg has been traditionally used for the support of one cycle of high-dose therapy. With the advent of plerixafor (AMD3100) (a novel stem cell mobilization agent), it is pertinent to review the current status of stem cell mobilization for myeloma as well as the role of autologous stem cell transplantation in this disease. On June 1, 2008, a panel of experts was convened by the International Myeloma Foundation to address issues regarding stem cell mobilization and autologous transplantation in myeloma in the context of new therapies. The panel was asked to discuss a variety of issues regarding stem cell collection and transplantation in myeloma especially with the arrival of plerixafor. Herein, is a summary of their deliberations and conclusions. Leukemia (2009) 23, 1904-1912; doi: 10.1038/leu.2009.127; published online 25 June 2009
- Published
- 2009
34. Prevention of thalidomide- and lenalidomide-associated thrombosis in myeloma
- Author
-
Palumbo, A. Rajkumar, S. V. Dimopoulos, M. A. Richardson, P. G. Miguel, J. San Barlogie, B. Harousseau, J. Zonder, J. A. Cavo, M. Zangari, M. Attal, M. Belch, A. Knop, S. and Joshua, D. Sezer, O. Ludwig, H. Vesole, D. Blade, J. and Kyle, R. Westin, J. Weber, D. Bringhen, S. and Niesvizky, R. Waage, A. von Lilienfeld-Toal, M. Lonial, S. and Morgan, G. J. Orlowski, R. Z. Shimizu, K. Anderson, K. C. Boccadoro, M. Durie, B. G. Sonneveld, P. Hussein, M. A. Int Myeloma Working Grp
- Subjects
cardiovascular diseases - Abstract
The incidence of venous thromboembolism (VTE) is more than 1%omicron annually in the general population and increases further in cancer patients. The risk of VTE is higher in multiple myeloma (MM) patients who receive thalidomide or lenalidomide, especially in combination with dexamethasone or chemotherapy. Various VTE prophylaxis strategies, such as low-molecular-Weight heparin (LMWH), warfarin or aspirin, have been investigated in small, uncontrolled clinical studies. This manuscript summarizes the available evidence and recommends a prophylaxis strategy according to a risk-assessment model. Individual risk factors for thrombosis associated with thalidomide/lenalidomide-based therapy include age, history of VTE, central venous catheter, comorbidities (infections, diabetes, cardiac disease), immobilization, surgery and inherited thrombophilia. Myeloma-related risk factors include diagnosis and hyperviscosity. VTE is very high in patients who receive high-dose dexamethasone, doxorubicin or multiagent chemotherapy in combination with thalidomide or lenalidomide, but not with bortezomib. The panel recommends aspirin for patients with
- Published
- 2008
35. Hematologic and immunologic effects of the systemic administration of recombinant interleukin-2 after autologous bone marrow transplantation
- Author
-
Patrice Viens, Didier Blaise, G Monges, M. Attal, Mawas C, C. Jasmin, Daniel Olive, C. Pourreau, Anne-Marie Stoppa, and Marc Lopez
- Subjects
Interleukin 2 ,business.industry ,Lymphocyte ,Immunology ,chemical and pharmacologic phenomena ,Cell Biology ,Hematology ,Eosinophil ,Biochemistry ,Transplantation ,medicine.anatomical_structure ,Immune system ,Immunopathology ,medicine ,Bone marrow ,IL-2 receptor ,business ,medicine.drug - Abstract
T cells from allogeneic bone marrow grafts are responsible for a graft versus leukemia effect. Use of recombinant Interleukin-2 (rIL-2) after autologous bone marrow transplantation (BMT) may enhance immune function and hopefully reproduce the allogeneic reaction. We report here the hematologic and immunologic changes observed in the first 10 patients of a phase 1 trial studying the infusion of IL-2 after autologous BMT. All patients had high-risk malignancies and received 6 days of a constant infusion of IL-2 (Eurocetus, Amsterdam, The Netherlands) at dose of 3 x 10(6) Cetus Units/m2/d, 79 +/- 12 days after autologous BMT. Clinical toxicities involving cutaneous, cholestatic, gastrointestinal, and hemodynamic effects occurred during IL-2 treatment but reversed in all cases. Completion of treatment was 91% of the scheduled dose of IL-2. Hematologic toxicity was moderate and transient with no graft failure. Increases in eosinophil and lymphocyte counts were significant (P less than .05). Stimulation of the immune system was intense and prolonged, manifested by increase numbers of CD3+, CD3+DR+, CD3+ CD25+ lymphocytes, and natural killer (NK) cells (all P less than .01), and increase of Lymphokine-activated killers (LAK) and NK activities (P less than .01 and P less than .05). This study establishes the feasibility of a 6-day administration of rIL- 2 after autologous BMT leading to a major immune activation 2.5 months after BMT.
- Published
- 1990
36. Sesame in Jordan
- Author
-
G. Vignola, A. Amro, M.M. Shehab, M. Attal, F. Makahleh, and S. Varnasseri
- Subjects
International research ,Engineering ,Light source ,Conceptual design ,business.industry ,Systems engineering ,Electrical engineering ,Thermal emittance ,Machine design ,Engineering design process ,business ,Linear particle accelerator - Abstract
An overview of the status of SESAME•is presented. SESAME will become a major international research center in the Middle East, located in Allan, Jordan. The machine design is based on a 2.5 GeV 3rdgeneration Light Source with an emittance of ∼ 26 nm. rad and 12 straights for insertion devices. The conceptual design of the accelerator complex has been frozen and the engineering design is started. The Phase I scientific program for SESAME has also been finalized and it foresees 6 Beamlines, including 2 IR ports. The construction of SESAME building is in progress and the beneficial occupancy is expected by the first half of 2006. The completion of the accelerators complex construction is scheduled for the end of 2009.
- Published
- 2006
37. International uniform response criteria for multiple myeloma
- Author
-
B G M, Durie, J-L, Harousseau, J S, Miguel, J, Bladé, B, Barlogie, K, Anderson, M, Gertz, M, Dimopoulos, J, Westin, P, Sonneveld, H, Ludwig, G, Gahrton, M, Beksac, J, Crowley, A, Belch, M, Boccadaro, M, Cavo, I, Turesson, D, Joshua, D, Vesole, R, Kyle, R, Alexanian, G, Tricot, M, Attal, G, Merlini, R, Powles, P, Richardson, K, Shimizu, P, Tosi, G, Morgan, S V, Rajkumar, Hematology, and Durie BG, Harousseau JL, Miguel JS, Blade J, Barlogie B, Anderson K, Gertz M, Dimopoulos M, Westin J, Sonneveld P, Ludwig H, Gahrton G, Beksac M, Crowley J, Belch A, Boccadaro M, Cavo M, Turesson I, Joshua D, Vesole D, Kyle R, Alexanian R, Tricot G, Attal M, Merlini G, Powles R, Richardson P, Shimizu K, Tosi P, Morgan G, Rajkumar SV
- Subjects
Very Good Partial Response ,Isatuximab ,Cancer Research ,medicine.medical_specialty ,Hematology ,business.industry ,medicine.disease ,Survival Analysis ,Surgery ,Clinical trial ,Treatment Outcome ,Oncology ,Internal medicine ,medicine ,Humans ,Elotuzumab ,Multiple Myeloma ,business ,Intensive care medicine ,Myeloma cast nephropathy ,Survival analysis ,Multiple myeloma ,medicine.drug - Abstract
New uniform response criteria are required to adequately assess clinical outcomes in myeloma. The European Group for Blood and Bone Marrow Transplant/International Bone Marrow Transplant Registry criteria have been expanded, clarified and updated to provide a new comprehensive evaluation system. Categories for stringent complete response and very good partial response are added. The serum free light-chain assay is included to allow evaluation of patients with oligo-secretory disease. Inconsistencies in prior criteria are clarified making confirmation of response and disease progression easier to perform. Emphasis is placed upon time to event and duration of response as critical end points. The requirements necessary to use overall survival duration as the ultimate end point are discussed. It is anticipated that the International Response Criteria for multiple myeloma will be widely used in future clinical trials of myeloma.
- Published
- 2006
38. SESAME, a 2.5 GeV synchrotron light source for the Middle East region
- Author
-
K. Tavakoli, H. Hashemi, D. Einfeld, S. Varnasery, E. Al-Dmour, M. Attal, H. Tarawneh, R. H. Sarraf, A. Aladwan, B. Kalantari, and H. Hassanzadegan
- Subjects
Nuclear physics ,Physics ,Upgrade ,Beamline ,law ,Synchrotron radiation ,Thermal emittance ,Particle accelerator ,Superconducting magnet ,Synchrotron light source ,Synchrotron ,law.invention - Abstract
Developed under the auspices of UNESCO, SESAME (Synchrotron light for Experimental Science and Application in the Middle East) will be a major international research center in the Middle East and Mediterranean region where most of the applications require hard x-rays up to 20 keV photons. At the 6th of January 2003 the official foundation of SESAME as well as the ground breaking for the building took place. The accelerator SESAME is based upon the synchrotron light source BESSY I, which was, with the operation of BESSY II, devoted to SESAME. The original plan was to upgrade BESSY I to an energy of 1 GeV and use superconducting wigglers to reach 20 keV photons. According to the present design SESAME will be a 2.5GeV 3rd Generation light source with an emittance of 24.6 nm.rad and up to 13 places for the installation of insertion devices with an average length of 3.1 meters. The circumference of the machine will be 124.8 m. As injector the 800 MeV Booster Synchrotron of BESSY I will be used with minor changes. At SESAME around 39.7% of the circumference can be used for the installation of insertion devices. At the beginning of operation 6 beam lines should be installed.
- Published
- 2004
39. Higher doses of CD34+ peripheral blood stem cells are associated with increased mortality from chronic graft-versus-host disease after allogeneic HLA-identical sibling transplantation
- Author
-
A Sadoun, Karin Bilger, Norbert Ifrah, Mauricette Michallet, M Kuentz, J.Y. Cahn, Laurent Sutton, Noel-Jean Milpied, Denis Guyotat, J. H. Bourhis, M. Attal, Pierre Bordigoni, C. Faucher, Eric Jourdan, M. Mohty, J P Jouet, Josy Reiffers, Didier Blaise, D. Maraninchi, and Nathalie Fegueux
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Adolescent ,CD34 ,Graft vs Host Disease ,Antigens, CD34 ,Infections ,Gastroenterology ,Blood cell ,immune system diseases ,HLA Antigens ,hemic and lymphatic diseases ,Internal medicine ,Granulocyte Colony-Stimulating Factor ,medicine ,Humans ,Peripheral Blood Stem Cell Transplantation ,business.industry ,Histocompatibility Testing ,Siblings ,Hematology ,Middle Aged ,Precursor Cell Lymphoblastic Leukemia-Lymphoma ,medicine.disease ,Hematopoietic Stem Cell Mobilization ,Tissue Donors ,Histocompatibility ,Transplantation ,Survival Rate ,Leukemia ,Transplantation, Isogeneic ,Graft-versus-host disease ,medicine.anatomical_structure ,Treatment Outcome ,Oncology ,Chronic leukemia ,Leukemia, Myeloid ,Myelodysplastic Syndromes ,Immunology ,Acute Disease ,Female ,Stem cell ,Neoplasm Recurrence, Local ,business - Abstract
Allogeneic peripheral blood stem cell transplantation (PBSCT) has emerged as an alternative to bone marrow transplantation. PBSCT can be associated with a higher incidence of chronic graft-versus-host disease (cGVHD). In this study, we investigated whether there was a correlation between the composition of PBSC grafts (CD34+ and CD3+ cells) and hematological recovery, GVHD, relapse, and relapse-free survival (RFS) after myeloablative HLA-identical sibling PBSCT. The evolution of 100 acute or chronic leukemia patients was analyzed. Neither hematological recovery, acute or cGVHD, nor relapse, was significantly associated with CD3+ cell dose. Increasing CD34+ stem cells was associated with faster neutrophil (P=0.03) and platelet (P=0.007) recovery. Moreover, 47 of the 78 patients evaluable for cGVHD (60%; 95% CI, 49-71%) developed extensive cGVHD. The probability of extensive cGVHD at 4 years was 34% (95% CI, 21-47%) in patients receiving a 'low' CD34+ cell dose (8.3 x 10(6)/kg), as compared to 62% (95% CI, 48-76%) in patients receiving a 'high' CD34+ cell dose (8.3 x 10(6)/kg) (P=0.01). At a median follow-up of 59 months, this has not translated into a difference in relapse. In patients evaluable for cGVHD, RFS was significantly higher in patients receiving a 'low' CD34+ cell dose as compared to those receiving a 'high' CD34+ cell dose (P=0.04). This difference was mainly because of a significantly higher cGVHD-associated mortality (P=0.01). Efforts to accelerate engraftment by increasing CD34+ cell dose must be counterbalanced with the risk of detrimental cGVHD.
- Published
- 2003
40. Prognostic factors for survival and response after high-dose therapy and autologous stem cell transplantation in systemic AL amyloidosis: a report on 21 patients
- Author
-
P. Moreau, V. Leblond, P. Bourquelot, T. Facon, A. Huynh, D. Caillot, O. Hermine, M. Attal, M. Hamidou, G. Nedellec, A. Ferrant, B. Audhuy, R. Bataille, N. Milpied, and J.-L. Harousseau
- Published
- 2003
41. SESAME, a Synchrotron Light Source for the Middle East Region
- Author
-
A. Elsisi, A. Aladwan, H. Hashemi, D. Einfeld, A. Amro, H. Hassanzadegan, M. Attal, E. Al-Dmour, K. Tavakoli, D. Foudeh, B. Kalantari, H. Tarawneh, S. Varnasery, and R. H. Sarraf
- Subjects
Physics ,Brightness ,business.industry ,Synchrotron radiation ,Particle accelerator ,Synchrotron light source ,Circumference ,Synchrotron ,law.invention ,Optics ,law ,Thermal emittance ,Beam emittance ,business - Abstract
Developed under the auspices of UNESCO, SESAME (Synchrotron light for Experimental Science and Application in the Middle East) will be a major international research centre in the Middle East / Mediterranean region. Most of the applications require hard x‐rays up to 20 keV photons. SESAME will be a 2GeV 3rd Generation Ligth Source with an emittance of 17 nmrad and 13 places for the installation of insertion devices with a length around 3 meter. The circumference of the machine will be 120m. As injector the 800 MeV Booster Synchrotron will be used with small changes. Furthermore also the BESSY I quadrupoles and sextupoles can be used. In a later stage these new ones will be replaced in order to increase the length of the straight sections and to introduce mini beta sections for the reduction of the beam cross section. At SESAME around 35 % of the circumference can be used for the installation of insertion devices.
- Published
- 2003
42. Is there a place for blood stem-cell transplantation for the younger adult patient with acute myelogenous leukemia? BGMT Group
- Author
-
Mauricette Michallet, Anne-Marie Stoppa, Josy Reiffers, and M. Attal
- Subjects
Oncology ,Transplantation ,Cancer Research ,Leukemia ,medicine.medical_specialty ,Myelogenous ,Blood stem cell ,business.industry ,Internal medicine ,Medicine ,business ,medicine.disease - Published
- 1994
43. Closed form solution for time-varying Kalman filter
- Author
-
Ilan Rusnak and M. Attal
- Subjects
Differential equation ,Control theory ,Computation ,ComputingMethodologies_SYMBOLICANDALGEBRAICMANIPULATION ,Order of accuracy ,Kalman filter ,Differential (infinitesimal) ,Closed-form expression ,Optimal control ,Differential algebraic equation ,Mathematics - Abstract
A method for derivation of closed-form solution for the Differential Riccati Matrix Equation for specific time-varying systems is presented. It allows more insight into the nature of the solution, and reduces the on-line computation requirements, since it does not require an on-line solution of a differential equation. Sufficient conditions for the existence of the closed form solution are given. The method is applied to a target tracking application. The analytical results are verified with numerical results.
- Published
- 2002
44. Erratum: Deletion of the 1p32 region is a major independent prognostic factor in young patients with myeloma: the IFM experience on 1195 patients
- Author
-
B Hebraud, X Leleu, V Lauwers-Cances, M Roussel, D Caillot, G Marit, L Karlin, C Hulin, C Gentil, F Guilhot, L Garderet, T Lamy, S Brechignac, B Pegourie, J Jaubert, M Dib, A-M Stoppa, C Sebban, C Fohrer, J Fontan, C Fruchart, M Macro, F Orsini-Piocelle, G Lepeu, C Sohn, J Corre, T Facon, P Moreau, M Attal, and H Avet-Loiseau
- Subjects
Cancer Research ,Oncology ,Hematology - Published
- 2014
45. [Autograft and multiple myeloma: experience of the Intergroupe Français du Myélome]
- Author
-
M, Attal and J L, Harousseau
- Subjects
Adult ,Prognosis ,Carmustine ,Combined Modality Therapy ,Transplantation, Autologous ,Drug Administration Schedule ,Doxorubicin ,Vincristine ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Prednisone ,France ,Multiple Myeloma ,Cyclophosphamide ,Melphalan ,Randomized Controlled Trials as Topic - Abstract
This article summarizes the different clinical results of the IFM trials: high dose therapy supported with autologous stem cells improves survival, melphalan 200 mg/m2 is the best preparative regimen, unpurged peripheral blood stem cells are the recommended source of stem-cells to support high dose therapy, tandem transplants significantly improve survival. However, despite these encouraging results, long term survival needs inovative strategies evaluated with the current IFM 99 protocol.
- Published
- 2001
46. Enhanced activation of B cells in a granulocyte colony-stimulating factor-mobilized peripheral blood stem cell graft
- Author
-
H, Tayebi, V, Lapierre, P, Saas, A, Lienard, L, Sutton, N, Milpied, M, Attal, J Y, Cahn, M, Kuentz, D, Blaise, P, Hervé, P, Tiberghien, and E, Robinet
- Subjects
B-Lymphocytes ,Receptors, IgE ,Granulocyte Colony-Stimulating Factor ,Hematopoietic Stem Cell Transplantation ,Humans ,Leukocyte Common Antigens ,Transplantation, Homologous ,Receptors, Interleukin-2 ,Flow Cytometry ,Lymphocyte Activation ,Biomarkers ,Hematopoietic Stem Cell Mobilization ,Bone Marrow Transplantation - Abstract
In a randomized study that compared human leucocyte antigen-identical allogeneic granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral blood stem cell (PBSC) versus bone marrow (BM) transplantation, the expression of activation markers, CD23, CD25 and CD45RO by B cells, was compared in blood before and after G-CSF mobilization and in PBSC versus BM grafts. The fractions of CD23+ and CD25+ B cells were higher in PBSC than in BM grafts. Moreover, we observed a G-CSF-induced increase in B-cell fractions in blood as well as in PBSC grafts when compared with BM grafts. Such an enhanced B-cell activation could contribute to the accelerated kinetics of immuno-haematological reconstitution, the occurrence of acute haemolysis in the ABO minor incompatibility setting, as well as the increased incidence of chronic graft-versus-host disease observed after PBSC transplantation.
- Published
- 2001
47. Immunotherapy by non-myeloablative allogeneic stem cell transplantation in multiple myeloma: results of a pilot study as salvage therapy after autologous transplantation
- Author
-
Nathalie Fegueux, Frédéric Garban, M. Attal, Jean-François Rossi, Jean-Jacques Sotto, and C Payen
- Subjects
Cancer Research ,medicine.medical_specialty ,Allogeneic transplantation ,Transplantation Conditioning ,VAD Regimen ,Salvage therapy ,Graft vs Host Disease ,Pilot Projects ,Transplantation, Autologous ,medicine ,Autologous transplantation ,Humans ,Transplantation, Homologous ,Multiple myeloma ,Salvage Therapy ,business.industry ,Hematopoietic Stem Cell Transplantation ,Hematology ,Middle Aged ,medicine.disease ,Surgery ,Fludarabine ,Transplantation ,Oncology ,business ,Multiple Myeloma ,Progressive disease ,medicine.drug - Abstract
Non-myeloablative allogeneic stem cell transplantation has been reported to induce sustained complete remission even in advanced diseases (acute leukemia, lymphomas). The tolerance of this procedure allows treatment of poor candidates to conventional allogeneic transplantation with persisting or relapsing myeloma patients. Twelve patients previously treated with at least VAD regimen and autologous transplantation were included. All patients had a serum β2 microglobuline >3 mg/l at diagnosis. The conditioning regimen consisted of fludarabine 25 mg/m/day × 5, antithymoglobulin 2.5 mg/kg/day × 5, busulphan 2 mg/kg/day × 2; the transplant was peripheral stem cells (except one) from an HLA-matched sibling and was followed by cyclosporin for 45 to 90 days. This treatment results in a well-tolerated procedure (no mucositis, duration of aplasia
- Published
- 2001
48. Long-term outcome after allogeneic hematopoietic stem cell transplantation for advanced stage acute myeloblastic leukemia: a retrospective study of 379 patients reported to the Société Française de Greffe de Moelle (SFGM)
- Author
-
M Cavazzana-Cavo, François Demeocq, Francois Dreyfus, Noel-Jean Milpied, Agnès Buzyn, M Kuentz, Denis Caillot, Xavier Thomas, G Souillet, B Delmas-Marsalet, Anne Thiebaut, Bruno Lioure, M. Attal, P. Y. Leprise, Michel Leporrier, J. Y. Cahn, A Sadoun, A Belhabri, Laurent Sutton, J. H. Bourhis, Marie-Cécile Michallet, Norbert Ifrah, Pierre Bordigoni, André Baruchel, Jean-Jacques Sotto, J P Jouet, F. Bernaudin, Denis Guyotat, J P Vannier, J P Vernant, N. Gratecos, Bernard Rio, Nathalie Fegueux, H. Esperou-Bourdeau, Josy Reiffers, Gérard Socié, H. Tilly, M L Tanguy, T de Revel, Eric Archimbaud, Didier Blaise, and G. Michel
- Subjects
Oncology ,Adult ,Male ,medicine.medical_specialty ,Time Factors ,Acute myeloblastic leukemia ,Adolescent ,medicine.medical_treatment ,Hematopoietic stem cell transplantation ,Refractory ,hemic and lymphatic diseases ,Internal medicine ,medicine ,Humans ,Child ,Neoplasm Staging ,Retrospective Studies ,Transplantation ,business.industry ,Hematopoietic Stem Cell Transplantation ,Myeloid leukemia ,Infant ,Retrospective cohort study ,Hematology ,Middle Aged ,medicine.disease ,Prognosis ,Surgery ,Survival Rate ,surgical procedures, operative ,Treatment Outcome ,Leukemia, Myeloid ,Child, Preschool ,Cohort ,Acute Disease ,Female ,Stem cell ,business ,Follow-Up Studies - Abstract
To assess the place of allogeneic hematopoietic stem cell transplantation (HSCT) in the advanced stage of acute myeloid leukemia (AML), we retrospectively analyzed 379 consecutive patients who underwent allogeneic HSCT for advanced AML. The median follow-up of the entire cohort was 7.5 years. Sixty-nine patients (18%) were transplanted with primary resistant disease. Three hundred and ten (82%) were relapsed patients, 94 (30%) of whom were in untreated relapse, 67 (22%) in refractory relapse and 149 (48%) in 2nd or 3rd complete remission at time of transplantation. The 5-year probabilities of overall survival (OS), disease-free survival (DFS), and transplant-related mortality (TRM) were 22 ± 4% 20 ± 4%, 45 ± 6%, respectively. In multivariate analysis, we demonstrated the favorable impact on OS, DFS and TRM of two factors over which we have no control (age
- Published
- 2001
49. GvH chronique cutanéo-muqueuse d’apparition tardive
- Author
-
A. Huynh, Christian Aquilina, C. Bulai Livideanu, M. Attal, Emilie Tournier, and Carle Paul
- Subjects
Dermatology - Published
- 2013
50. Second early allogeneic stem cell transplantations for graft failure in acute leukaemia, chronic myeloid leukaemia and aplastic anaemia. French Society of Bone Marrow Transplantation
- Author
-
P, Guardiola, M, Kuentz, F, Garban, D, Blaise, J, Reiffers, M, Attal, A, Buzyn, B, Lioure, P, Bordigoni, N, Fegueux, M L, Tanguy, J P, Vernant, E, Gluckman, and G, Socié
- Subjects
Adult ,Graft Rejection ,Male ,Reoperation ,Chi-Square Distribution ,Leukemia ,Adolescent ,Hematopoietic Stem Cell Transplantation ,Anemia, Aplastic ,Graft vs Host Disease ,Infant ,Middle Aged ,Statistics, Nonparametric ,Treatment Outcome ,Child, Preschool ,Leukemia, Myelogenous, Chronic, BCR-ABL Positive ,Cyclosporine ,Humans ,Transplantation, Homologous ,Female ,Child ,Immunosuppressive Agents ,Follow-Up Studies ,Proportional Hazards Models ,Retrospective Studies - Abstract
In this retrospective multicentre study, we analysed the results of 82 consecutive second early allogeneic transplants for primary (n = 28) or secondary ([n = 54) graft failures performed between 1985 and 1997 in patients with acute leukaemia (n = 33), aplastic anaemia (n = 29) or chronic myeloid leukaemia (n = 20). HLA-matched siblings were used in 64 cases. The same donors were used for both transplants in 56 cases and the first transplant was T-cell depleted in 30 cases. The median age at transplant was 25 years and the median intertransplant time interval was 2 months. Estimates of the 3-year overall survival and day 100 transplant-related mortality were 30% and 53% respectively. A recipient age34 years at transplant, an intertransplant time intervalor = 80 d and a positive recipient cytomegalovirus serology were predictors of a better outcome. The use of cyclosporin A (CsA) after second transplant had a dramatic impact on outcome, the best results being observed with CsA alone. The day 40 probability of neutrophil recovery was 73%. The use of peripheral blood progenitor cells (PBPCs) was associated with a higher and faster neutrophil recovery. Other factors associated with neutrophil recovery were an intertransplant time intervalor = 80 d and a positive recipient cytomegalovirus serology. Therefore, second early allogeneic transplantation for graft failure is an effective treatment, especially if patients can receive CsA for graft-versus-host disease prevention and are retransplanted more than 80 d from first transplant.
- Published
- 2000
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