[The clinical safety and efficacy of low dose rituximab regimen on patients with Epstein-Barr virus infection after allogeneic hematopoietic stem cell transplantation]

Zhonghua Nei Ke Za Zhi. 2018 Aug 1;57(8):592-595. doi: 10.3760/cma.j.issn.0578-1426.2018.08.011.
[Article in Chinese]

Abstract

To retrospectively analyze the safety and efficacy of low dose rituximab regimen in patients with Epstein-Barr virus (EBV) infection after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Among 12 cases, 11 achieved complete remission (CR), 1 with partial remission (PR). Patients received 15 infusions with a median of 2.5(1-4) in each. The EBV DNA negative transformation period was 5-25 days with median 12 days. Low dose rituximab could be an alternative choice in patients with EBV infection after allo-HSCT.

回顾性分析小剂量利妥昔单抗治疗异基因造血干细胞移植后EB病毒(EBV)感染相关性疾病的疗效及安全性。所有患者均顺利完成治疗。结果显示,12例患者中,部分缓解(PR) 1例,完全缓解(CR) 11例。12例患者应用利妥昔单抗15例次,中位值为2.5(1~4)例次;EBV DNA转阴时间为5~25 d,中位值为12 d。对于异基因造血干细胞移植术后EBV感染相关性疾病患者,小剂量利妥昔单抗治疗安全、有效。.

Keywords: Allogeneic haematopoietic stem cell transplantation; Epstein-Barr virus; Rituximab.

MeSH terms

  • Adult
  • Antibodies, Monoclonal, Murine-Derived / adverse effects
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use
  • Clinical Protocols
  • DNA, Viral / blood
  • Drug Dosage Calculations
  • Epstein-Barr Virus Infections / blood
  • Epstein-Barr Virus Infections / drug therapy*
  • Epstein-Barr Virus Infections / etiology
  • Epstein-Barr Virus Infections / virology*
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • Humans
  • Remission Induction
  • Retrospective Studies
  • Rituximab / administration & dosage*
  • Rituximab / therapeutic use
  • Transplantation Conditioning
  • Transplantation, Homologous
  • Viremia / blood
  • Viremia / drug therapy*
  • Viremia / immunology
  • Viremia / virology
  • Virus Activation / drug effects

Substances

  • Antibodies, Monoclonal, Murine-Derived
  • DNA, Viral
  • Rituximab