Sustained remission in multiple sclerosis after hematopoietic stem cell transplantation

التفاصيل البيبلوغرافية
العنوان: Sustained remission in multiple sclerosis after hematopoietic stem cell transplantation
المؤلفون: Tolf, Andreas, Fagius, Jan, Carlson, Kristina, Åkerfeldt, Torbjörn, Granberg, Tobias, Larsson, Elna-Marie, Burman, Joachim, 1974
المصدر: Acta Neurologica Scandinavica. 140(5):320-327
مصطلحات موضوعية: cerebrospinal fluid, hematopoietic stem cell transplantation, magnetic resonance imaging, multiple sclerosis
الوصف: Objectives: To determine whether treatment with autologous hematopoietic stem cell transplantation (HSCT) can induce sustained complete remission in patients with multiple sclerosis (MS).Material and methods: Case series of patients with relapsing‐remitting MS (n = 10) treated at a single center between 2004 and 2007 and followed up for 10 years. The patients were treated with a BEAM/ATG conditioning regimen (n = 9) or a cyclophosphamide/ATG conditioning regimen (n = 1) followed by infusion of unmanipulated autologous hematopoietic stem cells. The primary endpoint was sustained complete remission. Sustained complete remission was defined as “no evidence of disease activity‐4,” sustained for a period of at least 5 years without any ongoing disease‐modifying treatment. Furthermore, MS was considered as “resolved” if intrathecal IgG production and cerebrospinal fluid neurofilament light levels were normalized as well.Results: Five out of 10 patients were in sustained complete remission at the end of the study. In three of them, MS was resolved.Conclusions: Our data demonstrate that sustained complete remission after autologous HSCT for MS is possible.
وصف الملف: print
URL الوصول: https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-390961
قاعدة البيانات: SwePub
الوصف
تدمد:00016314
16000404
DOI:10.1111/ane.13147