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Published in: International Journal of Hematology 5/2011

01-05-2011 | Progress in Hematology

Rituximab for prevention and treatment of graft-versus-host disease

Authors: Mohamed A. Kharfan-Dabaja, Corey S. Cutler

Published in: International Journal of Hematology | Issue 5/2011

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Abstract

Growing understanding of the important role of B lymphocytes in alloreactivity has paved the way for evaluating anti-B cell therapy with rituximab in patients undergoing allogeneic hematopoietic cell transplantation. Data suggesting a beneficial reduction in incidence and severity of acute graft-versus-host disease (GVHD) are limited to non-randomized studies from single institutions using higher than conventional doses of rituximab. Additionally, rituximab is used as an effective treatment of corticosteroid-refractory chronic GVHD with good responses, particularly in cases of dermatologic and mucosal involvement. Post-transplant administration of rituximab appears to reduce the rate of chronic GVHD in preliminary studies.
Literature
1.
go back to reference Do RK, Chen-Kiang S. Mechanism of BLyS action in B cell immunity. Cytokine Growth Factor Rev. 2002;13(1):19–25.CrossRefPubMed Do RK, Chen-Kiang S. Mechanism of BLyS action in B cell immunity. Cytokine Growth Factor Rev. 2002;13(1):19–25.CrossRefPubMed
2.
go back to reference Harris DP, Haynes L, Sayles PC, et al. Reciprocal regulation of polarized cytokine production by effector B and T cells. Nat Immunol. 2000;1(6):475–82.CrossRefPubMed Harris DP, Haynes L, Sayles PC, et al. Reciprocal regulation of polarized cytokine production by effector B and T cells. Nat Immunol. 2000;1(6):475–82.CrossRefPubMed
3.
go back to reference Kayagaki N, Yan M, Seshasayee D, et al. BAFF/BLyS receptor 3 binds the B cell survival factor BAFF ligand through a discrete surface loop and promotes processing of NF-kappaB2. Immunity. 2002;17(4):515–24.CrossRefPubMed Kayagaki N, Yan M, Seshasayee D, et al. BAFF/BLyS receptor 3 binds the B cell survival factor BAFF ligand through a discrete surface loop and promotes processing of NF-kappaB2. Immunity. 2002;17(4):515–24.CrossRefPubMed
4.
go back to reference Schaerli P, Willimann K, Lang AB, Lipp M, Loetscher P, Moser B. CXC chemokine receptor 5 expression defines follicular homing T cells with B cell helper function. J Exp Med. 2000;192(11):1553–62.CrossRefPubMedPubMedCentral Schaerli P, Willimann K, Lang AB, Lipp M, Loetscher P, Moser B. CXC chemokine receptor 5 expression defines follicular homing T cells with B cell helper function. J Exp Med. 2000;192(11):1553–62.CrossRefPubMedPubMedCentral
5.
go back to reference Schultze JL, Michalak S, Seamon MJ, et al. CD40-activated human B cells: an alternative source of highly efficient antigen presenting cells to generate autologous antigen-specific T cells for adoptive immunotherapy. J Clin Invest. 1997;100(11):2757–65.CrossRefPubMedPubMedCentral Schultze JL, Michalak S, Seamon MJ, et al. CD40-activated human B cells: an alternative source of highly efficient antigen presenting cells to generate autologous antigen-specific T cells for adoptive immunotherapy. J Clin Invest. 1997;100(11):2757–65.CrossRefPubMedPubMedCentral
6.
go back to reference Khouri IF, Saliba RM, Giralt SA, et al. Nonablative allogeneic hematopoietic transplantation as adoptive immunotherapy for indolent lymphoma: low incidence of toxicity, acute graft-versus-host disease, and treatment-related mortality. Blood. 2001;98(13):3595–9.CrossRefPubMed Khouri IF, Saliba RM, Giralt SA, et al. Nonablative allogeneic hematopoietic transplantation as adoptive immunotherapy for indolent lymphoma: low incidence of toxicity, acute graft-versus-host disease, and treatment-related mortality. Blood. 2001;98(13):3595–9.CrossRefPubMed
7.
go back to reference Khouri IF, McLaughlin P, Saliba RM, et al. Eight-year experience with allogeneic stem cell transplantation for relapsed follicular lymphoma after nonmyeloablative conditioning with fludarabine, cyclophosphamide, and rituximab. Blood. 2008;111(12):5530–6.CrossRefPubMedPubMedCentral Khouri IF, McLaughlin P, Saliba RM, et al. Eight-year experience with allogeneic stem cell transplantation for relapsed follicular lymphoma after nonmyeloablative conditioning with fludarabine, cyclophosphamide, and rituximab. Blood. 2008;111(12):5530–6.CrossRefPubMedPubMedCentral
8.
go back to reference Ratanatharathorn V, Logan B, Wang D, et al. Prior rituximab correlates with less acute graft-versus-host disease and better survival in B-cell lymphoma patients who received allogeneic peripheral blood stem cell transplantation. Br J Haematol. 2009;145(6):816–24.CrossRefPubMedPubMedCentral Ratanatharathorn V, Logan B, Wang D, et al. Prior rituximab correlates with less acute graft-versus-host disease and better survival in B-cell lymphoma patients who received allogeneic peripheral blood stem cell transplantation. Br J Haematol. 2009;145(6):816–24.CrossRefPubMedPubMedCentral
9.
go back to reference Eapen M, Logan BR, Confer DL, et al. Peripheral blood grafts from unrelated donors are associated with increased acute and chronic graft-versus-host disease without improved survival. Biol Blood Marrow Transplant. 2007;13(12):1461–8.CrossRefPubMedPubMedCentral Eapen M, Logan BR, Confer DL, et al. Peripheral blood grafts from unrelated donors are associated with increased acute and chronic graft-versus-host disease without improved survival. Biol Blood Marrow Transplant. 2007;13(12):1461–8.CrossRefPubMedPubMedCentral
10.
go back to reference van Dorp S, Pietersma F, Wolfl M, et al. Rituximab treatment before reduced-intensity conditioning transplantation associates with a decreased incidence of extensive chronic GVHD. Biol Blood Marrow Transplant. 2009;15(6):671–8.CrossRefPubMed van Dorp S, Pietersma F, Wolfl M, et al. Rituximab treatment before reduced-intensity conditioning transplantation associates with a decreased incidence of extensive chronic GVHD. Biol Blood Marrow Transplant. 2009;15(6):671–8.CrossRefPubMed
11.
go back to reference Khouri IF, Saliba RM, Admirand J, et al. Graft-versus-leukaemia effect after non-myeloablative haematopoietic transplantation can overcome the unfavourable expression of ZAP-70 in refractory chronic lymphocytic leukaemia. Br J Haematol. 2007;137(4):355–63.CrossRefPubMed Khouri IF, Saliba RM, Admirand J, et al. Graft-versus-leukaemia effect after non-myeloablative haematopoietic transplantation can overcome the unfavourable expression of ZAP-70 in refractory chronic lymphocytic leukaemia. Br J Haematol. 2007;137(4):355–63.CrossRefPubMed
12.
go back to reference Glass B, Hasenkamp J, Gorlitz A, et al. Rituximab for graft-versus-host-disease-prophylaxis after allogeneic stem cell transplantation given as treatment of high risk relapse of aggressive lymphoma: results of a randomized phase II study. ASH Annu Meeting Abstracts. 2008;112(11):1974. Glass B, Hasenkamp J, Gorlitz A, et al. Rituximab for graft-versus-host-disease-prophylaxis after allogeneic stem cell transplantation given as treatment of high risk relapse of aggressive lymphoma: results of a randomized phase II study. ASH Annu Meeting Abstracts. 2008;112(11):1974.
13.
go back to reference Kharfan-Dabaja MA, Tate C, Perkins J, et al. Rituximab is feasible to administer to allograft recipients with advanced CD20+ malignancies and does not affect timely hematopoietic engraftment. Biol Blood Marrow Transplant. 2008;14(2s2):121–2.CrossRef Kharfan-Dabaja MA, Tate C, Perkins J, et al. Rituximab is feasible to administer to allograft recipients with advanced CD20+ malignancies and does not affect timely hematopoietic engraftment. Biol Blood Marrow Transplant. 2008;14(2s2):121–2.CrossRef
14.
go back to reference Pidala J, Roman-Diaz J, Kim J, et al. Targeted IV busulfan and fludarabine followed by post-allogeneic hematopoietic cell transplantation rituximab demonstrate encouraging activity in CD20+ lymphoid malignancies without increased risk of infectious complications. Int J Hematol. 2011;93(2):206–12.CrossRefPubMedPubMedCentral Pidala J, Roman-Diaz J, Kim J, et al. Targeted IV busulfan and fludarabine followed by post-allogeneic hematopoietic cell transplantation rituximab demonstrate encouraging activity in CD20+ lymphoid malignancies without increased risk of infectious complications. Int J Hematol. 2011;93(2):206–12.CrossRefPubMedPubMedCentral
15.
go back to reference Kharfan-Dabaja MA, Perkins J, Cortes R, et al. A novel reduced toxicity preparative regimen for hematopoietic cell allografting combining pentostatin (Nipent®) and targeted doses of intravenous busulfan (Busulfex®) with or without rituximab (PB ± R) using CD4-guided immune suppression: preliminary results of an ongoing prospective trial. Biol Blood Marrow Transplant. 2010;16(2s2):s281.CrossRef Kharfan-Dabaja MA, Perkins J, Cortes R, et al. A novel reduced toxicity preparative regimen for hematopoietic cell allografting combining pentostatin (Nipent®) and targeted doses of intravenous busulfan (Busulfex®) with or without rituximab (PB ± R) using CD4-guided immune suppression: preliminary results of an ongoing prospective trial. Biol Blood Marrow Transplant. 2010;16(2s2):s281.CrossRef
16.
go back to reference Ratanatharathorn V, Carson E, Reynolds C, et al. Anti-CD20 chimeric monoclonal antibody treatment of refractory immune-mediated thrombocytopenia in a patient with chronic graft-versus-host disease. Ann Intern Med. 2000;133(4):275–9.CrossRefPubMed Ratanatharathorn V, Carson E, Reynolds C, et al. Anti-CD20 chimeric monoclonal antibody treatment of refractory immune-mediated thrombocytopenia in a patient with chronic graft-versus-host disease. Ann Intern Med. 2000;133(4):275–9.CrossRefPubMed
17.
go back to reference Ratanatharathorn V, Ayash L, Reynolds C, et al. Treatment of chronic graft-versus-host disease with anti-CD20 chimeric monoclonal antibody. Biol Blood Marrow Transplant. 2003;9(8):505–11.CrossRefPubMed Ratanatharathorn V, Ayash L, Reynolds C, et al. Treatment of chronic graft-versus-host disease with anti-CD20 chimeric monoclonal antibody. Biol Blood Marrow Transplant. 2003;9(8):505–11.CrossRefPubMed
18.
go back to reference Canninga-van Dijk MR, van der Straaten HM, Fijnheer R, Sanders CJ, van den Tweel JG, Verdonck LF. Anti-CD20 monoclonal antibody treatment in 6 patients with therapy-refractory chronic graft-versus-host disease. Blood. 2004;104(8):2603–6.CrossRefPubMed Canninga-van Dijk MR, van der Straaten HM, Fijnheer R, Sanders CJ, van den Tweel JG, Verdonck LF. Anti-CD20 monoclonal antibody treatment in 6 patients with therapy-refractory chronic graft-versus-host disease. Blood. 2004;104(8):2603–6.CrossRefPubMed
20.
go back to reference Mohty M, Marchetti N, El-Cheikh J, Faucher C, Furst S, Blaise D. Rituximab as salvage therapy for refractory chronic GVHD. Bone Marrow Transplant. 2008;41(10):909–11.CrossRefPubMed Mohty M, Marchetti N, El-Cheikh J, Faucher C, Furst S, Blaise D. Rituximab as salvage therapy for refractory chronic GVHD. Bone Marrow Transplant. 2008;41(10):909–11.CrossRefPubMed
21.
go back to reference Okamoto M, Okano A, Akamatsu S, et al. Rituximab is effective for steroid-refractory sclerodermatous chronic graft-versus-host disease. Leukemia. 2006;20(1):172–3.CrossRefPubMed Okamoto M, Okano A, Akamatsu S, et al. Rituximab is effective for steroid-refractory sclerodermatous chronic graft-versus-host disease. Leukemia. 2006;20(1):172–3.CrossRefPubMed
22.
go back to reference Teshima T, Nagafuji K, Henzan H, et al. Rituximab for the treatment of corticosteroid-refractory chronic graft-versus-host disease. Int J Hematol. 2009;90(2):253–60.CrossRefPubMed Teshima T, Nagafuji K, Henzan H, et al. Rituximab for the treatment of corticosteroid-refractory chronic graft-versus-host disease. Int J Hematol. 2009;90(2):253–60.CrossRefPubMed
23.
go back to reference von Bonin M, Oelschlagel U, Radke J, et al. Treatment of chronic steroid-refractory graft-versus-host disease with low-dose rituximab. Transplantation. 2008;86(6):875–9.CrossRef von Bonin M, Oelschlagel U, Radke J, et al. Treatment of chronic steroid-refractory graft-versus-host disease with low-dose rituximab. Transplantation. 2008;86(6):875–9.CrossRef
24.
go back to reference Zaja F, Bacigalupo A, Patriarca F, et al. Treatment of refractory chronic GVHD with rituximab: a GITMO study. Bone Marrow Transplant. 2007;40(3):273–7.CrossRefPubMed Zaja F, Bacigalupo A, Patriarca F, et al. Treatment of refractory chronic GVHD with rituximab: a GITMO study. Bone Marrow Transplant. 2007;40(3):273–7.CrossRefPubMed
25.
go back to reference Kharfan-Dabaja MA, Mhaskar AR, Djulbegovic B, Cutler C, Mohty M, Kumar A. Efficacy of rituximab in the setting of steroid-refractory chronic graft-versus-host disease: a systematic review and meta-analysis. Biol Blood Marrow Transplant. 2009;15(9):1005–13.CrossRefPubMed Kharfan-Dabaja MA, Mhaskar AR, Djulbegovic B, Cutler C, Mohty M, Kumar A. Efficacy of rituximab in the setting of steroid-refractory chronic graft-versus-host disease: a systematic review and meta-analysis. Biol Blood Marrow Transplant. 2009;15(9):1005–13.CrossRefPubMed
26.
go back to reference Kim SJ, Lee JW, Jung CW, et al. Weekly rituximab followed by monthly rituximab treatment for steroid-refractory chronic graft-versus-host disease: results from a prospective, multicenter, phase II study. Haematologica. 2010;95(11):1935–42.CrossRefPubMedPubMedCentral Kim SJ, Lee JW, Jung CW, et al. Weekly rituximab followed by monthly rituximab treatment for steroid-refractory chronic graft-versus-host disease: results from a prospective, multicenter, phase II study. Haematologica. 2010;95(11):1935–42.CrossRefPubMedPubMedCentral
27.
go back to reference Mellon-Reppen S, Ratanatharathorn V, Cronin S, Uberti JP. Repeated course of rituximab for treatment of nephrotic syndrome in patients with chronic GVHD. Bone Marrow Transplant. 2010;45(12):1758–9.CrossRefPubMed Mellon-Reppen S, Ratanatharathorn V, Cronin S, Uberti JP. Repeated course of rituximab for treatment of nephrotic syndrome in patients with chronic GVHD. Bone Marrow Transplant. 2010;45(12):1758–9.CrossRefPubMed
28.
go back to reference McIver Z, Stephens N, Grim A, Barrett AJ. Rituximab administration within 6 months of T cell-depleted allogeneic SCT is associated with prolonged life-threatening cytopenias. Biol Blood Marrow Transplant. 2010;16(11):1549–56.CrossRefPubMedPubMedCentral McIver Z, Stephens N, Grim A, Barrett AJ. Rituximab administration within 6 months of T cell-depleted allogeneic SCT is associated with prolonged life-threatening cytopenias. Biol Blood Marrow Transplant. 2010;16(11):1549–56.CrossRefPubMedPubMedCentral
29.
go back to reference Ratanatharathorn V, Horowitz M, Logan B, et al. Prior therapy with rituximab correlates with less acute graft-versus-host disease and better survival in B-cell lymphoma patients who received allogeneic peripheral blood stem cell transplantation (PBSCT). Blood. 2007;110(11). Ratanatharathorn V, Horowitz M, Logan B, et al. Prior therapy with rituximab correlates with less acute graft-versus-host disease and better survival in B-cell lymphoma patients who received allogeneic peripheral blood stem cell transplantation (PBSCT). Blood. 2007;110(11).
30.
go back to reference Cutler C, Sun L, Kim H, et al. Prophylactic rituximab after allogeneic stem cell transplantation prevents steroid-requiring chronic graft-vs.-host disease. ASH Annu Meeting Abstracts. 2010;116(21):214. Cutler C, Sun L, Kim H, et al. Prophylactic rituximab after allogeneic stem cell transplantation prevents steroid-requiring chronic graft-vs.-host disease. ASH Annu Meeting Abstracts. 2010;116(21):214.
31.
go back to reference Arai S, Sahaf B, Jones C, et al. Prophylactic rituximab after reduced intensity conditioning transplantation results in low chronic GVHD. ASH Annu Meeting Abstracts. 2008;112(11):466. Arai S, Sahaf B, Jones C, et al. Prophylactic rituximab after reduced intensity conditioning transplantation results in low chronic GVHD. ASH Annu Meeting Abstracts. 2008;112(11):466.
32.
go back to reference Kapur R, Ebeling S, Hagenbeek A. B-cell involvement in chronic graft-versus-host disease. Haematologica. 2008;93(11):1702–11.CrossRefPubMed Kapur R, Ebeling S, Hagenbeek A. B-cell involvement in chronic graft-versus-host disease. Haematologica. 2008;93(11):1702–11.CrossRefPubMed
33.
go back to reference Shimabukuro-Vornhagen A, Hallek MJ, Storb RF, von Bergwelt-Baildon MS. The role of B cells in the pathogenesis of graft-versus-host disease. Blood. 2009;114(24):4919–27.CrossRefPubMed Shimabukuro-Vornhagen A, Hallek MJ, Storb RF, von Bergwelt-Baildon MS. The role of B cells in the pathogenesis of graft-versus-host disease. Blood. 2009;114(24):4919–27.CrossRefPubMed
34.
go back to reference Sarantopoulos S, Stevenson KE, Kim HT, et al. Recovery of B-cell homeostasis after rituximab in chronic graft-versus-host disease. Blood. 2011;117(7):2275–83.CrossRefPubMedPubMedCentral Sarantopoulos S, Stevenson KE, Kim HT, et al. Recovery of B-cell homeostasis after rituximab in chronic graft-versus-host disease. Blood. 2011;117(7):2275–83.CrossRefPubMedPubMedCentral
35.
go back to reference Sarantopoulos S, Stevenson KE, Kim HT, et al. Altered B-cell homeostasis and excess BAFF in human chronic graft-versus-host disease. Blood. 2009;113(16):3865–74.CrossRefPubMedPubMedCentral Sarantopoulos S, Stevenson KE, Kim HT, et al. Altered B-cell homeostasis and excess BAFF in human chronic graft-versus-host disease. Blood. 2009;113(16):3865–74.CrossRefPubMedPubMedCentral
Metadata
Title
Rituximab for prevention and treatment of graft-versus-host disease
Authors
Mohamed A. Kharfan-Dabaja
Corey S. Cutler
Publication date
01-05-2011
Publisher
Springer Japan
Published in
International Journal of Hematology / Issue 5/2011
Print ISSN: 0925-5710
Electronic ISSN: 1865-3774
DOI
https://doi.org/10.1007/s12185-011-0855-2

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