Autologous graft-versus-host disease induction in advanced breast cancer: role of peripheral blood progenitor cells
2000

Using Blood Cells to Treat Advanced Breast Cancer

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): van der Wall E, Horn T, Bright E, Passos-Coehlo J-L, Bond S, Clarke B, Altomonte V, McIntyre K, Vogelsang G, Noga S J, Davis J M, Thomassen J, Ohly K V, Lee S M, Fetting J, Armstrong D K, Davidson N E, Hess A D, Kennedy M J

Primary Institution: Bunting-Blaustein Cancer Research Building, Baltimore, MD, USA

Hypothesis

Does the use of peripheral blood progenitor cells induce autologous graft-versus-host disease in patients with advanced breast cancer?

Conclusion

The study found that while autologous graft-versus-host disease was induced in some patients, it remains unclear if this leads to an anti-tumor effect.

Supporting Evidence

  • Histologically proven ≥grade II cutaneous graft-versus-host disease was induced in 36% of patients.
  • 76% of patients developed auto-cytotoxicity against their own pre-transplant lymphoblasts.
  • The overall survival rate was 58% with a median follow-up of 2½ years.

Takeaway

The researchers wanted to see if using special blood cells could help treat women with advanced breast cancer, but they aren't sure if it really helps fight the cancer.

Methodology

Patients received cyclosporine and interferon-gamma after high-dose chemotherapy and were monitored for the development of graft-versus-host disease.

Limitations

The study does not clarify the relationship between graft-versus-host disease and anti-tumor effects.

Participant Demographics

14 women with stage IIIB and 36 women with stage IV breast cancer.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1499

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