Adefovir added to lamivudine for hepatitis B recurrent infection in refractory B-cell chronic lymphocytic leukemia on prolonged therapy with Campath-1H

被引:34
作者
Cortelezzi, Agostino
Vigano, Mauro
Zilioli, Vittorio R.
Fantini, Norma N.
Pasquini, Maria C.
Deliliers, Giorgio Lambertenghi
Colombo, Massimo
Lampertico, Pietro
机构
[1] IRCCS Fdn Osped Maggiore, Hematol Bone Marrow Transplantat Unit 1, I-20122 Milan, Italy
[2] Univ Milan, I-20122 Milan, Italy
[3] IRCCS Fdn Osped Maggiore, Dept Gastroenterol & Endocrinol, Milan, Italy
关键词
HBV reactivation; lamivudine; adefovir dipivoxil; B-cell chronic lymphocytic leukemia; alemtuzumab;
D O I
10.1016/j.jcv.2005.10.009
中图分类号
Q93 [微生物学];
学科分类号
071005 [微生物学]; 100705 [微生物与生化药学];
摘要
We describe a case of severe reactivation of occult hepatitis B virus infection in a 49-year-old man, who was treated with high doses of chlorambucil for a Binet stage A B-cell chronic lymphocytic leukemia (B-CLL). The patient was initially treated with lamivudine and subsequently with lamivudine and adefovir dipivoxil combination therapy to control viral replication and allow for long-term anti-cancer chemotherapy with alemtuzumab (Campath-1H), which was introduced to rescue for a B-CLL relapse. During 20 months of anti-HBV therapy, ALT and HBV-DNA levels progressively declined and B-CLL was successfully kept under control by long-term alemtuzumab administration. (C) 2005 Elsevier B.V. All rights reserved.
引用
收藏
页码:467 / 469
页数:3
相关论文
共 22 条
[1]
Ahmed A, 1999, AM J GASTROENTEROL, V94, P249, DOI 10.1111/j.1572-0241.1999.00808.x
[2]
Treatment of chronic hepatitis B virus infection in patients co-infected with human immunodeficiency virus [J].
Benhamou, Y ;
Poynard, T .
JOURNAL OF HEPATOLOGY, 2003, 39 :S194-S199
[3]
Role of silent hepatitis B virus in chronic hepatitis B surface antigen(-) liver disease [J].
Chemin, I ;
Jeantet, D ;
Kay, A ;
Trépo, C .
ANTIVIRAL RESEARCH, 2001, 52 (02) :117-123
[4]
National Cancer Institute-sponsored Working Group guidelines for chronic lymphocytic leukemia: Revised guidelines for diagnosis and treatment [J].
Cheson, BD ;
Bennett, JM ;
Grever, M ;
Kay, N ;
Keating, MJ ;
OBrien, S ;
Rai, KR .
BLOOD, 1996, 87 (12) :4990-4997
[5]
Successful treatment with lamivudine for fulminant reactivated hepatitis B infection following intensive therapy for high-grade non-Hodgkin's lymphoma [J].
Clark, FL ;
Drummond, MW ;
Chambers, S ;
Chapman, BA ;
Patton, WN .
ANNALS OF ONCOLOGY, 1998, 9 (04) :385-387
[6]
EASL International Concensus Conference on Hepatitis B -: 13-14 September, 2002 Geneva, Switzerland Consensus Statement (Long version) [J].
de Franchis, R ;
Hadengue, A ;
Lau, G ;
Lavanchy, D ;
Lok, A ;
McIntyre, N ;
Mele, A ;
Paumgartner, G ;
Pietrangelo, A ;
Rodés, J ;
Rosenberg, W ;
Valla, D .
JOURNAL OF HEPATOLOGY, 2003, 39 :S3-S25
[7]
Dhédin N, 1998, TRANSPLANTATION, V66, P616
[8]
Clinical outcome of HBeAg-negative chronic hepatitis B in relation to virological response to lamivudine [J].
Di Marco, V ;
Marzano, A ;
Lampertico, P ;
Andreone, P ;
Santantonio, T ;
Ahnasio, PL ;
Rizzetto, M ;
Craxì, A .
HEPATOLOGY, 2004, 40 (04) :883-891
[9]
Treatment of refractory chronic lymphocytic leukemia with Campath-1H in combination with lamivudine in chronic hepatitis B infection [J].
Heider, U ;
Fleissner, C ;
Zavrski, I ;
Jakob, C ;
Dietzel, T ;
Eucker, J ;
Ockenga, J ;
Possinger, K ;
Sezer, O .
EUROPEAN JOURNAL OF HAEMATOLOGY, 2004, 72 (01) :64-66
[10]
Hepatitis B virus reactivation and alemtuzumab therapy [J].
Iannitto, E ;
Minardi, V ;
Calvaruso, G ;
Mulè, A ;
Ammatuna, E ;
Trapani, RD ;
Ferraro, D ;
Abbadessa, V ;
Craxí, A ;
Stefano, RD .
EUROPEAN JOURNAL OF HAEMATOLOGY, 2005, 74 (03) :254-258