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Davids, Matthew S; Kim, Haesook T; Bachireddy, Pavan; Costello, Caitlin; Liguori, Rebecca; Savell, Alexandra; Lukez, Alexander P; Avigan, David; Chen, Yi-Bin; McSweeney, Peter; LeBoeuf, Nicole R; Rooney, Michael S; Bowden, Michaela; Zhou, Chensheng W; Granter, Scott R; Hornick, Jason L; Rodig, Scott J; Hirakawa, Masahiro; Severgnini, Mariano; Hodi, F. Stephen; Wu, Catherine J; Ho, Vincent T; Cutler, Corey; Koreth, John; Alyea, Edwin P; Antin, Joseph H; Armand, Philippe; Streicher, Howard; Ball, Edward D; Ritz, Jerome; Bashey, Asad; Soiffer, Robert J
The New England journal of medicine, 07/2016, Volume: 375, Issue: 2Journal Article
Hematologic cancers that recur after allogeneic hematopoietic stem-cell transplantation are often difficult to treat. A small pilot study suggests that ipilimumab may induce durable responses in a subgroup of patients with these cancers. Allogeneic hematopoietic stem-cell transplantation (HSCT) is the only cure for many patients who have advanced hematologic cancers, principally through the induction of a graft-versus-tumor effect. 1 Unfortunately, more than one third of patients who have undergone transplantation have a relapse of disease. 2 The prognosis for these patients is poor; the majority die within 1 year after relapse despite salvage chemotherapy, donor-lymphocyte infusion, or retransplantation. 3 – 5 Immune escape (i.e., tumor evasion of the donor immune system) contributes to relapse after allogeneic HSCT, and immune checkpoint inhibitory pathways probably play an important role. 6 The engagement of cytotoxic T-lymphocyte–associated protein 4 (CTLA-4) and programmed . . .
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