Markers of endothelial and haemostatic function in the treatment of relapsed myeloma with the immunomodulatory agent Actimid (CC-4047) and their relationship with venous thrombosis.

Abstract:

:We evaluated the serum/plasma levels of cytokines [interleukin (IL)-6, vascular endothelial growth factor (VEGF), transforming growth factor (TGF)-beta2] and markers of coagulation, fibrinolysis, endothelial and platelet activation during the first 4 wk of treatment with the thalidomide analogue Actimid (CC-4047) in 15 patients with relapsed/refractory myeloma. There was evidence of activation of endothelium (soluble vascular cell adhesion molecule, sVCAM), coagulation (prothrombin fragment 1 + 2, PF1 + 2) and fibrinolysis (D-dimers) but no evidence of platelet activation or endothelial cell damage in myeloma patients. These parameters were not affected by the use of CC-4047. Three of four patients with baseline D-dimers levels >500 microg/L subsequently developed deep vein thrombosis (DVT). The hypothesis that D-dimer level >500 microg/L may predict for those patients most at risk of thromboembolism with multiple myeloma undergoing treatment is worthy of further study.

journal_name

Eur J Haematol

authors

Streetly M,Hunt BJ,Parmar K,Jones R,Zeldis J,Schey S

doi

10.1111/j.1600-0609.2004.00393.x

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

293-6

issue

4

eissn

0902-4441

issn

1600-0609

pii

EJH393

journal_volume

74

pub_type

杂志文章
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    pub_type: 临床试验,杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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    更新日期:2003-10-01 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:2004-09-01 00:00:00

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    journal_title:European journal of haematology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0609.2006.00777.x

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    更新日期:2007-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1034/j.1600-0609.2002.01520.x

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    更新日期:2002-02-01 00:00:00

  • Immunological effects in patients with steroid-refractory graft-versus-host disease following treatment with basiliximab, a CD25 monoclonal antibody.

    abstract::Steroid-refractory graft-versus-host disease (GvHD) is a complication following an allogeneic stem cell transplantation with limited therapeutic options. Studies have shown a response in up to 80% of patients with this condition after treatment with the CD25 monoclonal antibody, basiliximab. Despite the good responses...

    journal_title:European journal of haematology

    pub_type: 杂志文章

    doi:10.1111/ejh.12691

    authors: Chakupurakal G,García-Márquez MA,Shimabukuro-Vornhagen A,Theurich S,Holtick U,Hallek M,Scheid C,von Bergwelt-Baildon M

    更新日期:2016-08-01 00:00:00