Table 1.
Reference | Patient population receiving GO | DF as prophylaxis | Outcome of VOD/SOS with DF treatment | |
---|---|---|---|---|
Number of patients | Incidence of VOD/SOS | |||
PubMed search | ||||
Battipaglia et al. 201714 | Retrospective; HCT in 146 adults | 4 patients | 2 developed VOD/SOS | VOD/SOS treated with DF in 2 patients; both survived (1 received prophylaxis with DF, the other received heparin) |
Richardson et al. 201015 | 20 adult and pediatric patients with VOD/SOS and MOD | — | — | All received DF (phase 2 dose-finding study); Day 100 survival was 50% (n = 10/20); trend toward higher CR rate in GO subgroup |
Zwaan et al. 201016 | 30 pediatric patients treated for AML relapse | 8 patients | No cases of VOD/SOS | — |
Bornhäuser et al. 200817 | 31 patients with refractory AML | — | — | 1 case of VOD/SOS after HCT; treated successfully with DF |
Lannoy et al. 200618 | 1 patient treated for relapsed AML | — | — | DF deemed effective in treating symptoms of VOD/SOS; death attributed to GO failure |
Reinhardt et al. 200419 | 12 pediatric patients treated for relapsed AML | — | — | 1 patient with VOD/SOS treated successfully with DF |
Versluys et al. 200420 | 7 patients treated for relapsed AML prior to HCT | 6 patients | No cases of VOD/SOS | 1 patient without DF prophylaxis had severe VOD/SOS, which was successfully treated with DF |
Saviola et al. 200321 | 1 adult with refractory AML | — | — | VOD/SOS treated successfully with DF |
Congress report identified separately from PubMed search | ||||
Corbacioglu et al. 201522a | 16 pediatric patients at high risk of VOD/SOS prior to HCT | 11 patients | 2 developed VOD/SOS | — |
aThis ASH abstract reporting a study of 356 patients was not included in the analysis, which focused on published manuscripts in PubMed.
GO gemtuzumab ozogamicin, DF defibrotide, VOD/SOS veno-occlusive disease/sinusoidal obstruction syndrome, HCT hematopoietic cell transplantation, MOD multi-organ dysfunction, CR complete response, AML acute myeloid leukemia.