Allogeneic hematopoietic stem cell transplantation for severe, refractory juvenile idiopathic arthritis

Author:

M. F. Silva Juliana1,Ladomenou Fani1,Carpenter Ben2,Chandra Sharat34,Sedlacek Petr5,Formankova Renata5,Grandage Vicky2,Friswell Mark67,Cant Andrew J.67,Nademi Zohreh67,Slatter Mary A.67,Gennery Andrew R.67,Hambleton Sophie67,Flood Terence J.67,Lucchini Giovanna1,Chiesa Robert1,Rao Kanchan1,Amrolia Persis J.1,Brogan Paul8,Wedderburn Lucy R.89,Glanville Julie M.1,Hough Rachael2,Marsh Rebecca34,Abinun Mario67,Veys Paul1

Affiliation:

1. Department of BMT, Great Ormond Street Hospital for Children, National Health Service (NHS) Foundation Trust, London, United Kingdom;

2. Department of Adolescent BMT, University College Hospital, NHS Foundation Trust, London, United Kingdom;

3. Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH;

4. Department of Pediatrics, University of Cincinnati, Cincinnati, OH;

5. Department of Pediatric Hematology and Oncology, Teaching Hospital Motol, Prague, Czech Republic;

6. Great North Children’s Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom;

7. Primary Immunodeficiency Group, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom;

8. Department of Rheumatology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, United Kingdom; and

9. University College London Great Ormond Street Institute of Child Health and NIHR GOSH Biomedical Research Centre, NHS Trust, London, United Kingdom

Abstract

Key Points Allo-HSCT using reduced intensity conditioning with alemtuzumab appears to be effective and safe for patients with refractory JIA. Early allo-HSCT may prevent joint damage, reduce toxicity associated with immunosuppression, and reduce transplant-related mortality.

Publisher

American Society of Hematology

Subject

Hematology

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