Patient characteristics
Baseline characteristics . | Patient 1 . | Patient 2 . | Patient 3 . |
---|---|---|---|
Age, y/sex | 50/M | 62/F | 59/M |
Duration of CLL, y | 8 | 4 | 16 |
Previous treatment | None | CD 40 ligand-transfected autologous lymphocytes 24 months ago | Multiple courses of fludarabine, 1994-2000 Rituximab 1 dose 6 mo ago |
Baseline CBC | |||
WBC, μL | 704 000 | 207 000 | 58 800 |
Hemoglobin, g/dL | 9.1 | 7.0 | 10.1 |
Platelets, μL | 120 000 | 135 000 | 80 000 |
Stage (Rai) | III | III | IV |
Current fludarabine cycles before ITP | 3 | 1 | 3 |
ITP onset from last fludarabine cycle, d | 5 | 9 | 12 |
Platelet nadir, μL | 4 000 | 1 000 | 3 000 |
ITP clinical manifestations | Epistaxis, buccal hematoma, petechiae | Epistaxis, palatal petechiae | Palatal and skin petechiae |
Serum platelet antibody | GPIb and GPIIb/IIIa | GPIb | Negative |
ITP treatment | Prednisone | Prednisone | Prednisone |
IVIG (Gammar) | IVIG (Sandoglobulin) | IVIG (Polygam SD) | |
Win Rho | Rituximab | Rituximab | |
Rituximab | |||
Response to rituximab, μL | Complete response | Complete response | Partial response |
Platelets 291 000 | Platelets 267 000 | Platelets 72 000 | |
Duration of response, mo | 17+ | 6+ | 6 |
Baseline characteristics . | Patient 1 . | Patient 2 . | Patient 3 . |
---|---|---|---|
Age, y/sex | 50/M | 62/F | 59/M |
Duration of CLL, y | 8 | 4 | 16 |
Previous treatment | None | CD 40 ligand-transfected autologous lymphocytes 24 months ago | Multiple courses of fludarabine, 1994-2000 Rituximab 1 dose 6 mo ago |
Baseline CBC | |||
WBC, μL | 704 000 | 207 000 | 58 800 |
Hemoglobin, g/dL | 9.1 | 7.0 | 10.1 |
Platelets, μL | 120 000 | 135 000 | 80 000 |
Stage (Rai) | III | III | IV |
Current fludarabine cycles before ITP | 3 | 1 | 3 |
ITP onset from last fludarabine cycle, d | 5 | 9 | 12 |
Platelet nadir, μL | 4 000 | 1 000 | 3 000 |
ITP clinical manifestations | Epistaxis, buccal hematoma, petechiae | Epistaxis, palatal petechiae | Palatal and skin petechiae |
Serum platelet antibody | GPIb and GPIIb/IIIa | GPIb | Negative |
ITP treatment | Prednisone | Prednisone | Prednisone |
IVIG (Gammar) | IVIG (Sandoglobulin) | IVIG (Polygam SD) | |
Win Rho | Rituximab | Rituximab | |
Rituximab | |||
Response to rituximab, μL | Complete response | Complete response | Partial response |
Platelets 291 000 | Platelets 267 000 | Platelets 72 000 | |
Duration of response, mo | 17+ | 6+ | 6 |