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CAMPATH-1 monoclonal antibody therapy in severe refractory autoimmune thrombocytopenic purpura

S H Lim1, G Hale, R E Marcus

  • 1Department of Haematology, Addenbrooke's Hospital, Cambridge.

Six patients with autoimmune thrombocytopenic purpura (three of whom had CLL/NHL and one previous Hodgkin's disease) refractory to conventional therapy were treated with an antilymphocyte monoclonal antibody directed at CDw52 (CAMPATH-1). We observed response in four of the five evaluable patients; in three patients the response has lasted more than 4-9 months. However, response did not occur in most cases until 4-6 weeks after the commencement of the antibody therapy, suggesting that the mechanism of action is probably that of immune modulation.

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