Treatment of HIV and acute myeloid leukemia by allogeneic CCR5-d32 blood stem cell transplantation. Elena Knops

Treatment of HIV and acute myeloid leukemia by allogeneic CCR5-d32 blood stem cell transplantation Elena Knops Elena Knops, GfV 2016 Background - t...
Author: Esmond Goodwin
2 downloads 0 Views 761KB Size
Treatment of HIV and acute myeloid leukemia by allogeneic CCR5-d32 blood stem cell transplantation Elena Knops

Elena Knops, GfV 2016

Background - the Berlin patient – so far the only person presumed to be cured from HIV by hematopoietic stem cell transplantation (HSCT) from a homozygous CCR5-d32 donor

Elena Knops, GfV 2016

Background - the Berlin patient – so far the only person presumed to be cured from HIV by hematopoietic stem cell transplantation (HSCT) from a homozygous CCR5-d32 donor - failed attempts to reproduce cure by HSCT - viral rebound or death due to underlying malignancy

Elena Knops, GfV 2016

Background - the Berlin patient – so far the only person presumed to be cured from HIV by hematopoietic stem cell transplantation (HSCT) from a homozygous CCR5-d32 donor - failed attempts to reproduce cure by HSCT - viral rebound or death due to underlying malignancy - THE question about all of these attempts and the Berlin patient: How to be sure about the cure? Is there any virus in the patient?

Elena Knops, GfV 2016

The whole story (drama in 4 acts) 46y old patient alive, well and undetectable for HIV (RNA/DNA) over 3 years after allogeneic CCR5-d32 HSCT

Elena Knops, GfV 2016

The beginning (prologue) induction

consolidation

Elena Knops, GfV 2016

The beginning (prologue) induction

consolidation

Elena Knops, GfV 2016

The beginning (prologue) induction

consolidation

Elena Knops, GfV 2016

Chapter I female donor, 10 out of 10 HLAmatched CCR5-d32

....

....

one week before SCT

Elena Knops, GfV 2016

Chapter I female donor, 10 out of 10 HLAmatched CCR5-d32

....

....

one week before SCT

Elena Knops, GfV 2016

Chapter I female donor, 10 out of 10 HLAmatched CCR5-d32

....

....

one week before SCT

Elena Knops, GfV 2016

Chapter I female donor, 10 out of 10 HLAmatched CCR5-d32

....

....

one week before SCT

Elena Knops, GfV 2016

Chapter II

....

Elena Knops, GfV 2016

Chapter II total of 8 courses of 5-azacytidine + 4 donor lymphocyte infusions

....

Elena Knops, GfV 2016

Chapter III + CMV, HHV8, HSV

10 0

10 0

10 0

....

Suggest Documents