RE: CD52 in patients with CLL

From: Stetler-Stevenso, Maryalice (NCI) (stetler@mail.nih.gov)
Date: Fri May 10 2002 - 07:43:21 EST


Being at NIH means I don't know standard practice in the private sector.
However, there are so many treatments for CLL
I can't believe that all will receive CAMPATH-1H. As CLL is an indolent
disease and antigen expression does change in time, I wonder the wisdom of
looking at CD52 up front. A patient may go 10 years without treatment. In 10
years time we may not use CAMPATH-1H anymore. We look at CD52 when it is
requested. We look at CD20 all the time because it is an important B cell
antigen and it's level of expression is of diagnostic use in CLL- not
because we expect Rituxamab treatment (although the later is true too). I
would be interested to hear what others are doing on a routine basis in CLL-
at diagnosis and when treatment is necessary.

Maryalice Stetler-Stevenson, M.D., Ph.D.
Chief, Flow Cytometry Unit
Laboratory of Pathology, NCI, NIH

Sometimes you're the windshield, sometimes you're the bug.

> ----------
> From:		Andrea Illingworth
> Sent:		Thursday, May 9, 2002 1:53 PM
> To:	Cytometry Mailing List
> Subject:	CD52 in patients with CLL
>
> Dear group,
> What is the current consensus regarding flow cytometric analysis of CD52
> in CLL's for CAMPATH-1H treatment? Are flow labs performing CD52 staining
> on all of their CLL's and are most clinicians using this information for
> treatment decisions?
>
> Thank you for your help!
>
> Andrea Illingworth, MS, H(ASCP)
> Dahl-Chase Flow Cytometry
> 333 State Street
> Bangor, Maine 04401
>





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