Table 1 Summary of examined studies.

From: Veno-occlusive disease/sinusoidal obstruction syndrome in patients with prior gemtuzumab ozogamicin: literature analysis of survival after defibrotide treatment

Reference

Patient population receiving GO

DF as prophylaxis

Outcome of VOD/SOS with DF treatment

  

Number of patients

Incidence of VOD/SOS

 

PubMed search

Battipaglia et al. 201714

Retrospective; HCT in 146 adults

4 patients

2 developed VOD/SOS

VOD/SOS treated with DF in 2 patients; both survived (1 received prophylaxis with DF, the other received heparin)

Richardson et al. 201015

20 adult and pediatric patients with VOD/SOS and MOD

All received DF (phase 2 dose-finding study); Day 100 survival was 50% (n = 10/20); trend toward higher CR rate in GO subgroup

Zwaan et al. 201016

30 pediatric patients treated for AML relapse

8 patients

No cases of VOD/SOS

Bornhäuser et al. 200817

31 patients with refractory AML

1 case of VOD/SOS after HCT; treated successfully with DF

Lannoy et al. 200618

1 patient treated for relapsed AML

DF deemed effective in treating symptoms of VOD/SOS; death attributed to GO failure

Reinhardt et al. 200419

12 pediatric patients treated for relapsed AML

1 patient with VOD/SOS treated successfully with DF

Versluys et al. 200420

7 patients treated for relapsed AML prior to HCT

6 patients

No cases of VOD/SOS

1 patient without DF prophylaxis had severe VOD/SOS, which was successfully treated with DF

Saviola et al. 200321

1 adult with refractory AML

VOD/SOS treated successfully with DF

Congress report identified separately from PubMed search

Corbacioglu et al. 201522a

16 pediatric patients at high risk of VOD/SOS prior to HCT

11 patients

2 developed VOD/SOS

  1. aThis ASH abstract reporting a study of 356 patients was not included in the analysis, which focused on published manuscripts in PubMed.
  2. GO gemtuzumab ozogamicin, DF defibrotide, VOD/SOS veno-occlusive disease/sinusoidal obstruction syndrome, HCT hematopoietic cell transplantation, MOD multi-organ dysfunction, CR complete response, AML acute myeloid leukemia.