Tolerance of dinutuximab therapy for treatment of high‐risk neuroblastoma in two patients with end‐stage renal disease on dialysis. Issue 3 (31st December 2020)

• Record Type: Journal Article
• Authors: Emberesh, Myesa; Rubinstein, Jeremy D.; Young, Jennifer; Benoit, Stefanie W.; Dandoy, Christopher E.; Weiss, Brian D.
• Is Part Of: Pediatric blood & cancer. Volume 68:Issue 3(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-12-31
• Subjects: dialysis -- dinutuximab -- end‐stage renal disease -- neuroblastoma -- transplant‐associated thrombotic microangiopathy; Tumors in children -- Periodicals; Blood -- Diseases -- Periodicals; Cancer in children -- Periodicals; 618.92
• DOI: 10.1002/pbc.28852
• Languages: English
• ISSNs: 1545-5009

Abstract

Abstract: Autologous hematopoietic cell transplant (aHCT) has a significant survival advantage in patients with high‐risk (HR) neuroblastoma. Transplant‐associated thrombotic microangiopathy (TA‐TMA) is a serious complication and may result in chronic renal disease leading to delay in subsequent posttransplant therapy and limitations of treatment options. Dinutuximab represents an important therapeutic advance in the treatment of pediatric HR neuroblastoma, but historically has not been administered in patients with GFR < 60 mL/m 2 /min. Here, we present the safe outcome of dinutuximab administration while on renal replacement therapy in two cases of HR neuroblastoma with end‐stage renal disease secondary to TA‐TMA.