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Monday 21 December 2015

Monash haematology research showcased at ASH Scientific Meeting in North America

Dr Sumita Ratnasingam with poster at
the ASH in Orlando, Florida.
An abstract presented by Monash Haematology Research Fellow Dr Sumita Ratnasingam at the American Society of Haematology (ASH) Scientific Meeting in Orlando, Florida last week has been selected for the "2016 Highlights of ASH in North America".

Published this month in Blood, the abstract Bortezomib Yields High Response Rates in Antibody-Mediated Autoimmune Hematological Diseases Refractory to Conventional Immunosuppression, is a collaborative research study led by Monash researchers including Dr Rathasingam, Associate Professor Stephen Opat and Associate Professor Jake Shortt.  Other contributors included collaborating clinicians from the Alfred, Monash and Peninsula Health.

“The authors describe the first case series of bortezomib use in autoimmune hematological disease,” said co-author Associate Professor Shortt.
“Building on an initial case from Monash Health that was reported in the New England Journal of Medicine (Shortt et al, NEJM, 2013; 368: 90-2), the anti-cancer drug bortezomib has now been successfully repurposed in a range of non-malignant immune-mediated diseases.”

Bortezomib was designed to kill myeloma cells—these arise from the part of the immune system that makes antibodies.

In autoimmune disease, antibodies from non-cancerous plasma cells are produced and these can attack normal tissues, including blood cells.

“On this basis, we have now used bortezomib ‘off-label’ to reduce antibody production in autoimmune disease, and it appears to be both effective and well tolerated,” added Associate Professor Shortt.

The novelty of this work merited selection showcasing in the ‘Highlights of ASH in North America, 2016’ program, which provides a re-cap of ‘stand out’ abstracts from the ASH meeting.

Investigators at Monash Haematology and the School of Clinical Sciences at Monash Health are currently developing a trial protocol in which to formally test this approach prospectively in patients.


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