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In vivo‘Purging’ of residual disease in CLL with Campath‐1H

We assessed the role of human CD52 antibody (Campath‐1H) in six patients with chronic lymphocytic leukaemia (CLL) treated to maximal response with purine analogues (fludarabine/deoxycoformycin) in whom persistent leukaemic infiltration of blood and bone marrow had precluded autologous stem cell transplantation. Five patients achieved haematological and histological complete remission following Campath‐1H and one had minimal focal residual CLL in a trephine biopsy. Autologous transplantation was performed in two patients without complications and with rapid haemopoietic engraftment. Treatment with Campath‐1H may be of value in eradicating residual disease in CLL and may facilitate high‐dose therapy in young patients.