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This therapeutic regimen consists of a non-myeloablative (reduced-intensity) conditioning phase using the chemotherapy agents fludarabine and cyclophosphamide, followed by an allogeneic peripheral blood stem cell (PBSC) transplant. Fludarabine and cyclophosphamide serve to lymphodeplete the patient, preventing graft rejection and providing some anti-tumor activity. The subsequent infusion of donor PBSCs (containing CD34+ hematopoietic stem cells and CD3+ T-lymphocytes) aims to establish a new hematopoietic system and induce a graft-versus-leukemia (GVL) effect, where donor immune cells recognize and eliminate residual malignant cells. This approach is specifically investigated for patients with chronic lymphocytic leukemia (CLL), prolymphocytic leukemia (PLL), low-grade non-Hodgkin lymphoma (NHL), and mantle cell lymphoma (MCL).
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