Safety of allogeneic hematopoietic stem cell transplantation in beta-thalassemia patients with chronic hepatitis C infections treated at a pediatric center.


Journal

Pediatric transplantation
ISSN: 1399-3046
Titre abrégé: Pediatr Transplant
Pays: Denmark
ID NLM: 9802574

Informations de publication

Date de publication:
09 2019
Historique:
received: 05 03 2019
revised: 30 04 2019
accepted: 23 05 2019
pubmed: 19 6 2019
medline: 14 7 2020
entrez: 19 6 2019
Statut: ppublish

Résumé

The outcome of allogeneic HCT in patients previously infected with HCV is a widely debated topic and rarely reported in the pediatric and young adult age group given the small population of affected patients. New medications directly targeting HCV have induced virologic cures for over 90% of patients, and their use in the pretransplant setting may improve outcomes for patients infected with HCV. We describe two patients with transfusion-dependent beta-thalassemia major who underwent matched sibling donor bone marrow transplantation, one with a myeloablative regimen and one with a reduced-intensity conditioning regimen. Allogeneic HCT appears feasible in patients with HCV infection that clear viremia prior to conditioning therapy and with a reduced-intensity conditioning regimen. Further investigation is warranted to better define transplant risks in this population.

Identifiants

pubmed: 31209983
doi: 10.1111/petr.13520
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13520

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Références

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Auteurs

Archana Ramgopal (A)

Department of Hematology Oncology, Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Adam Lauko (A)

Department of Hematology Oncology, Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Seth Rotz (S)

Department of Hematology Oncology, Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Rabi Hanna (R)

Department of Hematology Oncology, Cleveland Clinic Children's Hospital, Cleveland, Ohio.

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