Long-term outcome of a randomized controlled study in patients with newly diagnosed severe aplastic anemia treated with antithymocyte globulin and cyclosporine, with or without granulocyte colony-stimulating factor: a Severe Aplastic Anemia Working Party Trial from the European Group of Blood and Marrow Transplantation.


Journal

Haematologica
ISSN: 1592-8721
Titre abrégé: Haematologica
Pays: Italy
ID NLM: 0417435

Informations de publication

Date de publication:
05 2020
Historique:
received: 20 03 2019
accepted: 30 09 2019
pubmed: 5 10 2019
medline: 28 4 2021
entrez: 5 10 2019
Statut: ppublish

Résumé

This follow-up study of a randomized, prospective trial included 192 patients with newly diagnosed severe aplastic anemia receiving antithymoglobulin and cyclosporine, with or without granulocyte colony-stimulating factor (G-CSF). We aimed to evaluate the long-term effect of G-CSF on overall survival, event-free survival, probability of secondary myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML), clinical paroxysmal nocturnal hemoglobinuria, relapse, avascular osteonecrosis and chronic kidney disease. The median follow-up was 11.7 years (95% CI, 10.9-12.5). The overall survival rate at 15 years was 57±12% in the group given G-CSF and 63±12% in the group not given G-CSF (

Identifiants

pubmed: 31582549
pii: haematol.2019.222562
doi: 10.3324/haematol.2019.222562
pmc: PMC7193468
doi:

Substances chimiques

Antilymphocyte Serum 0
Immunosuppressive Agents 0
Granulocyte Colony-Stimulating Factor 143011-72-7
Cyclosporine 83HN0GTJ6D

Banques de données

ClinicalTrials.gov
['NCT01163942']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

1223-1231

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright© 2020 Ferrata Storti Foundation.

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Auteurs

André Tichelli (A)

Division of Hematology, University Hospital Basel, Basel, Switzerland tichelli@datacomm.ch.

Régis Peffault de Latour (RP)

Université de Paris, and Hematology-Transplantation, Saint Louis Hospital (AP-HP), Paris, France.

Jakob Passweg (J)

Division of Hematology, University Hospital Basel, Basel, Switzerland.

Cora Knol-Bout (C)

EBMT Registry Office, Leiden, the Netherlands.

Gérard Socié (G)

Université de Paris, INSERM U976 and Hematology-Transplantation, Saint Louis Hospital (AP-HP), Paris, France.

Judith Marsh (J)

Department of Haematological Medicine, King's College Hospital/King's College London, London, UK.

Hubert Schrezenmeier (H)

Institute of Tranfusion Medicine, University of Ulm and Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.

Britta Höchsmann (B)

Institute of Tranfusion Medicine, University of Ulm and Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm, Ulm, Germany.

Andrea Bacigalupo (A)

Instituto di Ematologia, Fondazione Policlinico Universitario Gemelli IRCSS, Università Cattolica del Sacro Cuore, Roma, Italy.

Sujith Samarasinghe (S)

Sujith Samarasinghe, Great Ormond Street Hospital, London, UK.

Alicia Rovó (A)

Department of Hematology and Central Hematology Laboratory, Bern University Hospital, University of Bern, Bern, Switzerland.

Austin Kulasekararaj (A)

Department of Haematological Medicine, King's College Hospital, NIHR/Wellcome King's Clinical Research Facility, London, UK.

Alexander Röth (A)

Department of Hematology, West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Dirk-Jan Eikema (DJ)

EBMT Registry Office, Leiden, the Netherlands.

Paul Bosman (P)

EBMT Registry Office, Leiden, the Netherlands.

Peter Bader (P)

University Children's Hospital Frankfurt, Frankfurt, Germany.

Antonio Risitano (A)

Hematology Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.

Carlo Dufour (C)

Hemato-Onco-SCT Pole, Hematology Unit. G. Gaslini Children's Research Hospital, Genova, Italy.

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Classifications MeSH