Outcome of children relapsing after first allogeneic haematopoietic stem cell transplantation for acute myeloid leukaemia: a retrospective I-BFM analysis of 333 children.


Journal

British journal of haematology
ISSN: 1365-2141
Titre abrégé: Br J Haematol
Pays: England
ID NLM: 0372544

Informations de publication

Date de publication:
05 2020
Historique:
received: 26 08 2019
accepted: 28 10 2019
pubmed: 6 2 2020
medline: 13 1 2021
entrez: 4 2 2020
Statut: ppublish

Résumé

Outcome of 333 children with acute myeloid leukaemia relapsing after a first allogeneic haematopoietic stem cell transplantation was analyzed. Four-year probability of overall survival (4y-pOS) was 14%. 4y-pOS for 122 children receiving a second haematopoietic stem cell transplantation was 31% and 3% for those that did not (P = <0·0001). Achievement of a subsequent remission impacted survival (P = <0·0001). For patients receiving a second transplant survival with or without achieving a subsequent remission was comparable. Graft source (bone marrow vs. peripheral blood stem cells, P = 0·046) and donor choice (matched family vs. matched unrelated donor, P = 0·029) positively impacted survival after relapse. Disease recurrence and non-relapse mortality at four years reached 45% and 22%.

Identifiants

pubmed: 32012224
doi: 10.1111/bjh.16441
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

745-750

Informations de copyright

© 2020 British Society for Haematology and John Wiley & Sons Ltd.

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Auteurs

Theodor Uden (T)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, Universities of Medical University Hannover, Hannover, Germany.

Alice Bertaina (A)

IRCCS "Bambino Gesù" Children's Hospital, Rome, Italy.

Jonas Abrahamsson (J)

Institution of Clinical Sciences, Sahlgrenska University Hospital, Gothenburg, Sweden.

Marc Ansari (M)

Cansearch Research Laboratory, Geneva University Hospital, Geneva University, Geneva, Switzerland.

Adriana Balduzzi (A)

Clinica Pediatrica Università degli Studi di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.

Jean-Pierre Bourquin (JP)

University Children's Hospital Zurich, CHE, Zurich, Switzerland.

Corinne Gerhardt (C)

Princess Maxima Centre for Pediatric Oncology, Childrens University Hospital Utrecht, Utrecht, Netherlands.

Marc Bierings (M)

Princess Maxima Centre for Pediatric Oncology, Childrens University Hospital Utrecht, Utrecht, Netherlands.

Henrik Hasle (H)

Aarhus University Hospital, Arhus, Sweden.

Arjan Lankester (A)

Willem Alexander Children's Hospital, Leiden University Medical Centre, Leiden, Netherlands.

Kirsten Mischke (K)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, Universities of Medical University Hannover, Hannover, Germany.

Andrew S Moore (AS)

Queensland Children's Hospital and The University of Queensland, Brisbane, QLD, Australia.

Ian Nivison-Smith (I)

Australasian Bone Marrow Transplant Recipient Registry, Darlinghurst, NSW, Australia.

Anna Pieczonka (A)

University of Medical Sciences, Poznan, Poland.

Christina Peters (C)

St Anna Childrens Hospital, Vienna, Austria.

Petr Sedlacek (P)

University Hospital Motol, Charles University, Prague, Czech Republic.

Dirk Reinhardt (D)

University of Duisburg-Essen, Essen, Germany.

Jerry Stein (J)

Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Birgitta Versluys (B)

University Medical Center Utrecht, Utrecht, Netherlands.

Jacek Wachowiak (J)

University of Medical Sciences, Poznan, Poland.

Leen Willems (L)

Ghent University Hospital, Ghent, Belgium.

Martin Zimmermann (M)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, Universities of Medical University Hannover, Hannover, Germany.

Franco Locatelli (F)

IRCCS "Bambino Gesù" Children's Hospital, Rome, Italy.
Sapienza, University of Rome, Rome, Italy.

Martin G Sauer (MG)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, Universities of Medical University Hannover, Hannover, Germany.

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