Comparison of Haploidentical Bone Marrow versus Matched Unrelated Donor Peripheral Blood Stem Cell Transplantation with Posttransplant Cyclophosphamide in Patients with Acute Leukemia.


Journal

Clinical cancer research : an official journal of the American Association for Cancer Research
ISSN: 1557-3265
Titre abrégé: Clin Cancer Res
Pays: United States
ID NLM: 9502500

Informations de publication

Date de publication:
01 02 2021
Historique:
received: 21 07 2020
revised: 31 08 2020
accepted: 30 10 2020
pubmed: 6 11 2020
medline: 19 1 2022
entrez: 5 11 2020
Statut: ppublish

Résumé

Posttransplant cyclophosphamide (PTCy) is increasingly being utilized as a principle GvHD prophylaxis strategy in allogeneic hematopoietic cell transplantation (allo-HCT). A haploidentical (haplo) or matched unrelated donor (UD) is a valid option in the absence of a matched related donor. We compared the outcomes of patients with acute leukemia who underwent haplo bone marrow (haplo-BM, The median follow-up duration was 36 months in the haplo-BM group and 16.6 months in the UD-PB group, respectively ( The use of a haplo donor with a BM graft resulted in a lower incidence of GvHD compared with a UD-PB stem cell graft in the setting of PTCy for patients with acute leukemia. However, differences in GvHD did not translate into a difference in survival outcomes. Based upon these data, UD-PB or haplo-BM should be considered equally acceptable sources for allo-HCT.

Identifiants

pubmed: 33148668
pii: 1078-0432.CCR-20-2809
doi: 10.1158/1078-0432.CCR-20-2809
doi:

Substances chimiques

Myeloablative Agonists 0
Cyclophosphamide 8N3DW7272P

Types de publication

Comparative Study Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

843-851

Informations de copyright

©2020 American Association for Cancer Research.

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Auteurs

Arnon Nagler (A)

Division of Hematology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
EBMT ALWP office Hôpital Saint-Antoine, Paris, France.

Myriam Labopin (M)

EBMT ALWP office Hôpital Saint-Antoine, Paris, France.

Bhagirathbhai Dholaria (B)

Department of Hematology-Oncology, Vanderbilt University Medical Center, Nashville, Tennessee. bhagirathbhai.r.dholaria@vumc.org.

Emanuele Angelucci (E)

Hematology and Transplant Center, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.

Boris Afanasyev (B)

Institute for Paediatric Oncology, Hematology, and Transplantation, First State Pavlov Medical University of St. Petersburg, Raisa Gorbacheva Memorial Research, St. Petersburg, Russian Federation.

Jan J Cornelissen (JJ)

Department of Hematology, Erasmus MC Cancer Institute, University Medical Center, Rotterdam, the Netherlands.

Simona Sica (S)

Istituto di Ematologia, Ematologia, Universita Cattolica S. Cuore, Rome, Italy.

Ellen Meijer (E)

Department of Hematology (Br 250), VU University Medical Center, Amsterdam, the Netherlands.

Fabio Ciceri (F)

Haematology and BMT, Ospedale San Raffaele s.r.l, Milano, Italy.

Gwendolyn Van Gorkom (G)

Department of Internal Medicine, Hematology/Oncology, University Hospital Maastricht, Maastricht, the Netherlands.

Nicolaus Kröger (N)

Bone Marrow Transplantation Centre, University Hospital Eppendorf, Hamburg, Germany.

Hans Martin (H)

Hämatologie, Medizinische Onkologie, Goethe-Universitaet, Medizinische Klinik II, Frankfurt, Germany.

Pietro Pioltelli (P)

Clinica Ematologica dell Universita Milano-Biocca, Ospedale San Gerardo, Monza, Italy.

Antonio Risitano (A)

Division of Hematology, University of Napoli, Federico II Medical School, Napoli, Italy.

Jonathan Canaani (J)

Division of Hematology, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Bipin N Savani (BN)

Department of Hematology-Oncology, Vanderbilt University Medical Center, Nashville, Tennessee.

Jaime Sanz (J)

Hematology Department, University Hospital La Fe, Valencia, Spain.

Mohamad Mohty (M)

Service d'Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, AP-HP, Sorbonne University, and INSERM UMRs 938, Paris, France.

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