Reduced 8-Gray Compared to Standard 12-Gray Total Body Irradiation for Allogeneic Transplantation in First Remission Acute Lymphoblastic Leukemia: A Study of the Acute Leukemia Working Party of the EBMT.


Journal

HemaSphere
ISSN: 2572-9241
Titre abrégé: Hemasphere
Pays: United States
ID NLM: 101740619

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 19 07 2022
accepted: 28 10 2022
entrez: 26 1 2023
pubmed: 27 1 2023
medline: 27 1 2023
Statut: epublish

Résumé

In this registry-based study, we compared outcomes of allogeneic hematopoietic cell transplantation (allo-HCT) in adult patients with acute lymphoblastic leukemia (ALL) transplanted in first complete remission (CR-1), following conditioning with total body irradiation (TBI) at a standard 12-Gray or at a lower 8-Gray total dose. Patients received fludarabine (flu) as the sole chemotherapy complementing TBI. Eight-Gray TBI/flu was used in 494 patients and 12-Gray TBI/flu in 145 patients. Eighty-eight (23.1%) and 36 (29%) of the patients had Ph-negative B-ALL, 222 (58.3%) and 53 (42.7%) had Ph-positive B-ALL, 71 (18.6%) and 35 (28.2%) T-ALL, respectively (

Identifiants

pubmed: 36698616
doi: 10.1097/HS9.0000000000000812
pmc: PMC9831184
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e812

Informations de copyright

Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Hematology Association.

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Auteurs

Alexandros Spyridonidis (A)

Bone Marrow Transplantation Unit and Institute of Cellular Therapy, University of Patras, Greece.

Myriam Labopin (M)

Sorbonne University, Saint-Antoine Hospital, AP-HP, INSERM UMRs 938, Paris, France.

Bipin Savani (B)

Vanderbilt University Medical Center, Nashville, TN, USA.

Sebastian Giebel (S)

Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland.

Gesine Bug (G)

Department of Medicine II, Hematology, Medical Oncology, Goethe-University, Frankfurt, Germany.

Stefan Schönland (S)

Medical Department V, University Hospital Heidelberg, Germany.

Nicolaus Kröger (N)

Department of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.

Matthias Stelljes (M)

Department of Hematology/Oncology, University of Muenster, Germany.

Thomas Schroeder (T)

Department of Bone Marrow Transplantation, University Hospital, Essen, Germany.

Andrew McDonald (A)

Alberts Cellular Therapy, Netcare Pretoria East Hospital, South Africa.

Igor-Wolfgang Blau (IW)

Charité Universitätsmedizin Berlin, Germany.

Martin Bornhäuser (M)

University Hospital, TU Dresden, Germany.

Montse Rovira (M)

BMT Unit, Hematology Department, Institute of Hematology & Oncology, Josep Carreras Institute, Barcelona, Spain.

Wolfgang Bethge (W)

Department of Hematology & Oncology, University Hospital Tuebingen, Medical Center, Tuebingen, Germany.

Andreas Neubauer (A)

Philipps Universitaet Marburg, University of Hospital Giessen and Marburg, Germany.

Arnold Ganser (A)

Hannover Medical School, Germany.

Jean Henri Bourhis (JH)

Gustave Roussy Cancer Campus BMT, Department of Hematology, Villejuif, France.

Matthias Edinger (M)

Department of Hematology and Oncology, University Regensburg, Germany.

Bruno Lioure (B)

Hematology, Stem Cell Transplant Unit, ICANS, Strasbourg, France.

Gerald Wulf (G)

University Medicine Goettingen, Hematology and Medical Oncology, Goettingen, Germany.

Kerstin Schäfer-Eckart (K)

Klinikum Nuernberg, 5. Medizinische Klinik, BMT-Unit, Nuernberg, Germany.

Mutlu Arat (M)

Demiroglu Bilim Univ. Istanbul Florence Nightingale Hospital, Istanbul, Turkey.

Zinaida Peric (Z)

University Hospital Centre, Zagreb, Croatia.

Christoph Schmid (C)

Universitatsklinikum Augsburg, Section Stem Cell Transplantation, Augsburg University and Medical Faculty, Germany.

Ali Bazarbachi (A)

Bone Marrow Transplantation Program, Department of Internal Medicine, American University of Beirut-Medical Center, Beirut, Lebanon.

Fabio Ciceri (F)

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

Arnon Nagler (A)

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

Mohamad Mohty (M)

Sorbonne University, Saint-Antoine Hospital, AP-HP, INSERM UMRs 938, Paris, France.

Classifications MeSH