| 1. |
- Uy, G. L., et al.
(författare)
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Contribution of chemotherapy mobilization to disease control in multiple myeloma treated with autologous hematopoietic cell transplantation
- 2015
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Ingår i: Bone Marrow Transplantation. - : Springer Science and Business Media LLC. - 0268-3369 .- 1476-5365. ; 50:12, s. 1513-1518
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Tidskriftsartikel (refereegranskat)abstract
- In patients with multiple myeloma (MM) undergoing autologous hematopoietic cell transplantation (auto-HCT), peripheral blood progenitor cells may be collected following mobilization with growth factor alone (GF) or cytotoxic chemotherapy plus GF (CC+GF). It is uncertain whether the method of mobilization affects post-transplant outcomes. We compared these mobilization strategies in a retrospective analysis of 968 patients with MM from the Center for International Blood and Marrow Transplant Research database who received an auto-Ha in the US and Canada between 2007 and 2012. The kinetics of neutrophil engraftment (>= 0.5 x 10(9)/L) was similar between groups (13 vs 13 days, P=0.69) while platelet engraftment (>= 20 x 10(9)/L) was slightly faster with CC+GF (19 vs 18 days, P=0.006). Adjusted 3-year PFS was 43% (95% confidence interval (CI) 38-48) in GF and 40% (95% CI 35-45) in CC+GF, P=0.33. Adjusted 3-year OS was 82% (95% CI 78-86) vs 80% (95% CI 75-84), P=0.43 and adjusted 5-year OS was 62% (95% CI 54-68) vs 60% (95% CI 52-67), P=0.76, for GF and CC+GF, respectively. We conclude that MM patients undergoing auto-Ha have similar outcomes irrespective of the method of mobilization and found no evidence that the addition of chemotherapy to mobilization contributes to disease control.
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| 2. |
- Urbano-Ispizua, Alvaro, et al.
(författare)
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The Impact of Graft-versus-Host Disease on the Relapse Rate in Patients with Lymphoma Depends on the Histological Subtype and the Intensity of the Conditioning Regimen
- 2015
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Ingår i: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 21:10, s. 1746-1753
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to analyze the impact of graft-versus-host disease (GVHD) on the relapse rate of different lymphoma subtypes after allogeneic hematopoietic cell transplantation (allo-HCT). Adult patients with a diagnosis of Hodgkin lymphoma, diffuse large B cell lymphoma, follicular lymphoma (FL), peripheral T cell lymphoma, or mantle cell lymphoma (MCL) undergoing HLA-identical sibling or unrelated donor hematopoietic cell transplantation between 1997 and 2009 were included. Two thousand six hundred eleven cases were included. A reduced-intensity conditioning (RIC) regimen was used in 62.8% of the transplantations. In a multivariate analysis of myeloablative cases (n = 970), neither acute (aGVHD) nor chronic GVHD (cGVHD) were significantly associated with a lower incidence of relapse/progression in any lymphoma subtype. In contrast, the analysis of RIC cases (n = 1641) showed that cGVHD was associated with a lower incidence of relapse/progression in FL (risk ratio [RR],.51; P = 3.049) and in MCL (RR,.41; P = .019). Patients with FL or MCL developing both aGVHD and cGVHD had the lowest risk of relapse (RR,.14; P = .007; and RR,.15; P = .0019, respectively). Of interest, the effect of GVHD on decreasing relapse was similar in patients with sensitive disease and chemoresistant disease. Unfortunately, both aGVHD and cGVHD had a deleterious effect on treatment-related mortality and overall survival (OS) in FL cases but did not affect treatment-related mortality, OS or PFS in MCL. This study reinforces the use of RIC allo-HCT as a platform for immunotherapy in FL and MCL patients.
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| 3. |
- Bejanyan, Nelli, et al.
(författare)
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Myeloablative Conditioning for Allogeneic Transplantation Results in Superior Disease-Free Survival for Acute Myelogenous Leukemia and Myelodysplastic Syndromes with Low/Intermediate but not High Disease Risk Index : A Center for International Blood and Marrow Transplant Research Study
- 2021
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Ingår i: Transplantation and Cellular Therapy. - : Elsevier. - 2666-6375 .- 2666-6367. ; 27:1, s. 68.e1-68.e9
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Tidskriftsartikel (refereegranskat)abstract
- Compared with reduced-intensity conditioning (RIC), myeloablative conditioning (MAC) is generally associated with lower relapse risk after allogeneic hematopoietic cell transplantation (HCT) for acute myelogenous leukemia (AML) and myelodysplastic syndromes (MDS). However, disease-specific risk factors in AML/MDS can further inform when MAC and RIC may yield differential outcomes. We analyzed HCT outcomes stratified by the Disease Risk Index (DRI) in 4387 adults (age 40 to 65 years) to identify the impact of conditioning intensity. In the low/ intermediate-risk DRI cohort, RIC was associated with lower nonrelapse mortality (NRM) (hazard ratio [HR],.74; 95% confidence interval [CI],.62 to.88; P <.001) but significantly greater relapse risk (HR, 1.54; 95% CI, 1.35 to 1.76; P <.001) and thus inferior disease-free survival (DFS) (HR, 1.19; 95% CI, 1.07 to 1.33; P =.001). In the high/ very high-risk DRI cohort, RIC was associated with marginally lower NRM (HR,.83; 95% CI,.68 to 1.00; P =.051) and significantly higher relapse risk (HR, 1.23; 95% CI, 1.08 to 1.41; P =.002), leading to similar DFS using either RIC or MAC. These data support MAC over RIC as the preferred conditioning intensity for patients with AML/MDS with low/intermediate-risk DRI, but with a similar benefit as RIC in high/very high-risk DRI. Novel MAC regimens with less toxicity could benefit all patients, but more potent antineoplastic approaches are needed for the high/ very-high risk DRI group.
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| 4. |
- Fassmer, K., et al.
(författare)
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Middle Ordovician subduction of continental crust in the Scandinavian Caledonides - an example from Tjeliken, Seve Nappe Complex, Sweden.
- 2017
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Ingår i: Contributions to Mineralogy and Petrology. - : Springer Science and Business Media LLC. - 0010-7999 .- 1432-0967. ; 172
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Tidskriftsartikel (refereegranskat)abstract
- The Seve Nappe Complex of the Scandinavian Caledonides is thought to be derived from the distal passive margin of Baltica which collided with Laurentia in the Scandian Phase of the Caledonian Orogeny at 430–400 Ma. Parts of the Seve Nappe Complex were affected by pre-Scandian high- and ultrahigh-pressure metamorphism, in a tectonic framework that is still unclear, partly due to uncertainties about the exact timing. Previous age determinations yielded between ~ 505 and ~ 446 Ma, with a general trend of older ages in the North (Norrbotten) than in the South (Jämtland). New age determinations were performed on eclogite and garnet–phengite gneiss at Tjeliken in northern Jämtland. Thermodynamic modelling yielded peak metamorphic conditions of 25–27 kbar/680–760 °C for the garnet–phengite gneiss, similar to published peak metamorphic conditions of the eclogite (25–26 kbar/650–700 °C). Metamorphic rims of zircons from the garnet–phengite gneiss were dated using secondary ion mass spectrometry and yielded a concordia age of 458.9 ± 2.5 Ma. Lu–Hf garnet-whole rock dating yielded 458 ± 1.0 Ma for the eclogite. Garnet in the eclogite shows prograde major-element zoning and concentration of Lu in the cores, indicating that this age is related to garnet growth during pressure increase, i.e. subduction. The identical ages from both rock types, coinciding with published Sm–Nd ages from the eclogite, confirm subduction of the Seve Nappe Complex in Northern Jämtland during the Middle Ordovician in a fast subduction–exhumation cycle.
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| 5. |
- Klemme, S., et al.
(författare)
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Synthesis and preliminary characterisation of new silicate, phosphate and titanite reference glasses
- 2008
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Ingår i: Geostandards and Geoanalytical Research. - 1639-4488. ; 32:1, s. 39-54
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Tidskriftsartikel (refereegranskat)abstract
- Eleven synthetic silicate and phosphate glasses were prepared to serve as reference materials for in situ microanalysis of clinopyroxenes, apatite and titanite, and other phosphate and titanite phases. Analytical results using different micro-analytical techniques showed that the glass fragments were homogeneous in major and trace elements down to the micrometre scale. Trace element determinations using inductively coupled plasma-mass spectrometry (ICP-MS), multi-collector inductively coupled plasma-mass spectrometry (MC-ICP-MS), laser-ablation inductively coupled plasma-mass spectrometry (LA-ICP-MS) and secondary ionisation mass spectrometry (SIMS) showed good agreement for most elements (Li, Be, B, Cs, Rb, Ba, Sr, Ga, Pb, U, Th, Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Er, Tm, Yb, Lu, Zr, Hf, Ta, Nb) studied and provide provisional recommended values.
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| 6. |
- Dhakal, Binod, et al.
(författare)
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Hematopoietic cell transplantation utilization and outcomes for primary plasma cell leukemia in the current era
- 2020
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Ingår i: Leukemia. - : SPRINGERNATURE. - 0887-6924 .- 1476-5551. ; 34:12, s. 3338-3347
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Tidskriftsartikel (refereegranskat)abstract
- The outcomes of patients with primary plasma cell leukemia (pPCL) after undergoing hematopoietic cell transplantation (HCT) in the novel agent era are unknown. We report outcomes of 348 patients with pPCL receiving autologous (auto-) HCT (n = 277) and allogeneic (allo-) HCT (n = 71) between 2008 and 2015. Median age was 60 years and 56 years for auto- and allo-HCT respectively. For auto-HCT, the 4-year outcomes were: non-relapse mortality (NRM) 7% (4-11%), relapse (REL) 76% (69-82%), progression-free survival (PFS) 17% (13-23%), and overall survival (OS) 28% (22-35%). Karnofsky performance status (KPS) > 90 and >= very good partial response (VGPR) predicted superior OS in multi-variate analysis for auto-HCT. For allo-HCT, the 4-year outcomes were: NRM 12% (5-21%), REL 69% (56-81%), PFS 19% (10-31%), and OS 31% (19-44%). Compared with prior CIBMTR pPCL patients (1995-2006), inferior survival was noted in the current cohort (3-year OS, 39% vs. 38% in allo-HCT, and 62% vs. 35% in auto-HCT) respectively. However, we noted an increased HCT utilization, from 12% (7-21%) in 1995 to 46% (34-64%) in 2009 using SEER data (available till 2009). Despite modern induction translating to higher proportion receiving HCT, the outcomes remain poor in pPCL patients, mainly derived by high relapse rates post-HCT.
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| 7. |
- Kosminska, Karolina, et al.
(författare)
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Monazite in the eclogite and blueschist of the Svalbard Caledonides : its origin and forming-reactions
- 2023
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Ingår i: Contributions to Mineralogy and Petrology. - : Springer. - 0010-7999 .- 1432-0967. ; 178
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Tidskriftsartikel (refereegranskat)abstract
- High-pressure low-temperature rocks from Svalbard are an excellent target for studying metamorphic reactions in Phanerozoic subduction zones. This study reveals the presence of monazite in an eclogite and a blueschist from the Vestgotabreen Complex, southwestern Svalbard. In order to investigate the monazite-forming reaction, we obtained pressure-temperature estimates coupled with U-Pb and Lu-Hf dating. Combined geothermobarometry allows to constrain three evolutionary stages of garnet growth in the eclogite: nucleation (1.6 & PLUSMN; 0.3 GPa at 460 & PLUSMN; 60 & DEG;C), peak-pressure (2.3 & PLUSMN; 0.3 GPa at 507 & PLUSMN; 60 & DEG;C), and peak-temperature (2.1 & PLUSMN; 0.3 GPa at 553 & PLUSMN; 60 & DEG;C). A zircon age of 482 & PLUSMN; 10 Ma is interpreted to belong to the prograde part of the pressure-temperature path. Monazite forms inclusions within garnet rims, or it is surrounded by allanite and apatite, altogether forming pseudomorphs of a tabular shape in the matrix. Textures, geothermobarometry and geochronology support the conclusion the monazite formed under high-pressure conditions at 471 & PLUSMN; 6 Ma. We propose that the monazite crystallization in the eclogite happened due to a decomposition of accessory phases during the decompression after peak-pressure of the metamorphic cycle. Monazite in the blueschist occurs as inclusions in garnet cores and gives an indicative age of 486 & PLUSMN; 6 Ma, which is interpreted to reflect the prograde growth of the garnet. Lu-Hf garnet dating resolves an age of peak-pressure metamorphism in the blueschist at 471.1 & PLUSMN; 4 Ma under conditions of 2.0 & PLUSMN; 0.03 GPa and 500 & PLUSMN; 30 & DEG;C. The Vestgotabreen Complex provides evidence for an early Ordovician modern-style subduction system in the proximity of the Baltica margin. Hence, this study also supports the tectonic models that favour a mixed Baltican and Laurentian provenance of south-western Svalbard.
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| 8. |
- Lazaryan, Aleksandr, et al.
(författare)
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Impact of cytogenetic abnormalities on outcomes of adult Philadelphia-negative acute lymphoblastic leukemia after allogeneic hematopoietic stem cell transplantation : a study by the Acute Leukemia Working Committee of the Center for International Blood and Marrow Transplant Research
- 2020
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Ingår i: Haematologica. - : Ferrata Storti Foundation (Haematologica). - 0390-6078 .- 1592-8721. ; 105:5, s. 1329-1338
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Tidskriftsartikel (refereegranskat)abstract
- Cytogenetic risk stratification at diagnosis has long been one of the most useful tools to assess prognosis in acute lymphoblastic leukemia (ALL). To examine the prognostic impact of cytogenetic abnormalities on outcomes after allogeneic hematopoietic cell transplantation, we studied 1731 adults with Philadelphia-negative ALL in complete remission who underwent myeloablative or reduced intensity/non-myeloablative conditioning transplant from unrelated or matched sibling donors reported to the Center for International Blood and Marrow Transplant Research. A total of 632 patients had abnormal conventional metaphase cytogenetics. The leukemia-free survival and overall survival rates at 5 years after transplantation in patients with abnormal cytogenetics were 40% and 42%, respectively, which were similar to those in patients with a normal karyotype. Of the previously established cytogenetic risk classifications, modified Medical Research Council-Eastern Cooperative Oncology Group score was the only independent prognosticator of leukemia-free survival (P=0.03). In the multivariable analysis, monosomy 7 predicted post-transplant relapse [hazard ratio (HR)=2.11; 95% confidence interval (95% CI): 1.04-4.27] and treatment failure (HR=1.97; 95% CI: 1.20-3.24). Complex karyotype was prognostic for relapse (HR=1.69; 95% CI: 1.06-2.69), whereas t(8;14) predicted treatment failure (HR=2.85; 95% CI: 1.35-6.02) and overall mortality (HR=3.03; 95% CI: 1.44-6.41). This large study suggested a novel transplant-specific cytogenetic scheme with adverse [monosomy 7, complex karyotype, del(7q), t(8;14), t(11;19), del(7q), tetraploidy/near triploidy], intermediate (normal karyotype and all other abnormalities), and favorable (high hyperdiploidy) risks to prognosticate leukemia-free survival (P=0.02). Although some previously established high-risk Philadelphia-negative cytogenetic abnormalities in ALL can be overcome by transplantation, monosomy 7, complex karyotype, and t(8;14) continue to pose significant risks and yield inferior outcomes.
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| 9. |
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| 10. |
- Luvizotto, G. L., et al.
(författare)
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Rutile crystals as potential trace element and isotope mineral standards for microanalysis
- 2009
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Ingår i: Chemical Geology. - 0009-2541. ; 261:3-4, s. 346-369
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Tidskriftsartikel (refereegranskat)abstract
- The present paper reports trace element concentrations of 15 elements (V, Cr, Fe, Zr, Nb, Mo, Sn, Sb, Hf, Ta, W, Lu, Pb, Th and U) as well as Ph and Hf isotope data for four relatively homogeneous and large (centimeter size) rutile grains. Methods employed are SIMS, EMP, LA-ICP-MS, ID-MC-ICP-MS and TIMS. For most elements homogeneity is usually within +/- 10% and occasionally variations are even narrower (+/- 5%), particularly in the core of two of the studied grains. The trace element concentrations of the grains span a broad compositional range (e.g., Zr concentrations are ca. 4, 100, 300 and 800 ppm). Provisional concentration values, calculated based on the homogeneity of the element and agreement between techniques, are presented for Zr, Nb, Sn, Sb, Hf, Ta, W and U. The present work represents a significant step forward in finding a suitable mineral standard for rutile microanalysis and encourages not only further search for mineral standards but also applications of rutile in the field of geochemistry and geochronology. In this sense, the rutiles presented here are useful as mineral standard in general in-situ rutile measurements, particularly for Zr-in-rutile thermometry, quantitative provenance studies (Nb and Cr concentrations as index of source rock type) and U-Pb dating. One of the studied grains has a relatively high U concentration (ca. 30 ppm) and rather constant U-Pb ages (1085.1 to 1096.2 Ma (207)Pb/(235)U ages and 1086.3 to 1096.6 Ma, (206)Pb/(238)U ages), favoring its application as an age standard for U-Pb rutile dating. Since Lu concentrations in rutile are very low and Hf concentrations can be relatively high (tens of ppm), detrital rutiles may be suitable for obtaining initial Hf isotope composition of source rocks, therefore the rutiles presented here can be used as calibration material for in-situ rutile Hf isotope studies. (C) 2008 Elsevier B.V. All rights reserved.
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