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Mobilized peripheral blood stem cells compared with bone marrow from HLA-identical siblings for reduced-intensity conditioning transplantation in acute myeloid leukemia in complete remission: a retrospective analysis from the Acute Leukemia Working Party of EBMT
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- Nagler, Arnon (författare)
- Chaim Sheba Medical Centre, Israel
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- Labopin, Myriam (författare)
- UPMC University of Paris, France
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- Shimoni, Avichai (författare)
- Chaim Sheba Medical Centre, Israel
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- Mufti, Ghulam J (författare)
- Kings Coll London, England
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- Cornelissen, Jan J (författare)
- Erasmus Medical Centre Daniel den Hoed, Netherlands
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- Blaise, Didier (författare)
- Institute J Paoli I Calmettes, France
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- Janssen, Jeroen J W M (författare)
- Vrije University of Amsterdam, Netherlands
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- Milpied, Noel (författare)
- CHU Bordeaux, France
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- Vindelov, Lars (författare)
- Rigshosp, Denmark
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- Petersen, Eefke (författare)
- University of Medical Centre, Netherlands
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- Gribben, John (författare)
- St Bartholomews and Royal London Hospital, England
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- Bacigalupo, Andrea (författare)
- Osped San Martino Genova, Italy
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- Malm, Claes (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Onkologi,Hälsouniversitetet,Hematologiska kliniken US
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- Niederwieser, Dietger (författare)
- University Hospital Leipzig, Germany
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- Socie, Gerard J (författare)
- Hop St Louis, France
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- Arnold, Renate (författare)
- Charite, Germany
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- Brown, Paul (författare)
- St James Hospital, Ireland
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- Goker, Hakan (författare)
- Hacettepe University, Turkey
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- Rocha, Vanderson (författare)
- CHU Nantes, France
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- Mohty, Mohamad (författare)
- EBMT ALWP, France University of Paris 07, France
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(creator_code:org_t)
- 2012-07-04
- 2012
- Engelska.
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Ingår i: European Journal of Haematology. - : John Wiley and Sons. - 0902-4441 .- 1600-0609. ; 89:3, s. 206-213
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Reduced-intensity conditioning (RIC)-alloSCT is increasingly used for acute myelogenous leukemia. Limited data are available for the comparison of peripheral blood stem cells with bone marrow for RIC-alloSCT. We used the European Group for Blood and Marrow Transplantation (EBMT) ALWP data to compare the outcome of mobilized peripheral blood stem cells (PBSC) (n = 1430) vs. bone marrow (BM) (n = 107) for acute myelogenous leukemia (AML) patients with complete remission that underwent RIC-alloSCT from compatible sibling donors. The leukemia features, the disease status, and the time from diagnosis were similar between the two groups. Engraftment was achieved in 99% and 93% in the PBSC and BM groups, respectively (P andlt; 0.0001). The day of engraftment was significantly earlier for the PBSC vs. the BM group, 15 (159) and 19 (569), respectively (P andlt; 0.001). Acute GVHD, severe GVHD (grade IIIIV) and chronic GVHD did not differ between the groups. leukemia-free survival (LFS), relapse, and non-relapsed mortality (NRM) were 51 +/- 2%, 32 +/- 1%, and 17 +/- 1% vs. 50 +/- 6%, 38 +/- 6%, and 12 +/- 3% for the PBSC and BM groups, respectively. Our results indicate faster engraftment, but no difference in GVHD, LFS, relapse, and NRM when comparing PBSC to BM grafts from sibling donors following RIC conditioning. This is the first study comparing PBSC to BM grafts in the RIC setting, analyzing a homogeneous population of patients with AML in remission. Whether PBSC should be preferred for advanced phases of the disease, where the outcome is dominated by relapse incidences, needs further investigation.
Nyckelord
- acute myelogenous leukemia
- allogeneic stem cell transplantation
- reduced-intensity conditioning
- mobilized peripheral blood stem cells
- remission
- HLA matched sibling
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Nagler, Arnon
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Labopin, Myriam
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Shimoni, Avichai
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Mufti, Ghulam J
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Cornelissen, Jan ...
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Blaise, Didier
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visa fler...
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Janssen, Jeroen ...
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Milpied, Noel
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Vindelov, Lars
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Petersen, Eefke
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Gribben, John
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Bacigalupo, Andr ...
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Malm, Claes
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Niederwieser, Di ...
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Socie, Gerard J
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Arnold, Renate
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Brown, Paul
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Goker, Hakan
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Rocha, Vanderson
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Mohty, Mohamad
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European Journal ...
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Linköpings universitet