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SHR Neuro Krebs Kardio Lipid

Tucunduva, L; Ruggeri, A; Sanz, G; Furst, S; Socié, G; Michallet, M; Arcese, W; Milpied, N; Yakoub-Agha, I; Linkesch, W; Cornelissen, J; Mannone, L; Iori, AP; Ribera, JM; Sanz, J; Montesinos, P; Purtill, D; Labopin, M; Gluckman, E; Mohty, M; Rocha, V.
Risk factors for outcomes after unrelated cord blood transplantation for adults with acute lymphoblastic leukemia: a report on behalf of Eurocord and the Acute Leukemia Working Party of the European Group for Blood and Marrow Transplantation.
Bone Marrow Transplant. 2014; 49(7):887-894 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Linkesch Werner
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Abstract:
We performed a retrospective analysis on 421 adult patients who underwent unrelated cord blood transplantation (UCBT) for ALL. Median age was 32 years; 46% were in first CR (CR1), 32% in CR2 and 22% had advanced disease. Double UCBT was performed in 173 patients (41%). Myeloablative conditioning (MAC) was given to 314 patients (75%). Cumulative incidence (CI) of 60-day neutrophil recovery was 78%. CI of acute and chronic GVHD was 33 and 26%, respectively. Non-relapse mortality (NRM) at 2 years was 42%. Age⩾35 years (P<0.0001), advanced disease at UCBT (P<0.0001) and use of MAC (P<0.0001) were associated with increased NRM. Relapse incidence (RI) at 2 years was 28%; use of reduced intensity conditioning (RIC) (P=0.0002) was associated with increased RI. Two-year leukemia-free survival (LFS) was 39% for patients in CR1, 31% for CR2 and 8% for advanced disease. In multivariate analysis, factors associated with decreased LFS rate were: age ⩾35 years (P=0.034), use of MAC (P=0.032) and advanced disease (P<0.0001). These results show that UCBT is a valuable option to treat high-risk adult ALL when in remission. Strategies to decrease toxicity and relapse are needed to improve final outcomes.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Cord Blood Stem Cell Transplantation - methods
Cord Blood Stem Cell Transplantation -
Female -
Graft vs Host Disease - etiology
Humans -
Male -
Middle Aged -
Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy
Retrospective Studies -
Risk Factors -
Treatment Outcome -
Unrelated Donors -
Young Adult -

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