Choice of conditioning regimens for bone marrow transplantation in severe aplastic anemia

Blood Advances - Tập 3 Số 20 - Trang 3123-3131 - 2019
Nelli Bejanyan1, Soyoung Kim2, Kyle Hebert3, Natasha Kekre4, Hisham Abdel‐Azim5, Ibrahim Ahmed6, Mahmoud Aljurf7, Sherif M. Badawy8, Amer Beitinjaneh9, Jaap Jan Boelens10, Miguel Ángel Díaz11, Christopher C. Dvorak12, Shahinaz M. Gadalla13, James Gajewski14, Robert Peter Gale15, Siddhartha Ganguly16, Andrew R. Gennery17, Biju George18, Usama Gergis19, David Gómez‐Almaguer20, Marta González‐Vicent11, Hasan Hashem21, Rammurti T. Kamble22, Kimberly A. Kasow23, Hillard M. Lazarus24, Vikram Mathews18, Paul J. Orchard25, Michael A. Pulsipher5, O Ringdén26, Kirk R. Schultz27, Pierre Teira28, Ann E. Woolfrey29, Blachy J. Dávila Saldaña30, Bipin N. Savani31, Jacek Winiarski26, Jean A. Yared32, Daniel J. Weisdorf25, Joseph H. Antin33, Mary Eapen3
1Department of Blood and Marrow Transplant and Cellular Therapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL;
2Division of Biostatistics, and
3Center for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI
4The Ottawa Hospital Blood & Marrow Transplant Program, University of Ottawa, Ottawa, ON, Canada;
5Children's Center for Cancer and Blood Diseases, Children’s Hospital of Los Angeles, Los Angeles, CA;
6Division of Pediatric Hematology/Oncology, Children's Mercy Hospital, Kansas City, MO;
7King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
8Hematology, Oncology and Stem Cell Transplantation, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University, Evanston, IL;
9Department of Medicine, University of Miami, Miami, FL
10Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
11Hospital Niño Jesus, Madrid, Spain
12Division of Pediatric Blood and Marrow Transplantation, University of California San Francisco Medical Center, San Francisco, CA;
13Clinical Genetics Branch, National Cancer Institute, Rockville, MD;
14Department of Medicine, Oregon Health & Science University, Portland, OR
15Division of Experimental Medicine, Department of Medicine, Imperial College London, London, United Kingdom;
16Division of Hematologic Malignancies and Cellular Therapeutics, University of Kansas, Kansas City, KS;
17Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom
18Department of Hematology, Christian Medical College Hospital, Vellore, India
19Department of Medicine, Weill Cornell Medical College, New York, NY
20Hospital Universitario José E. González, Universidad Autónoma de Nuevo León, Monterrey, Mexico;
21Division of Hematology and Oncology, Nationwide Children’s Hospital, Columbus, OH;
22Department of Medicine. Baylor College of Medicine Center for Cell and Gene Therapy, Houston, TX;
23Department of Pediatrics, University of North Carolina Hospitals, Chapel Hill, NC
24Department of Medicine, Case Western Reserve University, Cleveland, OH
25Department of Medicine, University of Minnesota, Minneapolis, MN
26Division of Therapeutic Immunology, Karolinska Institutet, Stockholm, Sweden
27British Columbia Children's Hospital, University of British Columbia, Vancouver, BC, Canada
28Centre Hospitalier Universitaire Sainte-Justine, Montreal, QC, Canada;
29Fred Hutchinson Cancer Research Center, Seattle, WA
30Children's National Medical Center, Washington, DC
31Vanderbilt University Medical Center, Nashville, TN
32Greenebaum Cancer Center, University of Maryland, Baltimore, MD; and
33Stem Cell Transplantation, Dana-Farber Cancer Institute, Boston, MA.

Tóm tắt

Key PointsFlu/Cy/ATG and Cy/ATG regimens offer the best survival for matched-sibling BMT. Transplantation in patients aged ≥30 years is associated with higher mortality after matched-sibling and unrelated donor BMT.

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