Efficacy of haematopoietic stem cell boost as a rescue for poor graft function after haematopoietic stem cell transplantation: A multicentre retrospective study on behalf of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM‐TC)

Author:

Gaffet M.1ORCID,Wiedemann A.2,Dalle J.‐H.3,Bilger K.4,Forcade E.5,Robin M.6,Cornillon J.7,Labussière‐Wallet H.8,Ceballos P.9,Bulabois C.‐E.10,Loschi M.11,Orvain C.12,Rubio M. T.1314,Neven B.15,Pagliuca S.1314ORCID,Pochon C.114

Affiliation:

1. Department of Pediatric Hematology Oncology University Hospital of Nancy Nancy France

2. Department of Pediatric Intensive Care University Hospital of Nancy Nancy France

3. Department of Pediatric Hematology University Hospital of Robert Debré Paris France

4. Department of Hematology University Hospital of Haute‐Pierre Strasbourg France

5. Department of Hematology and Cell Therapy University Hospital of Bordeaux Bordeaux France

6. Department of Hematology University Hospital of Saint Louis Paris France

7. Department of Hematology University Hospital of Saint‐Etienne Saint‐Etienne France

8. Department of Hematology University Hospital of Lyon Sud Lyon France

9. Department of Hematology University Hospital of Montpellier Montpellier France

10. Department of Hematology University Hospital of Grenoble Grenoble France

11. Department of Hematology University Hospital of Nice Nice France

12. Department of Hematology University Hospital of Angers Angers France

13. Department of Hematology University Hospital of Nancy Nancy France

14. CNRS UMR 7365, IMoPA University of Lorraine Nancy France

15. Department of Pediatric Immuno‐Hematology University Hospital of Necker Paris France

Abstract

SummaryHaematopoietic stem cell reinjection may be a curative option for poor graft function after haematopoietic stem cell transplantation; however, literature supporting its use remains limited. We conducted a multicentre retrospective study on behalf of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy, including 55 patients. We demonstrated response rates of nearly 40% and two‐year survival of more than 60% in the context of an otherwise deadly complication and we observed that the timing of injection and the degree of cytopenia are strongly associated with outcomes. This study shows the feasibility of the procedure informing on its epidemiology, outcomes and prognostic factors, setting the stage for future guidelines.

Publisher

Wiley

Subject

Hematology

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