Myeloablative vs reduced intensity T-cell–replete haploidentical transplantation for hematologic malignancy

Author:

Solomon Scott R.1,St. Martin Andrew2,Shah Nirav N.3,Fatobene Giancarlo4ORCID,Al Malki Monzr M.5,Ballen Karen K.6,Bashey Asad1,Bejanyan Nelli7,Bolaños Meade Javier8,Brunstein Claudio G.9,DeFilipp Zachariah10ORCID,Champlin Richard E.11ORCID,Fuchs Ephraim J.8,Hamadani Mehdi2ORCID,Hematti Peiman12,Kanakry Christopher G.13,McGuirk Joseph P.14ORCID,McNiece Ian K.15,Ciurea Stefan O.11,Pasquini Marcelo C.2,Rocha Vanderson416,Romee Rizwan17,Patel Sagar S.18ORCID,Vasu Sumithira19,Waller Edmund K.20ORCID,Wingard John R.21,Zhang Mei-Jie2,Eapen Mary2ORCID

Affiliation:

1. The Blood and Marrow Transplant Program, Northside Hospital, Atlanta, GA;

2. Center for International Blood and Marrow Transplant Research, and

3. Division of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI;

4. Hospital das Clinicas da Universidade de São Paulo, São Paulo, Brazil;

5. Department of Hematology & Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA;

6. Division of Hematology/Oncology, University of Virginia Health System, Charlottesville, VA;

7. H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL;

8. The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD;

9. University of Minnesota Medical Center, Minneapolis, MN;

10. Winship Cancer Institute, Massachusetts General Hospital, Boston, MA;

11. University of Texas MD Anderson Cancer Center, Houston, TX;

12. Division of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin Hospital and Clinics, University of Wisconsin, Madison, WI;

13. National Cancer Institute, National Institutes of Health, Bethesda, MD;

14. Division of Hematologic Malignancies and Cellular Therapy, University of Kansas Medical Center, Kansas City, KS;

15. CellMED Consulting, Miami, FL;

16. Department of Haematology, University of Oxford, Oxford, United Kingdom;

17. Division of Hematologic Malignancies and Transplantation, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;

18. Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH;

19. Division of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH;

20. Department of Hematology and Medical Oncology, Winship Cancer Institute, Atlanta, GA; and

21. Division of Heamtology & Oncology, Department of Medicine, University of Florida, Gainesville, FL

Abstract

Key Points Disease-free survival is higher with myeloablative regimens for patients in their third to fifth decade. Beyond the fifth decade, low-dose total body irradiation regimens offset mortality associated with transplant procedure.

Publisher

American Society of Hematology

Subject

Hematology

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