Outcome of children relapsing after first allogeneic haematopoietic stem cell transplantation for acute myeloid leukaemia: a retrospective I-BFM analysis of 333 children

Theodor Uden, Alice Bertaina, Jonas Abrahamsson, Marc Ansari, Adriana Balduzzi, Jean-Pierre Bourquin, Corinne Gerhardt, Marc Bierings, Henrik Hasle, Arjan Lankester, Kirsten Mischke, Andrew S. Moore, Ian Nivison-Smith, Anna Pieczonka, Christina Peters, Petr Sedlacek, Dirk Reinhardt, Jerry Stein, Birgitta Versluys, Jacek WachowiakLeen Willems, Martin Zimmermann, Franco Locatelli, Martin G. Sauer

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Outcome of 333 children with acute myeloid leukaemia relapsing after a first allogeneic haematopoietic stem cell transplantation was analyzed. Four-year probability of overall survival (4y-pOS) was 14%. 4y-pOS for 122 children receiving a second haematopoietic stem cell transplantation was 31% and 3% for those that did not (P = <0·0001). Achievement of a subsequent remission impacted survival (P = <0·0001). For patients receiving a second transplant survival with or without achieving a subsequent remission was comparable. Graft source (bone marrow vs. peripheral blood stem cells, P = 0·046) and donor choice (matched family vs. matched unrelated donor, P = 0·029) positively impacted survival after relapse. Disease recurrence and non-relapse mortality at four years reached 45% and 22%.
Lingua originaleEnglish
pagine (da-a)745-750
Numero di pagine6
RivistaBritish Journal of Haematology
Volume189
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • acute myeloid leukemia
  • allogeneic hematopoietic stem cell transplantation
  • second hematopoietic stem cell transplantation
  • relapse
  • children

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