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Satisfactory outcomes following a second autologous hematopoietic cell transplantation for multiple myeloma in poor stem cell mobilizers: a retrospective study on behalf of the Chronic Malignancies Working Party of the EBMT
M. Sever, J. Drozd-Sokolowska, L. Gras, L. Koster, F. Folber, S. Mielke, R. Fenk, G. Basak, J. Apperley, J. Byrne, A. Rambaldi, M. Ringhoffer, M. Eder, M. Trneny, D. Blaise, S. Lenhoff, C. Isaksson, J. Passweg, A. Partanen, I. Sakellari, S....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, multicentrická studie
- MeSH
- autologní transplantace * metody MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mnohočetný myelom * terapie mortalita MeSH
- mobilizace hematopoetických kmenových buněk * metody MeSH
- retrospektivní studie MeSH
- senioři MeSH
- transplantace hematopoetických kmenových buněk * metody MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
Autologous hematopoietic cell transplants (auto-HCTs) remain the standard of care for transplant-eligible MM patients. The general practice has been to undergo upfront apheresis following induction to collect sufficient number of CD34+ cells to facilitate two auto-HCTs. However, 5-30% of MM patients do not initially mobilise a sufficient number of hematopoietic stem cells and are classified as poor mobilizers (PM). We compared the baseline characteristics and outcomes of 61 PMs and 816 non-PM patients who underwent a second auto-HCT and who were enrolled in the non-interventional CALM study (NCT01362972). Only patients who collected CD34+ prior to auto-HCT1 were included. Auto-HCT2 comprised both tandem and salvage transplants. PMs were re-mobilized with plerixafor (n = 24, 39.3%) or non-plerixafor-based regimens (n = 37, 60.7%). There were no significant differences in engraftment, progression-free survival (PFS) or overall survival (OS) after the second auto-HCT between PM and non-PM patients. There was a trend to shorter PFS in PM patients undergoing salvage auto-HCT (median 9.6 vs. 12.9 months; p = 0.08) but no significant difference in OS. The median OS was 41.1 months for PM and 41.2 months for non-PM patients (p = 0.86). These data suggest that salvage mobilization is effective and does not affect overall outcomes after a second auto-HCT.
ASST Papa Giovanni XXIII Bergamo Italy
Belfast City Hospital Belfast Northern Ireland
Charles University Hospital Prague Czech Republic
Department of Haematology Trinity College Dublin St James's Hospital Dublin Ireland
EBMT Leiden Statistical Unit Leiden the Netherlands
EBMT Leiden Study Unit Leiden the Netherlands
Faculty of Medicine Liv Hospital Ankara Turkey
George Papanicolaou General Hospital Thessaloniki Greece
Hannover Medical School Hannover Germany
Heinrich Heine Universitaet Duesseldorf Germany
Imperial College Hammersmith London UK
Karolinska University Hospital Stockholm Sweden
Klinikum Karlsruhe gGmbH Karlsruhe Germany
Kuopio University Hospital Kuopio Finland
Medizinische Klinik u Poliklinik 5 University of Heidelberg Heidelberg Germany
Nottingham City Hospital Nottingham UK
Programme de Transplantation and Therapie Cellulaire Marseille France
Skanes University Hospital Lund Sweden
Umea University Hospital Umeå Sweden
University Clinical Centre Medical University of Warsaw Warsaw Poland
University College London Hospitals NHS Trust London UK
University Hospital 1 Basel Basel Switzerland
Citace poskytuje Crossref.org
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