Allogeneic bone marrow transplantation for refractory and recurrent low-grade lymphoma: The case for aggressive management

Koen W. Van Besien, Issa F. Khouri, Sergio A. Giralt, Philip McCarthy, Rakesh Mehra, Borje S. Andersson, Donna Przepiorka, James L. Gajewski, Nagendranath Bellare, Rajneesh Nath, Jorge E. Romaguera, Peter McLaughlin, Martin Korbling, Albert B. Deisseroth, Fernando F. Cabanillas, Richard E. Champlin

Research output: Contribution to journalArticlepeer-review

108 Scopus citations

Abstract

Purpose: To evaluate the role of allogeneic bone marrow transplantation (BMT) in recurrent low-grade lymphoma. Patients and Methods: Between 1989 and 1994, 10 patients with chemotherapy-refractory and recurrent low-grade lymphoma were treated with myeloablative therapy and allogeneic BMT. All patients had poor prognostic features and had been extensively pretreated. Results: Eight patients achieved a complete remission and none have relapsed at a median follow-up time of 816 days (range, 346 to 1,865). Two patients died of early complications. The actuarial survival and failure-free survival rates are both 80% ± 12.6%. For surviving patients, the duration of the current remission exceeds that of any previous remission achieved. Conclusion: These results compare favorably with those for autologous BMT, Allogeneic BMT offers considerable promise for the treatment of patients with poorprognosis low-grade lymphoma. Its role should be further defined in prospective studies.

Original languageEnglish (US)
Pages (from-to)1096-1102
Number of pages7
JournalJournal of Clinical Oncology
Volume13
Issue number5
DOIs
StatePublished - May 1995
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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