Long-term survival after transplantation of unrelated donor peripheral blood or bone marrow hematopoietic cells for hematologic malignancy

Mary Eapen, Brent R. Logan, Fredrick R. Appelbaum, Joseph H. Antin, Claudio Anasetti, Daniel R. Couriel, Junfang Chen, Richard T. Maziarz, Philip L. McCarthy, Ryotaro Nakamura, Voravit Ratanatharathorn, Ravi Vij, Richard E. Champlin

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19 Scopus citations

Abstract

We sought to determine whether differences in chronic graft-versus-host disease (GVHD) rates would lead to survival differences by comparing 2463 peripheral blood (PB) and 1713 bone marrow (BM) hematopoietic cell transplant recipients. Patients had acute leukemia, chronic myeloid leukemia (CML), or myelodysplastic syndrome, and they received myeloablative conditioning regimens and calcineurin-inhibitor GVHD prophylaxis. There were no significant differences in long-term survival after transplantation of PB and BM, except for patients in first chronic phase CML. For these patients, the 5-year rate of survival was lower after transplantation of PB compared with transplantation of BM (35% versus 56%, P= .001). Although mortality risks were higher in patients with chronic GVHD after both PB (hazard ratio [HR], 1.58; P < .001) and BM (HR 1.73; P < .001) transplantations, its effect on mortality did not differ by graft type (P= .42). BM is the preferred graft for first chronic phase CML, whereas as either graft is suitable for other leukemias.

Original languageEnglish (US)
Pages (from-to)55-59
Number of pages5
JournalBiology of Blood and Marrow Transplantation
Volume21
Issue number1
DOIs
StatePublished - Jan 1 2015

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Keywords

  • Chronic graft-versus-host disease
  • Leukemia
  • Mortality

ASJC Scopus subject areas

  • Hematology
  • Transplantation

Cite this

Eapen, M., Logan, B. R., Appelbaum, F. R., Antin, J. H., Anasetti, C., Couriel, D. R., Chen, J., Maziarz, R. T., McCarthy, P. L., Nakamura, R., Ratanatharathorn, V., Vij, R., & Champlin, R. E. (2015). Long-term survival after transplantation of unrelated donor peripheral blood or bone marrow hematopoietic cells for hematologic malignancy. Biology of Blood and Marrow Transplantation, 21(1), 55-59. https://doi.org/10.1016/j.bbmt.2014.09.006