4.1 Article

Allogeneic hemopoietic stem cell transplantation for childhood acute lymphoblastic leukemia in second complete remission - Similar outcomes after matched related and unrelated donor transplant: A study of the Spanish working party for blood and marrow transplantation in children (Getmon)

Journal

PEDIATRIC HEMATOLOGY AND ONCOLOGY
Volume 25, Issue 4, Pages 245-259

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/08880010802016557

Keywords

acute lymphoblastic leukemia; allogeneic; related donor; unrelated donor

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The authors report the results of 58 children with ALL in 2CR after related (n=31) or unrelated (n=27) AHSCT. Characteristics at diagnosis and initial and after relapse antileukemic treatment were similar in the related donor (RD) and the unrelated donor (UD) groups. Conditioning consisted of TBI/CY +/- VP-16 for patients 3 years old (n=43) and Bu/CY for the rest. Median recipient age was 8 years (range 1{17) in the RD and 9 years (range 3{14) in the UD group. Median follow-up was 54 months (range 24{80) and 52 months (range 22{85) in the RD and the UD groups repectively. The 5-year EFS probability was 43 +/- 9% for the RD group and 36 +/- 9% in the UD group (p=.25). The transplant-related mortality was 16% in the RD and 37% in the UD group (p=.016). In the RD group 36.7% of patients relapsed versus 18.6% in the UD group (p=.05). GvHD associated with organ failure or infection caused most of the transplant-related deaths in both groups. Survivor quality of life for both groups was good (Lansky score <= 90).

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