Treatment, risk factors, and outcome of adults with relapsed AML after reduced intensity conditioning for allogeneic stem cell transplantation

Christoph Schmid, Myriam Labopin, Arnon Nagler, Dietger Niederwieser, Luca Castagna, Reza Tabrizi, Michael Stadler, Jürgen Kuball, Jan Cornelissen, Jiri Vorlicek, Gerard Socié, Michele Falda, Lars Vindeløv, Per Ljungman, Graham Jackson, Nicolaus Kröger, Andreas Rank, Emmanuelle Polge, Vanderson Rocha, Mohamad Mohty

    247 Citations (Scopus)

    Abstract

    Since information on management and outcome of adults with AML relapsing after allogeneic hematopoietic stem cell transplantation with reduced intensity conditioning (RIC HSCT) is scarce, a retrospective registry study was performed by the Acute Leukemia Working Party of EBMT. Among 2815 RIC transplants performed for AML in CR between 1999 and 2008, cumulative incidence of relapse was 32±1%. Data from 263 relapsed patients were included into a detailed analysis of risk factors for overall survival (OS) and building of a prognostic score. CR was re-induced in 32%, remission duration after transplantation was the only prognostic factor for response (p=.003). Estimate 2y-OS from relapse was 14%, thereby resembling results of AML relapse after standard conditioning. Among variables available at time of relapse, remission after HSCT >5 months (HR=.50, 95%CI=.37-.67, p
    Original languageEnglish
    JournalBlood
    Volume119
    Issue number6
    Pages (from-to)1599-1606
    ISSN0006-4971
    DOIs
    Publication statusPublished - 2012

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