Retrospective comparisons of outcomes of haplo SCT plus posttransplantation cyclophosphamide vs MUD SCT
Reference . | RIC or MAC . | N . | aGVHD II-IV (%) . | cGVHD (%) . | NRM (%) . | Relapse (%) . | Overall survival (%) . | Event-free survival (%) . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AML ± MDS | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | |
19 | MAC | 104 | 1245 | 16 | 33‡ | 30 | 53‡ | 14 | 20 | 44 | 39 | 45 | 50 | 42 | 41 |
RIC | 88 | 737 | 19 | 28* | 34 | 52† | 9 | 23‡ | 58 | 42† | 46 | 44 | 33 | 35 | |
20 | RIC | 32 | 108 | — | — | — | — | 24 | 25 | 33 | 23 | — | — | 43 | 42 |
21 | Mix | 52 | 88 | 40 | 36 | 10 | 9 | 27 | 27 | 29 | 43 | 42 | 37 | 44 | 30 |
22 | Mix | 62 | 21§ | 40 | 19 | 6 | 5 | 22 | 16 | 31 | 26 | 53 | 58 | — | — |
Hodgkin lymphoma | |||||||||||||||
23 | RIC | 28 | 38 | 43 | 50 | 35 | 63 | 9 | 8 | 40 | 63 | 58 | 58 | 51 | 29* |
Non-Hodgkin lymphoma | |||||||||||||||
24 | RIC | 185 | 491 | 52 | 60 | 15 | 62‡ | 17 | 22 | 36 | 28 | 60 | 62 | 47 | 49 |
25 | RIC | 26 | 28 | — | — | 15 | 29 | 15 | 27 | 19 | 7 | 77 | 71 | 65 | 68 |
Mix | |||||||||||||||
26 | Mix | 92 | 43 | 14 | 21 | 15 | 22 | 18 | 33 | 35 | 23 | 52 | 43 | 43 | 36 |
27 | MAC | 30 | 32 | 43 | 63 | 56 | 69 | 3 | 16 | 24 | 28 | 78 | 62 | 73 | 56 |
28 | RIC | 54 | 59 | 63 | 53 | 32 | 20 | 30 | 29 | 44 | 49 | — | — | 26 | 22 |
29 | RIC | 31 | 63 | 23 | 44* | 13 | 24 | 10 | 34 | 23 | 31 | 70 | 51 | 67 | 38* |
30 | Mix | 116 | 178 | 41 | 48 | 31 | 47† | 17 | 16 | 29 | 34 | 57 | 59 | 54 | 50 |
Reference . | RIC or MAC . | N . | aGVHD II-IV (%) . | cGVHD (%) . | NRM (%) . | Relapse (%) . | Overall survival (%) . | Event-free survival (%) . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AML ± MDS | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | Haplo | MUD | |
19 | MAC | 104 | 1245 | 16 | 33‡ | 30 | 53‡ | 14 | 20 | 44 | 39 | 45 | 50 | 42 | 41 |
RIC | 88 | 737 | 19 | 28* | 34 | 52† | 9 | 23‡ | 58 | 42† | 46 | 44 | 33 | 35 | |
20 | RIC | 32 | 108 | — | — | — | — | 24 | 25 | 33 | 23 | — | — | 43 | 42 |
21 | Mix | 52 | 88 | 40 | 36 | 10 | 9 | 27 | 27 | 29 | 43 | 42 | 37 | 44 | 30 |
22 | Mix | 62 | 21§ | 40 | 19 | 6 | 5 | 22 | 16 | 31 | 26 | 53 | 58 | — | — |
Hodgkin lymphoma | |||||||||||||||
23 | RIC | 28 | 38 | 43 | 50 | 35 | 63 | 9 | 8 | 40 | 63 | 58 | 58 | 51 | 29* |
Non-Hodgkin lymphoma | |||||||||||||||
24 | RIC | 185 | 491 | 52 | 60 | 15 | 62‡ | 17 | 22 | 36 | 28 | 60 | 62 | 47 | 49 |
25 | RIC | 26 | 28 | — | — | 15 | 29 | 15 | 27 | 19 | 7 | 77 | 71 | 65 | 68 |
Mix | |||||||||||||||
26 | Mix | 92 | 43 | 14 | 21 | 15 | 22 | 18 | 33 | 35 | 23 | 52 | 43 | 43 | 36 |
27 | MAC | 30 | 32 | 43 | 63 | 56 | 69 | 3 | 16 | 24 | 28 | 78 | 62 | 73 | 56 |
28 | RIC | 54 | 59 | 63 | 53 | 32 | 20 | 30 | 29 | 44 | 49 | — | — | 26 | 22 |
29 | RIC | 31 | 63 | 23 | 44* | 13 | 24 | 10 | 34 | 23 | 31 | 70 | 51 | 67 | 38* |
30 | Mix | 116 | 178 | 41 | 48 | 31 | 47† | 17 | 16 | 29 | 34 | 57 | 59 | 54 | 50 |
Significant differences are shown in bold type: *.01 ≤ P ≤ .05; †.001 ≤ P < .01; ‡P < .001.
aGVHD, acute graft-versus-host disease; AML, acute myeloid leukemia; cGVHD, chronic graft-versus-host disease; NRM, nonrelapse mortality; RIC, reduced intensity conditioning (includes nonmyeloablative conditioning); MAC, myeloablative conditioning; MDS, myelodysplastic syndrome.
Mixture of matched sibling and MUD transplants.