Table 2.

Allogeneic sibling transplantation for severe aplastic anemia


Institution/study

Years of study

N

Age, y (median in y)

Graft rejection/failure, %

Acute GVHD,*%

Chronic GVHD, %

Actuarial survival, %
IBMTR92   1988-1992   471   20 (1-51)   16   19   32   66 at 5 y  
Vienna93   1982-1996   20   25 (17-37)   0   26   53   95 at 15 y  
EBMT94   1991-1998   71   19 (4-46)   3   30   35   86 at 5 y  
Seoul95   1990-1999   22   22 (14-43)   5   10   33   95 at 5 y  
Seoul96   1990-2001   64   28 (14-43)   18   31   19   79 at 6 y  
Hamburg97   1990-2001   21   25 (7-43)   5   5   5   86 at 5 y  
Paris98   1994-2001   33   20 (8-42)   6   0   42   94 at 5 y  
Sao Paulo99   1993-2001   81   24 (3-53)   22   37   39   56 at 6 y  
Taipei100   1985-2001   79   22 (4-43)   8   7   35   74 at 5 y  
Tunis101   1998-2001   31   19 (4-39)   16   11   3   86 at 2 y  
Seoul102   1995-2001   113   28 (16-50)   15   11   12   89 at 6 y  
London103   1989-2003   33   17 (4-46)   24   14   4   81 at 5 y  
Seattle104,105   1988-2004   94   26 (2-59)   4   24   26   88 at 6 y  
Mexico City106 
 
2000-2005
 
23
 
25 (4-65)
 
26
 
17
 
26
 
88 at 4 y
 

Institution/study

Years of study

N

Age, y (median in y)

Graft rejection/failure, %

Acute GVHD,*%

Chronic GVHD, %

Actuarial survival, %
IBMTR92   1988-1992   471   20 (1-51)   16   19   32   66 at 5 y  
Vienna93   1982-1996   20   25 (17-37)   0   26   53   95 at 15 y  
EBMT94   1991-1998   71   19 (4-46)   3   30   35   86 at 5 y  
Seoul95   1990-1999   22   22 (14-43)   5   10   33   95 at 5 y  
Seoul96   1990-2001   64   28 (14-43)   18   31   19   79 at 6 y  
Hamburg97   1990-2001   21   25 (7-43)   5   5   5   86 at 5 y  
Paris98   1994-2001   33   20 (8-42)   6   0   42   94 at 5 y  
Sao Paulo99   1993-2001   81   24 (3-53)   22   37   39   56 at 6 y  
Taipei100   1985-2001   79   22 (4-43)   8   7   35   74 at 5 y  
Tunis101   1998-2001   31   19 (4-39)   16   11   3   86 at 2 y  
Seoul102   1995-2001   113   28 (16-50)   15   11   12   89 at 6 y  
London103   1989-2003   33   17 (4-46)   24   14   4   81 at 5 y  
Seattle104,105   1988-2004   94   26 (2-59)   4   24   26   88 at 6 y  
Mexico City106 
 
2000-2005
 
23
 
25 (4-65)
 
26
 
17
 
26
 
88 at 4 y
 

In contrast to Table 1, response rates are not provided because, in surviving patients who do not experience primary graft rejection or secondary graft failure, full hematologic recovery with donor hematopoiesis is anticipated. Only studies reporting at least 20 patients are tabulated

GVHD indicates graft-versus-host disease; IBMTR, International Blood and Marrow Transplant Registry; and EBMT, European Group for Bone Marrow Transplant

*

Results are generally for grades II to IV and patients at risk

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