Recent studies of alloHSCT using haploidentical donors in AML
First author, year of study, study group, type of study . | AML patients characteristics . | Outcome, by donor type . | Study conclusions . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Age at diagnosis (y) (range) . | AML in CR1 (%) . | Median follow-up, mo . | Conditioning . | Stem cell source . | GVHD prevention . | Donor type and No. . | NRM . | Relapse . | LFS . | ||
Ciceri, 2008, retrospective, multicentric96 | 36 (16-66) | 14 | 47 | Myeloablative, 100% | PBSC | Ex vivo T-cell depletion, 100%; ATG, 89% | Haploidentical, 86 | 0.36 | 0.16 | 0.48 | The choice between haploidentical and UCB transplantation may be based on center expertise, policy, costs of the procedures, and the availability of clinical trials. |
Ruggeri, 2015 EBMT, retrospective, multicentric95 | 45 (18-72) | 34 | 24 | Myeloablative, 61% | BM; PBSC | PT-HDCy, 32% | UCB, 558 | 0.30 | 0.32 | 0.38 | Cumulative incidence of relapse was not different between the 2 groups; adjusted LFS and OS were comparable. |
Haploidentical, 360 | 0.27 | 0.41 | 0.32 | ||||||||
Wang, 2015, prospective, multicentric101 | 28 (15-57) | 100 | 32 | Myeloablative, 100% | BM + PBSC | ATG, 100% | MSD, 219 | 0.08 | 0.15 | 0.78 | This comparison suggests that outcome after haploidentical HSCT (with ATG) is comparable to matched sibling alloHSCT. |
Haploidentical, 231 | 0.13 | 0.15 | 0.74 | ||||||||
Ciurea, 2015, IBMTR, retrospective, multicentric97 | 57 (21-70) | 47 | 30-39 | Myeloablative, 54% | BM | PT-HDCy, 100% | MAC MUD, 1245; | 0.20 | 0.39 | 0.42 | These data suggest that OS after haploidentical HSCT with PT-HDCy is comparable to MUD alloHSCT. |
Haploidentical, 104 | 0.14 | 0.44 | 0.41 | ||||||||
RIC MUD, 737 | 0.23 | 0.42 | 0.37 | ||||||||
Haploidentical, 88 | 0.09 | 0.58 | 0.35 |
First author, year of study, study group, type of study . | AML patients characteristics . | Outcome, by donor type . | Study conclusions . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Age at diagnosis (y) (range) . | AML in CR1 (%) . | Median follow-up, mo . | Conditioning . | Stem cell source . | GVHD prevention . | Donor type and No. . | NRM . | Relapse . | LFS . | ||
Ciceri, 2008, retrospective, multicentric96 | 36 (16-66) | 14 | 47 | Myeloablative, 100% | PBSC | Ex vivo T-cell depletion, 100%; ATG, 89% | Haploidentical, 86 | 0.36 | 0.16 | 0.48 | The choice between haploidentical and UCB transplantation may be based on center expertise, policy, costs of the procedures, and the availability of clinical trials. |
Ruggeri, 2015 EBMT, retrospective, multicentric95 | 45 (18-72) | 34 | 24 | Myeloablative, 61% | BM; PBSC | PT-HDCy, 32% | UCB, 558 | 0.30 | 0.32 | 0.38 | Cumulative incidence of relapse was not different between the 2 groups; adjusted LFS and OS were comparable. |
Haploidentical, 360 | 0.27 | 0.41 | 0.32 | ||||||||
Wang, 2015, prospective, multicentric101 | 28 (15-57) | 100 | 32 | Myeloablative, 100% | BM + PBSC | ATG, 100% | MSD, 219 | 0.08 | 0.15 | 0.78 | This comparison suggests that outcome after haploidentical HSCT (with ATG) is comparable to matched sibling alloHSCT. |
Haploidentical, 231 | 0.13 | 0.15 | 0.74 | ||||||||
Ciurea, 2015, IBMTR, retrospective, multicentric97 | 57 (21-70) | 47 | 30-39 | Myeloablative, 54% | BM | PT-HDCy, 100% | MAC MUD, 1245; | 0.20 | 0.39 | 0.42 | These data suggest that OS after haploidentical HSCT with PT-HDCy is comparable to MUD alloHSCT. |
Haploidentical, 104 | 0.14 | 0.44 | 0.41 | ||||||||
RIC MUD, 737 | 0.23 | 0.42 | 0.37 | ||||||||
Haploidentical, 88 | 0.09 | 0.58 | 0.35 |
BM, bone marrow; LFS, leukemia-free survival; MSD, matched sibling donor; MUD, matched unrelated donor; UCB, unrelated cord blood.