Table 1.

Results of Autologous Transplantation for CML With or Without Ex Vivo Purging of Autografts

StudyPurging MethodStem Cell SourcePatients TransplantedCytogenetic ResponseMedian Survival (range)
CRPR (%PH)in Months
Without purging 
Blast crisis 
Haines37 (Hammersmith) None PB 51 3 (14-67) 26 (0.5-35) 
Reiffers38 (Bordeaux) None PB 47 14 (>10) 24 (4-49) 
Chronic phase 
Hoyle39 (Hammersmith) None PB 21 9 (not defined) 82 (9-105) 
Reiffers40 (EBMTR) None PB + BM 49 10 5 (>65)  —  
      81% survival at 3 yr 
With ex vivo purging 
Carlo-Stella42 (Parma) Mafosfamide BM 10* 1 (75%)  —  
McGlave43 (Minnesota) IFN-γ BM 44 10 12 (15-95%)  —  
      CP 71% survival at 3 yr 
      AP 15% survival at 3 yr 
Barnett44 (Vancouver) Marrow culture BM 22 13 3 (>75%)  —  
      CP 81% survival at 5 yr 
      AP 50% survival at 4 yr 
StudyPurging MethodStem Cell SourcePatients TransplantedCytogenetic ResponseMedian Survival (range)
CRPR (%PH)in Months
Without purging 
Blast crisis 
Haines37 (Hammersmith) None PB 51 3 (14-67) 26 (0.5-35) 
Reiffers38 (Bordeaux) None PB 47 14 (>10) 24 (4-49) 
Chronic phase 
Hoyle39 (Hammersmith) None PB 21 9 (not defined) 82 (9-105) 
Reiffers40 (EBMTR) None PB + BM 49 10 5 (>65)  —  
      81% survival at 3 yr 
With ex vivo purging 
Carlo-Stella42 (Parma) Mafosfamide BM 10* 1 (75%)  —  
McGlave43 (Minnesota) IFN-γ BM 44 10 12 (15-95%)  —  
      CP 71% survival at 3 yr 
      AP 15% survival at 3 yr 
Barnett44 (Vancouver) Marrow culture BM 22 13 3 (>75%)  —  
      CP 81% survival at 5 yr 
      AP 50% survival at 4 yr 

Abbreviations: CP, chronic phase; AP, advanced phase.

*

Ten of 25 patients achieving a significant response to ex vivo purging were transplanted.

Twenty-two of 87 patients achieving a significant response to ex vivo purging were transplanted.

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