Comparison of Unrelated Donor Umbilical Cord Blood and Unmanipulated Unrelated BM Stem Cell Transplantation in Children
| . | Demographics . | |||||
|---|---|---|---|---|---|---|
| . | Median Age (range) in yr . | HLA A, B, DR, B1 Match5-150 . | HLA A, B, DR, B1 1-Antigen Mismatch . | HLA A, B, DR, B1 2- or 3-Antigen Mismatch . | Grade II-IV aGVHD . | Grade III-IV aGVHD . |
| Unrelated donor umbilical cord blood transplantation | 4.1 (0.1-23.5) | 8 (19%) | 16 (73%) | 19 (24%) | 57% | 9% |
| Unrelated donor unmanipulated BMT | 9.1 (0.5-17.8) | 46 (54%) | 41 (45%) | 1 (1%) | 90% | 49% |
| . | Demographics . | |||||
|---|---|---|---|---|---|---|
| . | Median Age (range) in yr . | HLA A, B, DR, B1 Match5-150 . | HLA A, B, DR, B1 1-Antigen Mismatch . | HLA A, B, DR, B1 2- or 3-Antigen Mismatch . | Grade II-IV aGVHD . | Grade III-IV aGVHD . |
| Unrelated donor umbilical cord blood transplantation | 4.1 (0.1-23.5) | 8 (19%) | 16 (73%) | 19 (24%) | 57% | 9% |
| Unrelated donor unmanipulated BMT | 9.1 (0.5-17.8) | 46 (54%) | 41 (45%) | 1 (1%) | 90% | 49% |
| Search and Engraftment | |||
| Median ANC ≥500/μL (days) | Median Platelet ≥50,000/μL | Median Nuc Cells/kg Infused (range) × 107 | |
| (days) | |||
| Unrelated donor umbilical cord blood transplantation | 23 | 75 | 3.7 (0.7-40.0) |
| Unrelated donor unmanipulated BMT | 21 | 235-151 | 42 (12-460) |
| Search and Engraftment | |||
| Median ANC ≥500/μL (days) | Median Platelet ≥50,000/μL | Median Nuc Cells/kg Infused (range) × 107 | |
| (days) | |||
| Unrelated donor umbilical cord blood transplantation | 23 | 75 | 3.7 (0.7-40.0) |
| Unrelated donor unmanipulated BMT | 21 | 235-151 | 42 (12-460) |
| HLA Disparity and Incidence of Acute GvHD | ||||||
| HLA A, B, DR, B1 Match5-152 | Grade II-IV aGVHD (%) | Grade III-IV aGVHD (%) | HLA A, B, DR, B1 1-Antigen Mismatch | Grade II-IV aGVHD (%) | Grade III-IV aGVHD (%) | |
| Unrelated donor umbilical cord blood transplantation | n = 6 | 33% | 16% | n = 14 | 43% | 7% |
| Unrelated donor unmanipulated BMT | n = 46 | 83% | 37% | n = 41 | 98% | 62% |
| HLA Disparity and Incidence of Acute GvHD | ||||||
| HLA A, B, DR, B1 Match5-152 | Grade II-IV aGVHD (%) | Grade III-IV aGVHD (%) | HLA A, B, DR, B1 1-Antigen Mismatch | Grade II-IV aGVHD (%) | Grade III-IV aGVHD (%) | |
| Unrelated donor umbilical cord blood transplantation | n = 6 | 33% | 16% | n = 14 | 43% | 7% |
| Unrelated donor unmanipulated BMT | n = 46 | 83% | 37% | n = 41 | 98% | 62% |