Evidence map›Paper›PMID 32499241›Full record

ArticleHaematologica2021

Allogeneic hematopoietic cell transplantation with non-myeloablative conditioning for patients with hematologic malignancies: Improved outcomes over two decades.

Jason P Cooper, Barry E Storer, Noa Granot, Boglark Gyurkocza, Mohamed L Sorror, Thomas R Chauncey, Judith Shizuru, Georg-Nikolaus Franke, Michael B Maris, Michael Boyer and 25 more

25 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 25 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00003145 phase2completednot on this map

Induction of Mixed Hematopoietic Chimerism Using Fludarabine, Low Dose TBI , PBSC Infusion and Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil to be Followed by Donor Lymphocyte Infusion In Patients With Chronic Myeloid Leukemia in Chronic and Accelerated Phases: A Multi-center Study

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan1997Enrolled18ConditionsAccelerated Phase of Disease, Childhood Chronic Myelogenous Leukemia, BCR-ABL1 Positive, Chronic Myelogenous Leukemia, BCR-ABL1 Positive, Chronic Phase of DiseaseArmsFludarabine Phosphate, Total-Body Irradiation, Nonmyeloablative Allogeneic Hematopoietic Stem Cell Transplantation, Peripheral Blood Stem Cell Transplantation, Cyclosporine
NCT00003196 nacompletednot on this map

Induction of Mixed Hematopoietic Chimerism in Older Patients With B-Cell Malignancies and in Selected Other Diseases, Using Low Dose TBI , PBSC Infusion and Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil to be Followed by Donor Lymphocyte Infusion: A Pilot Study.

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan1997 to 2002Enrolled63ConditionsAdult Nasal Type Extranodal NK/T-cell Lymphoma, Anaplastic Large Cell Lymphoma, Angioimmunoblastic T-cell Lymphoma, Cutaneous B-cell Non-Hodgkin LymphomaArmschemotherapy, total-body irradiation, peripheral blood stem cell transplantation, cyclosporine, mycophenolate mofetil
NCT00003954 phase1 / phase2completednot on this map

Allogeneic Stem Cell Transplantation For Multiple Myeloma: A Two Step Approach To Reduce Toxicity Involving High Dose Melphalan and Autologous Stem Cell Transplant Followed By PBSC Allografting After Low Dose TBI

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan1999Enrolled40ConditionsRefractory Multiple Myeloma, Stage I Multiple Myeloma, Stage II Multiple Myeloma, Stage III Multiple MyelomaArmsmelphalan, autologous hematopoietic stem cell transplantation, autologous bone marrow transplantation, peripheral blood stem cell transplantation, total-body irradiation
NCT00005799 nacompletednot on this map

Low-Dose TBI and Fludarabine Followed by Unrelated Donor Stem Cell Transplantation for Patients With Hematologic Malignancies and Renal Cell Carcinoma - A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan1999Enrolled55ConditionsAccelerated Phase Chronic Myelogenous Leukemia, Adult Acute Lymphoblastic Leukemia in Remission, Adult Acute Myeloid Leukemia in Remission, Adult Acute Myeloid Leukemia With 11q23 (MLL) AbnormalitiesArmsfludarabine phosphate, total-body irradiation, nonmyeloablative allogeneic hematopoietic stem cell transplantation, allogeneic bone marrow transplantation, peripheral blood stem cell transplantation
NCT00005801 phase2completednot on this map

A Phase II Study of Allografting to Establish Mixed or Full Donor Chimerism as Consolidative Immunotherapy for Older Patients With AML in Complete Remission Using Low Dose TBI, PBSC Infusion and Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil

TypeinterventionalSponsorUniversity of Colorado, DenverRan1999 to 2001ConditionsLeukemiaArmstherapeutic allogeneic lymphocytes, peripheral blood stem cell transplantation, radiation therapy
NCT00005803 phase1 / phase2completednot on this map

A Phase I/II Study of Autologous Stem Cell Transplantation Followed by Nonmyeloablative Allogeneic Stem Cell Transplantation for Patients With Relapsed or Refractory Lymphoma - A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan1999 to 2018Enrolled76ConditionsProlymphocytic Leukemia, Recurrent Adult Hodgkin Lymphoma, Recurrent Childhood Hodgkin Lymphoma, Recurrent Childhood Non-Hodgkin LymphomaArmsAutologous Hematopoietic Stem Cell Transplantation, Autologous-Allogeneic Tandem Hematopoietic Stem Cell Transplantation, Carmustine, Cyclophosphamide, Cyclosporine
NCT00006251 phase1 / phase2completednot on this map

Induction of Mixed Hematopoietic Chimerism in Patients Using Fludarabine, Low Dose TBI, PBSC Infusion and Post-Transplant Immunosuppression With Cyclosporine and Mycophenolate Mofetil

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2000Enrolled21ConditionsAcute Undifferentiated Leukemia, Adult Nasal Type Extranodal NK/T-cell Lymphoma, Anaplastic Large Cell Lymphoma, Angioimmunoblastic T-cell LymphomaArmstotal-body irradiation, fludarabine phosphate, cyclosporine, mycophenolate mofetil, nonmyeloablative allogeneic hematopoietic stem cell transplantation
NCT00014235 nacompletednot on this map

Nonmyeloablative PBSC Allografting From HLA Matched Related Donors Using Fludarabine and/or Low Dose TBI With Disease-Risk Based Immunosuppression

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2000Enrolled160ConditionsAcute Myeloid Leukemia/Transient Myeloproliferative Disorder, Acute Undifferentiated Leukemia, Adult Acute Lymphoblastic Leukemia in Remission, Adult Acute Myeloid Leukemia in RemissionArmsfludarabine phosphate, total-body irradiation, peripheral blood stem cell transplantation, allogeneic hematopoietic stem cell transplantation, cyclosporine
NCT00027820 phase1 / phase2completednot on this map

Low-Dose TBI and Fludarabine Followed by Nonmyeloablative Unrelated Donor Peripheral Blood Stem Cell Transplantation Using Enhanced Postgrafting Immunosuppression for Patients With Hematologic Malignancies and Renal Cell Carcinoma - A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2001 to 2004Enrolled106ConditionsAdult Acute Myeloid Leukemia in Remission, Childhood Acute Lymphoblastic Leukemia in Remission, Childhood Acute Myeloid Leukemia in Remission, Childhood Myelodysplastic SyndromeArmsFludarabine Phosphate, Total-Body Irradiation, Peripheral Blood Stem Cell Transplantation, Nonmyeloablative Allogeneic Hematopoietic Stem Cell Transplantation, Cyclosporine
NCT00031655 phase2completednot on this map

Nonmyeloablative Allogeneic Hematopoietic Cell Transplantation From HLA Matched Unrelated Donors for Treatment of Patients With High Risk Acute Lymphocytic Leukemia in Complete Remission - A Multicenter Trial

TypeinterventionalSponsorFred Hutchinson Cancer Research Center/University of Washington Cancer ConsortiumRan2001 to 2012Enrolled30ConditionsAdult Acute Lymphoblastic Leukemia in Remission, Childhood Acute Lymphoblastic Leukemia in Remission, Recurrent Adult Acute Lymphoblastic Leukemia, Recurrent Childhood Acute Lymphoblastic LeukemiaArmsnonmyeloablative allogeneic hematopoietic stem cell transplantation, donor lymphocytes, cyclosporine, total-body irradiation, fludarabine phosphate
NCT00036738 phase2completednot on this map

Allogeneic Nonmyeloablative Hematopoietic Stem Cell Transplant for Patients With BCR-ABL Tyrosine Kinase Inhibitor Responsive Ph+ Acute Leukemia ? A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2001 to 2018Enrolled28ConditionsAdult Acute Lymphoblastic Leukemia in Remission, Adult B Acute Lymphoblastic Leukemia With t(9, 22)(q34.1, q11.2)ArmsCyclosporine, Dasatinib, Fludarabine Phosphate, Imatinib Mesylate, Mycophenolate Mofetil
NCT00045435 phase2completednot on this map

Nonmyeloablative Allogeneic Peripheral Blood Stem Cell Transplantation From HLA Matched Related Donors for Treatment of Older Patients With De Novo or Secondary Acute Myeloid Leukemia in First Complete Remission

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2002 to 2009Enrolled17ConditionsAcute Myeloid Leukemia With Multilineage Dysplasia Following Myelodysplastic Syndrome, Adult Acute Megakaryoblastic Leukemia (M7), Adult Acute Minimally Differentiated Myeloid Leukemia (M0), Adult Acute Monoblastic Leukemia (M5a)Armsnonmyeloablative allogeneic hematopoietic stem cell transplantation, fludarabine phosphate, total-body irradiation, cyclosporine, mycophenolate mofetil
NCT00052546 no registry record found
NCT00060424 phase2completednot on this map

Allogeneic Hematopoietic Stem Cell Transplantation With Nonmyeloablative Conditioning for Patients With Chronic Lymphocytic Leukemia - A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2003 to 2010Enrolled21ConditionsB-Cell Prolymphocytic Leukemia, Chronic Lymphocytic Leukemia, Prolymphocytic Leukemia, Recurrent Chronic Lymphocytic LeukemiaArmsCyclosporine, Fludarabine Phosphate, Hematopoietic Cell Transplantation, Laboratory Biomarker Analysis, Mycophenolate Mofetil
NCT00075478 phase3completednot on this map

A Multi-center Phase III Study Comparing Nonmyeloablative Conditioning With TBI Versus Fludarabine/TBI for HLA-matched Related Hematopoietic Cell Transplantation for Treatment of Hematologic Malignancies

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2003 to 2014Enrolled87ConditionsAcute Lymphoblastic Leukemia in Remission, Acute Myeloid Leukemia in Remission, Aggressive Non-Hodgkin Lymphoma, Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 PositiveArmsTotal-Body Irradiation, Fludarabine Phosphate, Mycophenolate Mofetil, Cyclosporine, Peripheral Blood Stem Cell Transplantation
NCT00078858 phase1 / phase2completednot on this map

Prolonged Mycophenolate Mofetil and Truncated Cyclosporine Postgrafting Immunosuppression to Reduce Life-Threatening GVHD After Unrelated Donor Peripheral Blood Cell Transplantation Using Nonmyeloablative Conditioning for Patients With Hematologic Malignancies and Renal Cell Carcinoma - A Multi-Center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2003Enrolled37ConditionsAccelerated Phase Chronic Myelogenous Leukemia, Adult Acute Lymphoblastic Leukemia in Remission, Adult Acute Myeloid Leukemia in Remission, Adult Acute Myeloid Leukemia With 11q23 (MLL) AbnormalitiesArmsfludarabine phosphate, total-body irradiation, nonmyeloablative allogeneic hematopoietic stem cell transplantation, peripheral blood stem cell transplantation, cyclosporine
NCT00089011 phase2completednot on this map

A Multi-Center Study of Nonmyeloablative Conditioning With TBI or Fludarabine/TBI for HLA-matched Related Hematopoietic Cell Transplantation for Treatment of Hematologic Malignancies With Post Grafting Immunosuppression With Tacrolimus and Mycophenolate Mofetil

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2004 to 2018Enrolled150ConditionsAccelerated Phase Chronic Myelogenous Leukemia, Adult Acute Lymphoblastic Leukemia in Remission, Adult Acute Myeloid Leukemia in Remission, Adult Acute Myeloid Leukemia With 11q23 (MLL) AbnormalitiesArmsfludarabine phosphate, total-body irradiation, mycophenolate mofetil, tacrolimus, peripheral blood stem cell transplantation
NCT00104858 phase2completednot on this map

Nonmyeloablative Conditioning With Pre- and Post-Transplant Rituximab Followed by Related or Unrelated Donor Hematopoietic Cell Transplantation for Patients With Advanced Chronic Lymphocytic Leukemia: A Multi-Center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2004 to 2018Enrolled66ConditionsChronic Lymphocytic Leukemia, Prolymphocytic Leukemia, Recurrent Small Lymphocytic Lymphoma, Refractory Chronic Lymphocytic LeukemiaArmsAllogeneic Hematopoietic Stem Cell Transplantation, Cyclosporine, Fludarabine Phosphate, Laboratory Biomarker Analysis, Mycophenolate Mofetil
NCT00105001 phase2completednot on this map

A Randomized Phase II Study to Determine the Most Promising Postgrafting Immunosuppression for Prevention of Acute GVHD After Unrelated Donor G-CSF Mobilized Peripheral Blood Mononuclear Cell (G-PBMC) Transplantation Using Nonmyeloablative Conditioning for Patients With Hematologic Malignancies A Multi-Center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2004 to 2015Enrolled210ConditionsMyelodysplastic/Myeloproliferative Neoplasm, Unclassifiable, Previously Treated Myelodysplastic Syndrome, Refractory Chronic Lymphocytic Leukemia, Refractory Plasma Cell MyelomaArmsFludarabine Phosphate, Total-Body Irradiation, Peripheral Blood Stem Cell Transplantation, Allogeneic Hematopoietic Stem Cell Transplantation, Tacrolimus
NCT00110058 phase2completednot on this map

A Multi-Center Phase II Study of Nonmyeloablative Conditioning With TBI and Fludarabine for HLA-Matched Related Hematopoietic Cell Transplantation for Treatment of Chronic Myeloid Leukemia in Chronic and Accelerated Phase

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2005 to 2006Enrolled40ConditionsLeukemiaArmsrecombinant interferon alfa, therapeutic allogeneic lymphocytes, cyclosporine, fludarabine phosphate, imatinib mesylate
NCT00397813 phase2completednot on this map

Low-Dose TBI Dose Escalation to Decrease Risks of Progression and Graft Rejection After Hematopoietic Cell Transplantation With Nonmyeloablative Conditioning as Treatment for Untreated Myelodysplastic Syndrome or Myeloproliferative Disorders - A Multi-Center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2006 to 2018Enrolled77ConditionsAtypical Chronic Myeloid Leukemia, BCR-ABL1 Negative, Chronic Myelomonocytic Leukemia, de Novo Myelodysplastic Syndrome, Essential ThrombocythemiaArmsCyclosporine, Fludarabine Phosphate, Laboratory Biomarker Analysis, Mycophenolate Mofetil, Nonmyeloablative Allogeneic Hematopoietic Stem Cell Transplantation
NCT00793572 phase2completednot on this map

Tandem Autologous HCT/Nonmyeloablative Allogeneic HCT From HLA-Matched Related and Unrelated Donors Followed by Bortezomib Maintenance Therapy for Patients With High-Risk Multiple Myeloma

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2008 to 2016Enrolled32ConditionsRefractory Plasma Cell MyelomaArmsAutologous Hematopoietic Stem Cell Transplantation, Bortezomib, Cyclosporine, Fludarabine Phosphate, Laboratory Biomarker Analysis
NCT01231412 phase3completednot on this map

A Randomized Phase III Study to Determine the Most Promising Postgrafting Immunosuppression for Prevention of Acute GVHD After Unrelated Donor Hematopoietic Cell Transplantation Using Nonmyeloablative Conditioning for Patients With Hematologic Malignancies: A Multi-center Trial

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2010 to 2017Enrolled174ConditionsAcute Lymphoblastic Leukemia, Acute Myeloid Leukemia, Aggressive Non-Hodgkin Lymphoma, Chronic Lymphocytic LeukemiaArmsAllogeneic Hematopoietic Stem Cell Transplantation, Cyclosporine, Fludarabine Phosphate, Mycophenolate Mofetil, Peripheral Blood Stem Cell Transplantation
NCT01252667 phase2completednot on this map

A Phase II Study of Optimally Dosed Clofarabine in Combination With Low-Dose TBI to Decrease Relapse Rates After Related or Unrelated Donor Hematopoietic Cell Transplantation in Patients With AML

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2011 to 2019Enrolled44ConditionsAcute Myeloid LeukemiaArmsAllogeneic Hematopoietic Stem Cell Transplantation, Clofarabine, Cyclosporine, Laboratory Biomarker Analysis, Mycophenolate Mofetil
NCT01527045 phase2completednot on this map

Donor Statin Treatment for Prevention of Severe Acute GVHD After Nonmyeloablative Hematopoietic Cell Transplantation

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2012 to 2019Enrolled47ConditionsAggressive Non-Hodgkin Lymphoma, Blasts Under 5 Percent of Bone Marrow Nucleated Cells, Chronic Lymphocytic Leukemia, Loss of Chromosome 17pArmsAtorvastatin Calcium, Cyclosporine, Fludarabine Phosphate, Laboratory Biomarker Analysis, Mycophenolate Mofetil
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
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  10. Health professionals' perceptions of prehabilitation before haematopoietic cell transplantation to optimise candidacy in older adults.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Review
  12. Drug repurposing for cancer therapy.Signal transduction and targeted therapy · 2024
    Review
  13. Review
  14. Article
  15. Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 20 institutions in 4 countries.

Jason P CooperFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Barry E StorerFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Noa GranotFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Boglark GyurkoczaFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Mohamed L SorrorFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Thomas R ChaunceyFred Hucthinson Cancer Research Center, Univ of Washington, VA Puget Sound Health Care, Seattle, USA.
Judith ShizuruStanford University, Palo Alto, CA, USA.
Georg-Nikolaus FrankeUniversity of Leipzig, Leipzig, Germany.
Michael B MarisColorado Blood Cancer Institute at HealthONE Presbyterian/St. Luke Medical Center, Denver, USA.
Michael BoyerUniversity of Utah, Salt Lake City, UT, USA.
Benedetto BrunoAzienda Ospedaliera S Giovanni Battista, University of Turin, Turin, Italy.
Firoozeh SahebiCity of Hope/Kaiser Permanente Medical Group, Duarte, CA, USA.
Amelia A LangstonWinship Cancer Institute at Emory University, Atlanta, GA, USA.
Parameswaran HariMedical College of Wisconsin, Milwaukee, WI, USA.
Edward D AguraBaylor University, Dallas, TX, USA.
Søren Lykke PetersenUniversity of Copenhagen Rigshospitalet, Copenhagen, Denmark.
Richard T MaziarzOregon Health and Science University, Portland, OR, USA.
Wolfgang BethgeMedical Center University of Tübingen, Tübingen, Germany.
Julie AschLDS Hospital, Salt Lake City, UT, USA.
Jonathan A GutmanUniversity of Colorado, Denver, CO, USA.
Gitte OlesenAarhus University, Aarhus, Denmark.
Andrew M YeagerUniversity of Arizona Cancer Center, Tucson, AZ, USA.
Kai HübelUniversity Hospital of Cologne, Cologne, Germany.
William J HoganMayo Clinic, Rochester, MN, USA.
David G MaloneyFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Marco MielcarekFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Paul J MartinFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Mary E D FlowersFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
George E GeorgesFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Ann E WoolfreyFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Joachim H DeegFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Bart L ScottFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
George B McDonaldFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Rainer StorbFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Brenda M SandmaierFred Hutchinson Cancer Research Center and the University of Washington, Seattle, WA, USA.
Fred Hutch Cancer Center · USUniversity of Washington · USAarhus University · DKBaylor University · USCancer Research Center · USEmory University · USKaiser Permanente · USLDS Hospital · USLeipzig University · DEMayo Clinic in Arizona · USMedical College of Wisconsin · USOregon Health & Science University · USRigshospitalet · DKStanford University · USTexas Health Dallas · USUniversity Hospital Cologne · DEUniversity of Arizona Cancer CenterUniversity of Colorado Denver · USUniversity of Tübingen · DEUniversity of Turin · IT

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Project 3: Stem Cell Allografts for Lymphoid MalignanciesP01CA078902 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SANDMAIER, BRENDA MARIE · 1999 to 2025
$46.1M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAWLINGS, DAVID J · 1986 to 2010
$25.9M
RESEARCH TRAINING IN HEMATOLOGYT32HL007093 · NHLBI · UNIVERSITY OF WASHINGTON · PI Janis L Abkowitz · 1985 to 2026
$13.9M
Project 3: Gene Therapy for Correction of Blood DisordersP01HL122173 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2015 to 2019
$12.9M
NCI NIH HHS P01 CA078902NCI NIH HHS P30 CA015704NHLBI NIH HHS P01 HL036444NHLBI NIH HHS P01 HL122173NHLBI NIH HHS T32 HL007093
6 · The paper itself

Abstract

We have used a non-myeloablative conditioning regimen for allogeneic hematopoietic cell transplantation for the past twenty years. During that period, changes in clinical practice have been aimed at reducing morbidity and mortality from infections, organ toxicity, and graft-versus-host disease. We hypothesized that improvements in clinical practice led to better transplantation outcomes over time. From 1997-2017, 1,720 patients with hematologic malignancies received low-dose total body irradiation +/- fludarabine or clofarabine before transplantation from HLA-matched sibling or unrelated donors, followed by mycophenolate mofetil and a calcineurin inhibitor ± sirolimus. We compared outcomes in three cohorts by year of transplantation: 1997 +/- 2003 (n=562), 2004 +/- 2009 (n=594), and 2010 +/- 2017 (n=564). The proportion of patients ≥60 years old increased from 27% in 1997 +/- 2003 to 56% in 2010-2017, and with scores from the Hematopoietic Cell Transplantation Comborbidity Index of ≥3 increased from 25% in 1997 +/- 2003 to 45% in 2010 +/- 2017. Use of unrelated donors increased from 34% in 1997 +/- 2003 to 65% in 2010-2017. When outcomes from 2004 +/- 2009 and 2010-2017 were compared to 1997 +/- 2003, improvements were noted in overall survival (P=.0001 for 2004-2009 and P <.0001 for 2010-2017), profression-free survival (P=.002 for 2004-2009 and P <.0001 for 2010 +/- 2017), non-relapse mortality (P<.0001 for 2004 +/- 2009 and P <.0001 for 2010 +/- 2017), and in rates of grades 2 +/- 4 acute and chronic graft-vs.-host disease. For patients with hematologic malignancies who underwent transplantation with non-myeloablative conditioning, outcomes have improved during the past two decades. Trials reported are registered under ClinicalTrials.gov identifiers: NCT00003145, NCT00003196, NCT00003954, NCT00005799, NCT00005801, NCT00005803, NCT00006251, NCT00014235, NCT00027820, NCT00031655, NCT00036738, NCT00045435, NCT00052546, NCT00060424, NCT00075478, NCT00078858, NCT00089011, NCT00104858, NCT00105001, NCT00110058, NCT00397813, NCT00793572, NCT01231412, NCT01252667, NCT01527045.

Indexed as

Graft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansMiddle AgedNeoplasm Recurrence, LocalTransplantation ConditioningUnrelated Donors

Identifiers

PMID32499241
PMCPMC8168504
OpenAlexW3033147285

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

and 19 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.