Allogeneic stem cell transplantation in patients with non-Hodgkin lymphoma who experienced relapse or progression after autologous stem cell transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12

AUTHORS

Ji-Won Kim, Byung-Su Kim, Soo-Mee Bang, Inho Kim, Dong Hwan Kim, Won Seog Kim, Deok-Hwan Yang, Je-Jung Lee, Je-Hwan Lee, Jin Seok Kim, Sang-Kyun Sohn, Ho-Young Yhim, Jae-Yong Kwak, Sung-Soo Yoon, Jong Seok Lee, Seonyang Park, Byoung Kook Kim, on behalf of the Korean Society of Blood and Marrow Transplantation

ABSTRACT

There are few treatment options for patients with non-Hodgkin lymphoma (NHL) who experienced progression after high-dose chemotherapy (HDC) with autologous stem cell transplantation (auto-SCT). The role of allogeneic stem cell transplantation (allo-SCT) in these patients has not been clarified yet. In this study, we report clinical outcomes of allo-SCT in patients with NHL who experienced progression after HDC with auto-SCT. Patients were enrolled from seven hospitals in Korea. A total of 38 patients were included: 18 patients (47.4%) underwent myeloablative conditioning and 20 patients (52.6%) reduced intensity conditioning. Overall response rate was 73.3%. Median event-free survival was 6.3 months. Median overall survival (OS) was 19.0 months. Estimated 5-year survival rate was 35.0%. Acute graft-versus-host disease developed in 13 patients (34.2%). Transplant-related mortality (TRM) was 21.1% (eight patients). Ann Arbor stage (p=0.022), performance status (p<0.001), and baseline serum albumin level (p=0.010) were significant risk factors for OS. Performance status (p=0.022) was a significant risk factor for TRM. Eight patients with persistent or progressive disease received donor lymphocyte infusion, and two of them achieved complete remission. In conclusion, despite high TRM, allo-SCT is a viable option for patients with NHL who underwent progression after HDC with auto-SCT. More... »

PAGES

1409-1418

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00277-011-1227-y

DOI

http://dx.doi.org/10.1007/s00277-011-1227-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034242390

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21468694


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