Hematopoietic Cell Transplantation for Primary Plasma Cell Leukemia: Results from the Center for International Blood and Marrow Transplant Research View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-11-01

AUTHORS

Anuj Mahindra, Matt E. Kalaycio, Jorge Vela-Ojeda, David H. Vesole, Mei-Jie Zhang, Peigang Li, James R. Berenson, Jennifer M. Bird, Angela Dispenzieri, James L. Gajewski, Robert P. Gale, Leona Holmberg, Shaji Kumar, Robert A. Kyle, Hillard M. Lazarus, Sagar Lonial, Joseph Mikhael, Gustavo A. Milone, Reinhold Munker, Rajneesh Nath, Steven Saccaro, L Bik To, Dan T. Vogl, Baldeep Wirk, Parameswaran Hari

ABSTRACT

There are limited data on hematopoietic cell transplantation (HCT) in primary plasma cell leukemia (pPCL), an aggressive plasma cell disorder. We report outcomes of 147 patients with pPCL receiving autologous (n=97) or allogeneic (n=50) HCT within 18 months after diagnosis between 1995 and 2006. Median age was 56 years and 48 years for autologous HCT and allogeneic HCT, respectively. Progression-free survival (PFS) at 3 years was 34% (95% confidence interval (CI), 23-46%) in the autologous group and 20% (95% CI, 10-34%) in the allogeneic group. Cumulative incidence of relapse at 3 years was 61% (95% CI, 48-72%) in the autologous group and 38% (95% CI, 25-53%) in the allogeneic group. Overall survival (OS) at 3 years was 64% (95% CI, 52-75%) in the autologous group and 39% (95% CI, 26-54%) in the allogeneic group. Non-relapse mortality (NRM) at 3 years was 5% (95% CI, 1-11%) in the autologous group and 41% (95% CI, 28-56%) in the allogeneic group. The encouraging OS after autologous HCT, establishes the safety and feasibility of this consolidative treatment option after initial induction therapy for pPCL. Allogeneic HCT, although associated with a significantly lower relapse rate, carries a much higher risk of NRM and no OS benefit. More... »

PAGES

1091-1097

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/leu.2011.312

DOI

http://dx.doi.org/10.1038/leu.2011.312

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012172329

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22042147


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387 grid-institutes:grid.66875.3a schema:alternateName Mayo Clinic Rochester, Rochester, MN
388 schema:name Mayo Clinic Rochester, Rochester, MN
389 rdf:type schema:Organization
 




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