Autologous hematopoietic cell transplantation for relapsed multiple myeloma performed with cells procured after previous transplantation–study on behalf of CMWP of ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-02-15

AUTHORS

Joanna Drozd-Sokołowska, Luuk Gras, Nienke Zinger, John A. Snowden, Mutlu Arat, Grzegorz Basak, Anastasia Pouli, Charles Crawley, Keith M. O. Wilson, Herve Tilly, Jennifer Byrne, Claude Eric Bulabois, Jakob Passweg, Zubeyde Nur Ozkurt, Wilfried Schroyens, Bruno Lioure, Mercedes Colorado Araujo, Xavier Poiré, Gwendolyn Van Gorkom, Gunhan Gurman, Liesbeth C. de Wreede, Patrick J. Hayden, Meral Beksac, Stefan O. Schönland, Ibrahim Yakoub-Agha

ABSTRACT

Autologous hematopoietic cell transplantation (auto-HCT) may be performed in multiple myeloma (MM) patients relapsing after a previous auto-HCT. For those without an adequate dose of stored stem cells, remobilization is necessary. This retrospective study included patients who, following disease relapse after the first auto-HCT(s), underwent stem cell remobilization and auto-HCT performed using these cells. There were 305 patients, 68% male, median age at salvage auto-HCT was 59 years. The median time to relapse after the first-line penultimate auto-HCT(s) was 30.6 months, the median follow-up after salvage auto-HCT 31 months. The 2- and 4-year non-relapse mortality (NRM) after the salvage auto-HCT was 5 and 9%, the relapse incidence 56 and 76%, respectively. Overall survival (OS) after 2 and 4 years was 76 and 52%, progression-free survival (PFS) 39 and 15%. In multivariable analysis an increasing interval between the penultimate auto-HCT and relapse was associated with better OS and PFS, later calendar year of salvage auto-HCT with better OS. In conclusion, salvage auto-HCT performed with cells remobilized after a previous auto-HCT was associated with acceptable NRM. The leading cause of failure was disease progression of MM, which correlated with a shorter interval from the penultimate auto-HCT to the first relapse. More... »

PAGES

633-640

References to SciGraph publications

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  • Journal

    TITLE

    Bone Marrow Transplantation

    ISSUE

    4

    VOLUME

    57

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/s41409-022-01592-y

    DOI

    http://dx.doi.org/10.1038/s41409-022-01592-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1145523607

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35169284


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