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Outcomes of haploidentical haematopoietic stem cell transplantation for adolescent and young adults with acute myeloid leukaemia.

Authors :
Huo, Wen‐Xuan
Wen, Qi
Zhang, Xiao‐Hui
Xu, Lan‐Ping
Wang, Yu
Yan, Chen‐Hua
Chen, Huan
Chen, Yu‐Hong
Han, Wei
Wang, Feng‐Rong
Wang, Jing‐Zhi
Huang, Xiao‐Jun
Mo, Xiao‐Dong
Source :
British Journal of Haematology. Aug2023, Vol. 202 Issue 4, p856-865. 10p.
Publication Year :
2023

Abstract

Summary: We aimed to identify the efficacy of haploidentical related donor (HID) haematopoietic stem cell transplantation (HSCT) in adolescent and young adults (AYAs) with acute myeloid leukaemia (AML) in a large cohort. Consecutive AML AYAs (15–39 years old, n = 599) receiving HID HSCT in complete remission (CR) were included. The 3‐year cumulative incidence of measurable residual disease occurrence, relapse and non‐relapse mortality after HID HSCT was 28.6% (95% CI: 25.0–32.2), 11.6% (95% CI: 9.0–14.2) and 6.7% (95% CI: 4.7–8.7) respectively. The 3‐year probability of event‐free survival, leukaemia‐free survival (LFS) and overall survival (OS) after HID HSCT was 60.7% (95% CI: 56.9–64.8), 81.7% (95% CI: 78.7–84.9) and 85.6% (95% CI: 82.8–88.4) respectively. In multivariable analysis, AML risk category at diagnosis and comorbidity burdens before HID HSCT were independently associated with LFS and OS. Compared to the older adults (≥ 40 years, n = 355) with AML receiving HID HSCT in CR during the same time period, AYAs have a lower incidence of non‐relapse mortality and higher probabilities of LFS and OS. Thus, we firstly confirmed the safety and efficacy of HID HSCT in AYAs with AML‐CR. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00071048
Volume :
202
Issue :
4
Database :
Academic Search Index
Journal :
British Journal of Haematology
Publication Type :
Academic Journal
Accession number :
169970985
Full Text :
https://doi.org/10.1111/bjh.18937