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Myeloablative Haploidentical Transplant as an Alternative to Matched Sibling Transplant for Peripheral T-Cell Lymphomas

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单位: [1]Department of Hematology, Chinese PLA General Hospital, Beijing, China [2]Department of Hematology, Fujian Institute of Hematology, Fuzhou, China [3]Department of Hematology, The Forth Medical Center of PLA General Hospital, Beijing, China [4]Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China [5]Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China [6]Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, China [7]Department of Hematology, Peking University First Hospital, Beijing, China [8]Department of Hematology, The Fifth Medical Center of PLA General Hospital, Beijing, China
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关键词: peripheral t-cell lymphoma allo-HSCT haploidentical donor HLA-matched sibling donor antithymocyte globulin

摘要:
The number of HLA-haploidentical allogeneic hematopoietic stem-cell transplantation (Haplo-HSCT) is increasing. Comparative studies about Haplo-HSCT versus allo-HSCT with HLA-matched sibling donors (MSD-HSCT) have been tried in leukemias and B-cell lymphomas. Few studies were reported in Peripheral T-cell lymphomas (PTCLs). We performed a multicenter retrospective study about 52 patients with PTCLs undergoing Haplo-HSCT (n = 20) or MSD-HSCT (n = 32). All Haplo-HSCT recipients received antithymocyte globulin (ATG) based graft versus host disease (GVHD) prophylaxis. The median follow-up for all survivors was 38 months. The 100-day cumulative incidence of grade II to IV acute GVHD was similar (19% in the MSD-HSCT group versus 28% in the Haplo-HSCT group, P = 0.52). The 2-year cumulative incidence of chronic GVHD (limited and extensive) after Haplo-HSCT (30%) was also similar with that in the MSD-HSCT group (50%, P = 0.15). The 3-year relapse rates (33% vs 27%, P = 0.84) and non-relapse mortality (21% vs 22%, P = 0.78) did not differ between these two groups. There were also no differences in 3-year overall survival (OS) (48% vs 50%, P = 0.78) and progression-free survival (47% vs 51%, P = 0.95) between these two groups. On multivariate analysis, prognostic index for T-cell lymphoma (PIT) score (higher than 1: hazard ratio [HR], 4.0; P = 0.003) and disease status (stable or progression disease before HSCT: HR, 2.8; P = 0.03) were independent variables associated with worse OS. We concluded that ATG-based haplo-HSCT platform could work as an alternative to MSD-HSCT for patients with PTCLs.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 医学:研究与实验 3 区 移植 4 区 细胞与组织工程
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 移植 4 区 细胞与组织工程 4 区 医学:研究与实验
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出版当年[2019]版:
Q2 TRANSPLANTATION Q2 MEDICINE, RESEARCH & EXPERIMENTAL Q3 CELL & TISSUE ENGINEERING
最新[2023]版:
Q2 MEDICINE, RESEARCH & EXPERIMENTAL Q2 TRANSPLANTATION Q3 CELL & TISSUE ENGINEERING

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Department of Hematology, Chinese PLA General Hospital, Beijing, China
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通讯机构: [1]Department of Hematology, Chinese PLA General Hospital, Beijing, China [7]Department of Hematology, Peking University First Hospital, Beijing, China [8]Department of Hematology, The Fifth Medical Center of PLA General Hospital, Beijing, China [*1]Department of Hematology, Peking University First Hospital, Beijing 100034, China. [*2]Department of Hematology, The Fifth Medical Center of PLA General Hospital, Beijing 100048, China. [*3]Department of Hematology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.
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