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Results of hemopoietic cell transplantation in the first complete remission in children with acute myeloid leukemia from an intermediate risk group

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1. Title Title of document Results of hemopoietic cell transplantation in the first complete remission in children with acute myeloid leukemia from an intermediate risk group
2. Creator Author's name, affiliation, country Z M Dyshlevaya; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country E V Skorobogatova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country M A Maschan; Federal Research and Clinical Centre of Pediatric Hematology, Oncology and Immunology, Ministry of Health of the Russian Federation
2. Creator Author's name, affiliation, country I P Shipitsyna; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country Yu V Skvortsova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country P E Trakhtman; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country D N Balashov; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country Yu V Pashko; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country E E Kurnikova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country E V Suntsova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country O V Goronkova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country G G Solopova; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country D D Baidildina; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country I I Kalinina; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country L A Khachatryan; Russian Children's Hospital, Moscow
2. Creator Author's name, affiliation, country M M Shneider; Federal Research and Clinical Centre of Pediatric Hematology, Oncology and Immunology, Ministry of Health of the Russian Federation
2. Creator Author's name, affiliation, country A A Maschan; Federal Research and Clinical Centre of Pediatric Hematology, Oncology and Immunology, Ministry of Health of the Russian Federation
3. Subject Discipline(s)
3. Subject Keyword(s) acute myeloid leukemia; children; hemopoietic cell transplantations; treatment; efficiency; survival; melphalan
4. Description Abstract Aim. To analyze the results of allogeneic and autologous hemopoietic cell transplantations (allo- and auto-HCT) in children with acute myeloid leukemia (AML) from an intermediate risk group, most of which were performed using lower-intensity conditioning modes.
Subjects and methods. The study enrolled 36 children from an intermediate risk group, who had undergone auto-HCT (n = 22) or allo-HCT (n = 14) in December 1994 to December 2008. The patients' age was 0.7 to 16.6 years (median 12.8 years). Chemotherapeutic conditioning regimens were applied to all the patients. Melphalan was a basic myeloablative agent in 83.3% of cases.
Results. With a median follow-up of 4.6 years (1.1-13.8 years), three-year relapse-free survival (RFS) was 80.4%; overall survival (OS) was 65.6%. Recurrences were documented only in 6 (16.6%) patients from the auto-HCT. Transplantation-associated mortality (TAM) was 13.8% (five patients died). After allo-HCT versus auto-HCT, RFS, OS, and TAM were 100 and 68.7% (p = 0.03), 93.2 and 55.5% (p = 0.02), and 7.1 and 18.2%, respectively. Acute and chronic graft-versus-host reactions developed in 57.1 and 23.1%, respectively.
Conclusion. Transplantation of allogeneic hemopoietic cells from a compatible related donor in the intermediate risk group children with AML, by using melphalan-based conditioning regimen, demonstrates a high survival rate with the minimum toxicity.
5. Publisher Organizing agency, location LLC Obyedinennaya Redaktsiya
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.07.2010
8. Type Status & genre Peer-reviewed Article
8. Type Type
9. Format File format
10. Identifier Uniform Resource Identifier https://ter-arkhiv.ru/0040-3660/article/view/30616
11. Source Title; vol., no. (year) Terapevticheskii arkhiv; Vol 82, No 7 (2010)
12. Language English=en ru
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2010 Consilium Medicum
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