Tags

Type your tag names separated by a space and hit enter

Allogeneic bone marrow transplantation in children with acute myelogenous leukemia in first remission. Associazione Italiana di Ematologia e Oncologia Pediatrica (AIEOP) and the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO).
Bone Marrow Transplant. 1994 Jun; 13(6):771-6.BM

Abstract

Fifty-nine children, aged 1-15 years, with acute myelogenous leukemia (AML) received a bone marrow transplant (BMT) from an HLA-identical sibling (n = 57) or from an identical twin (n = 2), while in first remission (CR). These children represent, to the best of our knowledge, all children grafted in first CR in 11 Italian centers between 1980 and 1990. Patients were prepared with total body irradiation (TBI) plus cyclophosphamide (CY) (n = 50) or melphalan (n = 2) or with busulfan plus CY (n = 7). GVHD prophylaxis consisted of cyclosporin A (n = 48), methotrexate (n = 7) or cyclosporin and methotrexate (n = 2). Survivors have been followed for 21-137 months (median 59 months). Actuarial relapse-free survival was 58% at 66-137 months (95% confidence interval (CI) 44-72). Actuarial risk of relapse was 23% at 48 months (95% CI 10.9-34.8). Risk of non-relapse deaths was 33% in the period 1980-87 and 4% in the period 1988-90 (p = 0.02). In multivariate analysis patients with a blood cell count > 14 x 10(9)/l at diagnosis showed a lower relapse-free survival compared with patients with counts < 14 x 10(9)/l (p = 0.006). We could not detect an effect of FAB subtype, patient age, time to achieve remission or transplant-related variables, including year of BMT, on relapse-free survival. In conclusion, allogeneic marrow transplantation can achieve long-term relapse-free survival in over 50% of children with AML and should be considered as consolidation therapy if a matched sibling is available.(

ABSTRACT

TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

Department of Pediatric Hematology/Oncology-Bone Marrow Transplant Unit, Istituto Giannina Gaslini, Genova, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

7920313

Citation

Dini, G, et al. "Allogeneic Bone Marrow Transplantation in Children With Acute Myelogenous Leukemia in First Remission. Associazione Italiana Di Ematologia E Oncologia Pediatrica (AIEOP) and the Gruppo Italiano Per Il Trapianto Di Midollo Osseo (GITMO)." Bone Marrow Transplantation, vol. 13, no. 6, 1994, pp. 771-6.
Dini G, Boni L, Abla O, et al. Allogeneic bone marrow transplantation in children with acute myelogenous leukemia in first remission. Associazione Italiana di Ematologia e Oncologia Pediatrica (AIEOP) and the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO). Bone Marrow Transplant. 1994;13(6):771-6.
Dini, G., Boni, L., Abla, O., Uderzo, C., Polchi, P., Locatelli, F., Di Bartolomeo, P., Arcese, W., Iori, A. P., & Rossetti, F. (1994). Allogeneic bone marrow transplantation in children with acute myelogenous leukemia in first remission. Associazione Italiana di Ematologia e Oncologia Pediatrica (AIEOP) and the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO). Bone Marrow Transplantation, 13(6), 771-6.
Dini G, et al. Allogeneic Bone Marrow Transplantation in Children With Acute Myelogenous Leukemia in First Remission. Associazione Italiana Di Ematologia E Oncologia Pediatrica (AIEOP) and the Gruppo Italiano Per Il Trapianto Di Midollo Osseo (GITMO). Bone Marrow Transplant. 1994;13(6):771-6. PubMed PMID: 7920313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Allogeneic bone marrow transplantation in children with acute myelogenous leukemia in first remission. Associazione Italiana di Ematologia e Oncologia Pediatrica (AIEOP) and the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO). A1 - Dini,G, AU - Boni,L, AU - Abla,O, AU - Uderzo,C, AU - Polchi,P, AU - Locatelli,F, AU - Di Bartolomeo,P, AU - Arcese,W, AU - Iori,A P, AU - Rossetti,F, PY - 1994/6/1/pubmed PY - 1994/6/1/medline PY - 1994/6/1/entrez SP - 771 EP - 6 JF - Bone marrow transplantation JO - Bone Marrow Transplant VL - 13 IS - 6 N2 - Fifty-nine children, aged 1-15 years, with acute myelogenous leukemia (AML) received a bone marrow transplant (BMT) from an HLA-identical sibling (n = 57) or from an identical twin (n = 2), while in first remission (CR). These children represent, to the best of our knowledge, all children grafted in first CR in 11 Italian centers between 1980 and 1990. Patients were prepared with total body irradiation (TBI) plus cyclophosphamide (CY) (n = 50) or melphalan (n = 2) or with busulfan plus CY (n = 7). GVHD prophylaxis consisted of cyclosporin A (n = 48), methotrexate (n = 7) or cyclosporin and methotrexate (n = 2). Survivors have been followed for 21-137 months (median 59 months). Actuarial relapse-free survival was 58% at 66-137 months (95% confidence interval (CI) 44-72). Actuarial risk of relapse was 23% at 48 months (95% CI 10.9-34.8). Risk of non-relapse deaths was 33% in the period 1980-87 and 4% in the period 1988-90 (p = 0.02). In multivariate analysis patients with a blood cell count > 14 x 10(9)/l at diagnosis showed a lower relapse-free survival compared with patients with counts < 14 x 10(9)/l (p = 0.006). We could not detect an effect of FAB subtype, patient age, time to achieve remission or transplant-related variables, including year of BMT, on relapse-free survival. In conclusion, allogeneic marrow transplantation can achieve long-term relapse-free survival in over 50% of children with AML and should be considered as consolidation therapy if a matched sibling is available.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0268-3369 UR - https://www.unboundmedicine.com/medline/citation/7920313/Allogeneic_bone_marrow_transplantation_in_children_with_acute_myelogenous_leukemia_in_first_remission__Associazione_Italiana_di_Ematologia_e_Oncologia_Pediatrica__AIEOP__and_the_Gruppo_Italiano_per_il_Trapianto_di_Midollo_Osseo__GITMO__ L2 - http://www.diseaseinfosearch.org/result/204 DB - PRIME DP - Unbound Medicine ER -