Thiotepa-busulfan-fludarabine as a conditioning regimen for patients with myelofibrosis undergoing allogeneic hematopoietic transplantation: a single center experience

被引:10
作者
Memoli, Mara [1 ,2 ]
Paviglianiti, Annalisa [1 ]
Malard, Florent [1 ,3 ,4 ]
Battipaglia, Giorgia [1 ,4 ]
Brissot, Eolia [1 ,3 ,4 ]
Mediavilla, Clemence [1 ,4 ]
Bianchessi, Antonio [1 ,5 ]
Banet, Anne [1 ]
Van de Wyngaert, Zoe [1 ]
Ledraa, Tounes [1 ]
Belhocine, Ramdane [1 ]
Sestili, Simona [1 ]
Lapusan, Simona [1 ]
Hirsch, Pierre [3 ,4 ,6 ]
Favale, Fabrizia [3 ,4 ,6 ]
Boussaroque, Agathe [3 ,4 ,6 ]
Bonnin, Agnes [1 ]
Vekhoff, Anne [1 ]
Legrand, Ollivier [1 ,3 ,4 ]
Mohty, Mohamad [1 ,3 ,4 ]
Dulery, Remy [1 ,3 ,4 ]
机构
[1] St Antoine Hosp, AP HP, Dept Hematol & Cellular Therapy, 184 Rue Faubourg St Antoine, F-75012 Paris, France
[2] Univ Naples Federico II, Hematol & Hematopoiet Stem Cell Transplant Ctr, Dept Med & Surg, Naples, Italy
[3] INSERM, UMRs 938, Paris, France
[4] Sorbonne Univ, Hop St Antoine, AP HP, Paris, France
[5] Univ Pavia, Dept Mol Med, Pavia, Italy
[6] Hop St Antoine, AP HP, Serv Hematol Biol, Paris, France
关键词
Thiotepa; busulfan; fludarabine; HSCT; TBF; myelofibrosis; STEM-CELL TRANSPLANTATION; CORD BLOOD TRANSPLANTATION; LEUKEMIA WORKING PARTY; HAPLOIDENTICAL TRANSPLANTATION; EUROPEAN-SOCIETY; RISK-FACTORS; MARROW; SPLENECTOMY; RUXOLITINIB; MANAGEMENT;
D O I
10.1080/10428194.2020.1827246
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We assessed the outcomes associated with thiotepa, busulfan and fludarabine (TBF) conditioning regimen in a cohort of 29 consecutive patients allografted for myelofibrosis (MF). The median age was 56 (range 42-70) years. According to the refined Dynamic International Prognostic Scoring System (DIPSS-plus), 15 (52%) patients were classified as high risk. Graft source was peripheral blood stem cells in 27 patients. Donor type was HLA-matched related (n = 5), matched unrelated (n = 16), mismatched unrelated (n = 1), and haploidentical (n = 7). All but 2 patients engrafted. The cumulative incidence (CI) of grade II-IV acute graft-versus-host disease (GVHD) was 21% (95% CI, 10-42) at day 100. The CI of chronic GVHD was 39% (95% CI, 23-65) at 3 years. The median follow-up period was 39 (range 14-60) months. Overall survival was 69% (95% CI, 50-83) at 3 years. No relapse was observed. TBF is a valid conditioning strategy in patients with MF.
引用
收藏
页码:419 / 427
页数:9
相关论文
共 50 条
[21]   Thiotepa/cyclophosphamide/TBI as a conditioning regimen for allogeneic hematopoietic stem cell transplantation in patients with myelodysplastic syndrome [J].
Fujimaki, K ;
Taguchi, J ;
Fujita, H ;
Hattori, M ;
Yamazaki, E ;
Takahashi, N ;
Fujisawa, S ;
Kanamori, H ;
Maruta, A ;
Ishigatsubo, Y .
BONE MARROW TRANSPLANTATION, 2004, 33 (08) :789-792
[22]   Vorinostat Combined with Busulfan, Fludarabine, and Clofarabine Conditioning Regimen for Allogeneic Hematopoietic Stem Cell Transplantation in Patients with Acute Leukemia: Long-Term Study Outcomes [J].
Alatrash, Gheath ;
Saberian, Chantal ;
Bassett, Roland ;
Thall, Peter F. ;
Ledesma, Celina ;
Lu, Yoshimi ;
Daher, May ;
Valdez, Benigno C. ;
Kawedia, Jitesh ;
Popat, Uday ;
Mehta, Rohtesh ;
Oran, Betul ;
Nieto, Yago ;
Olson, Amanda ;
Anderlini, Paolo ;
Marin, David ;
Hosing, Chitra ;
Alousi, Amin M. ;
Shpall, Elizabeth J. ;
Rondon, Gabriela ;
Chen, Julianne ;
Qazilbash, Muzaffar ;
Champlin, Richard E. ;
Kebriaei, Partow .
TRANSPLANTATION AND CELLULAR THERAPY, 2022, 28 (08) :501.e1-501.e7
[23]   Skin toxicity following treosulfan-thiotepa-fludarabine-based conditioning regimen in non-malignant pediatric patients undergoing hematopoietic stem cell transplantation [J].
Even-Or, Ehud ;
Kohl, Shahar Altman ;
Zaidman, Irina ;
Stepensky, Polina ;
Molho-Pessach, Vered .
PEDIATRIC TRANSPLANTATION, 2020, 24 (01)
[24]   Busulfan plus fludarabine as a myeloablative conditioning regimen compared with busulfan plus cyclophosphamide for acute myeloid leukemia in first complete remission undergoing allogeneic hematopoietic stem cell transplantation: a prospective and multicenter study [J].
Liu, Hui ;
Zhai, Xiao ;
Song, Zhaoyang ;
Sun, Jing ;
Xiao, Yang ;
Nie, Danian ;
Zhang, Yu ;
Huang, Fen ;
Zhou, Hongsheng ;
Fan, Zhiping ;
Tu, Sanfang ;
Li, Yonghua ;
Guo, Xutao ;
Yu, Guopan ;
Liu, Qifa .
JOURNAL OF HEMATOLOGY & ONCOLOGY, 2013, 6
[25]   Maximally Tolerated Busulfan Systemic Exposure in Combination with Fludarabine as Conditioning before Allogeneic Hematopoietic Cell Transplantation [J].
Perkins, Janelle B. ;
Kim, Jongphil ;
Anasetti, Claudio ;
Fernandez, Hugo F. ;
Perez, Lia E. ;
Ayala, Ernesto ;
Kharfan-Dabaja, Mohamed A. ;
Tomblyn, Marcie R. ;
Sullivan, Daniel M. ;
Pidala, Joseph A. ;
Field, Teresa L. .
BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION, 2012, 18 (07) :1099-1107
[26]   Busulfan plus fludarabine as a myeloablative conditioning regimen compared with busulfan plus cyclophosphamide for acute myeloid leukemia in first complete remission undergoing allogeneic hematopoietic stem cell transplantation: a prospective and multicenter study [J].
Hui Liu ;
Xiao Zhai ;
Zhaoyang Song ;
Jing Sun ;
Yang Xiao ;
Danian Nie ;
Yu Zhang ;
Fen Huang ;
Hongsheng Zhou ;
Zhiping Fan ;
Sanfang Tu ;
Yonghua Li ;
Xutao Guo ;
Guopan Yu ;
Qifa Liu .
Journal of Hematology & Oncology, 6
[27]   Thiotepa/cyclophosphamide/TBI as a conditioning regimen for allogeneic hematopoietic stem cell transplantation in patients with myelodysplastic syndrome [J].
K Fujimaki ;
J Taguchi ;
H Fujita ;
M Hattori ;
E Yamazaki ;
N Takahashi ;
S Fujisawa ;
H Kanamori ;
A Maruta ;
Y Ishigatsubo .
Bone Marrow Transplantation, 2004, 33 :789-792
[28]   Fludarabine and busulfan as a myeloablative conditioning regimen for allogeneic stem cell transplantation in high- and standard-risk leukemic patients [J].
Iravani, M. ;
Evazi, M. R. ;
Mousavi, S. A. ;
Shamshiri, A. R. ;
Tavakoli, M. ;
Ashouri, A. ;
Samiee, S. ;
Chahardovali, B. ;
Alimoghaddam, K. ;
Ghaffari, S. H. ;
Ghavamzadeh, A. .
BONE MARROW TRANSPLANTATION, 2007, 40 (02) :105-110
[29]   Fludarabine and busulfan as a myeloablative conditioning regimen for allogeneic stem cell transplantation in high- and standard-risk leukemic patients [J].
M Iravani ;
M R Evazi ;
S A Mousavi ;
A R Shamshiri ;
M Tavakoli ;
A Ashouri ;
S Samiee ;
B Chahardovali ;
K Alimoghaddam ;
S H Ghaffari ;
A Ghavamzadeh .
Bone Marrow Transplantation, 2007, 40 :105-110
[30]   Fludarabine plus reduced-intensity busulfan versus fludarabine plus myeloablative busulfan in patients with non-Hodgkin lymphoma undergoing allogeneic hematopoietic cell transplantation [J].
Kimimori Kamijo ;
Yoshimitsu Shimomura ;
Akihito Shinohara ;
Shohei Mizuno ;
Minoru Kanaya ;
Yoshiaki Usui ;
Sung-Won Kim ;
Takahide Ara ;
Ishikazu Mizuno ;
Takuro Kuriyama ;
Hideyuki Nakazawa ;
Ken-ichi Matsuoka ;
Shigeru Kusumoto ;
Nobuo Maseki ;
Masaki Yamaguchi ;
Takashi Ashida ;
Makoto Onizuka ;
Takahiro Fukuda ;
Yoshiko Atsuta ;
Eisei Kondo .
Annals of Hematology, 2023, 102 :651-661