Autologous bone marrow transplantation for acute lymphoblastic leukemia.
Published
Journal Article
Between December 1979 and February 1991, 89 patients with ALL received autologous BMT. Median patient age was 18.4 years. Ten patients were in first remission, 52 were in second or greater remission and 27 were in relapse at the time of transplant. Conditioning regimens utilized chemotherapy alone (5 patients) or in combination with 10-15.75 Gy total body irradiation (84 patients). Disease-free survival at 1 year is 50% for patients transplanted in first remission, 27% for those in > or = second remission and 8% for patients in relapse. Pre- and post-transplant variables were evaluated in univariate and multivariate analyses for their effect on survival and relapse. Factors significantly associated with improved survival were being transplanted in first remission and achieving a self-sustained platelet count > or = 20 x 10(9)/l in a shorter period of time. A decreased relapse rate after transplant was associated with a lower white blood count at diagnosis, being transplanted in first remission and not being transplanted in relapse.
Full Text
Duke Authors
Cited Authors
- Doney, K; Buckner, CD; Fisher, L; Petersen, FB; Sanders, J; Appelbaum, FR; Anasetti, C; Badger, C; Bensinger, W; Deeg, HJ
Published Date
- October 1993
Published In
Volume / Issue
- 12 / 4
Start / End Page
- 315 - 321
PubMed ID
- 8275030
Pubmed Central ID
- 8275030
International Standard Serial Number (ISSN)
- 0268-3369
Language
- eng
Conference Location
- England