Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1991-7-22
|
pubmed:abstractText |
Although autologous bone marrow transplantation (ABMT) following purging with 4-hydroperoxycyclophosphamide (4HC) has been effective for some adults with acute non-lymphoblastic leukemia (ANLL), there are few data on ABMT for children. We have performed ABMT for 13 patients (median age, 5 years) with ANLL in second remission. Bone marrow was treated ex vivo with 4HC to kill residual leukemic cells. In order to enhance the anti-leukemic effect of 4HC, exogenous red blood cells were eliminated from the marrow/4HC mixture. All patients were conditioned for transplantation with busulfan (16 mg/kg) and cyclophosphamide (200 mg/kg), followed by infusion of the 4HC treated marrow. Eleven of 13 patients had complete hematologic reconstitution; there were no transplant-related deaths. Five patients relapsed at 2, 4, 5, 6 and 6 months post-BMT. Eight patients are disease-free survivors; the median time for survival is 24 months, with a projected disease-free survival of 61%. ABMT is a safe and efficacious treatment modality for children with ANLL in second remission. Our results suggest that the disease-free survival for pediatric patients may be superior to that seen in adults.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
0268-3369
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
6
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
425-9
|
pubmed:dateRevised |
2007-11-15
|
pubmed:meshHeading |
pubmed-meshheading:2097012-Actuarial Analysis,
pubmed-meshheading:2097012-Adolescent,
pubmed-meshheading:2097012-Adult,
pubmed-meshheading:2097012-Bone Marrow Transplantation,
pubmed-meshheading:2097012-Busulfan,
pubmed-meshheading:2097012-Child,
pubmed-meshheading:2097012-Child, Preschool,
pubmed-meshheading:2097012-Cyclophosphamide,
pubmed-meshheading:2097012-Evaluation Studies as Topic,
pubmed-meshheading:2097012-Graft Survival,
pubmed-meshheading:2097012-Humans,
pubmed-meshheading:2097012-Infant,
pubmed-meshheading:2097012-Leukemia, Myeloid, Acute,
pubmed-meshheading:2097012-Neoplastic Stem Cells,
pubmed-meshheading:2097012-Remission Induction,
pubmed-meshheading:2097012-Transplantation, Autologous
|
pubmed:year |
1990
|
pubmed:articleTitle |
Autologous bone marrow transplantation with 4-hydroperoxycyclophosphamide purged marrows for children with acute non-lymphoblastic leukemia in second remission.
|
pubmed:affiliation |
Division of Research Immunology/Bone Marrow Transplantation, Children's Hospital of Los Angeles, University of Southern California School of Medicine 90027.
|
pubmed:publicationType |
Journal Article
|