Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-5-24
pubmed:abstractText
A total of 24 patients (median age 58; range, 27-71 years) with chronic myeloid leukemia (CML) in first chronic (CP1) (n=14), second chronic (n=4), or accelerated phase (n=6) who were not candidates for conventional hematopoietic cell transplantation (HCT), received nonmyeloablative HCT from HLA-matched siblings a median of 28.5 (range, 11-271) months after diagnosis. They were conditioned with 2 Gy total body irradiation (TBI) alone (n=8) or combined with fludarabine, 90 mg/m(2) (n=16). Postgrafting immunosuppression included cyclosporine and mycophenolate mofetil. All patients initially engrafted. However, 4 of 8 patients not given fludarabine experienced nonfatal rejection while all others had sustained engraftment. With a median follow-up of 36 (range, 4-49) months, 13 of 24 patients (54%) were alive and in complete remission. There were five (21%) deaths from nonrelapse mortality, one (4%) during the first 100 days after transplant. The proportions of grade II, III, and IV acute GVHD were 38, 4, and 8%, respectively. The 2-year estimate of chronic GVHD was 32%. The 2-year survival estimates for patients in CP1 (n=14) and beyond CP1 (n=10) were 70 and 56%, respectively. This study shows encouraging remission rates for patients with CML not eligible for conventional allografting.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
990-7
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15800667-Adult, pubmed-meshheading:15800667-Aged, pubmed-meshheading:15800667-Antineoplastic Agents, pubmed-meshheading:15800667-Female, pubmed-meshheading:15800667-Graft vs Host Disease, pubmed-meshheading:15800667-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:15800667-Histocompatibility Testing, pubmed-meshheading:15800667-Humans, pubmed-meshheading:15800667-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:15800667-Male, pubmed-meshheading:15800667-Middle Aged, pubmed-meshheading:15800667-Radiation Dosage, pubmed-meshheading:15800667-Siblings, pubmed-meshheading:15800667-Tissue Donors, pubmed-meshheading:15800667-Transplantation, Homologous, pubmed-meshheading:15800667-Transplantation Chimera, pubmed-meshheading:15800667-Transplantation Conditioning, pubmed-meshheading:15800667-Treatment Outcome, pubmed-meshheading:15800667-Vidarabine, pubmed-meshheading:15800667-Whole-Body Irradiation
pubmed:year
2005
pubmed:articleTitle
Hematopoietic cell transplantation from HLA-identical sibling donors after low-dose radiation-based conditioning for treatment of CML.
pubmed:affiliation
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't, Multicenter Study, Research Support, N.I.H., Extramural