論文

査読有り 国際誌
2019年12月

Outcomes of allogeneic stem cell transplantation for DLBCL: a multi-center study from the Kyoto Stem Cell Transplantation Group.

Annals of hematology
  • Kiyotaka Izumi
  • Junya Kanda
  • Momoko Nishikori
  • Yasuyuki Arai
  • Takayuki Ishikawa
  • Satoshi Yoshioka
  • Yasunori Ueda
  • Takeshi Maeda
  • Akihito Yonezawa
  • Naoyuki Anzai
  • Toshinori Moriguchi
  • Kazunori Imada
  • Takashi Akasaka
  • Masaharu Nohgawa
  • Mitsuru Itoh
  • Akiko Aiba
  • Hiroko Tsunemine
  • Mitsumasa Watanabe
  • Tadakazu Kondo
  • Akifumi Takaori-Kondo
  • 全て表示

98
12
開始ページ
2815
終了ページ
2823
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00277-019-03835-3

Allogeneic hematopoietic stem cell transplantation (allo-SCT) has been considered as a potentially curative treatment option for refractory or relapsed diffuse large B cell lymphoma (DLBCL) patients. However, there is little information available, especially for Japanese patients and in cord blood transplantation (CBT). We aimed to determine treatment outcomes of allo-SCT for DLBCL in the Kyoto Stem Cell Transplantation Group, a multi-institutional joint research group. Sixty-eight DLBCL patients who underwent their first allo-SCT between 2003 and 2016 were included. The median time from diagnosis to transplantation was 13.5 months. Thirty-one patients were in CR/PR at transplantation. Twenty-seven patients underwent CBT. The median follow-up for survivors was 44.2 months. Four-year overall survival (OS) and relapse-free survival (RFS) rates were 23% (95% CI, 13-35%) and 20% (95% CI, 11-31%), respectively. Cumulative incidences of non-relapse mortality and relapse were 23% and 57%, respectively. Patients in CR/PR at allo-SCT had better OS (4-year, 46% vs 4%, P < 0.001) and RFS (4-year, 36% vs 7%, P = 0.005). The source of the stem cell did not significantly affect OS (4-year, bone marrow vs cord blood vs peripheral blood, 28.6% vs 27.2% vs 6.5%, P = 0.193). In multivariate analysis, non-remission status at SCT associated with inferior OS and RFS. Duration from diagnosis to transplantation of less than 1 year associated with inferior RFS. Allo-SCT, including CBT, may be a promising therapeutic modality for DLBCL patients who have good disease control at transplantation.

リンク情報
DOI
https://doi.org/10.1007/s00277-019-03835-3
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31713653
ID情報
  • DOI : 10.1007/s00277-019-03835-3
  • PubMed ID : 31713653

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