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- W2330024675 abstract "// Tomasz Czerw 1 , Myriam Labopin 2,3,4 , Christoph Schmid 5 , Jan J. Cornelissen 6 , Patrice Chevallier 7 , Didier Blaise 8 , Jürgen Kuball 9 , Stephane Vigouroux 10 , Frédéric Garban 11 , Bruno Lioure 12 , Nathalie Fegueux 13 , Laurence Clement 14 , Anna Sandstedt 15 , Johan Maertens 16 , Gaëlle Guillerm 17 , Dominique Bordessoule 18 , Mohamad Mohty 2,3,4,* and Arnon Nagler 19,2,* 1 Department of Bone Marrow Transplantation and Oncohematology, Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Gliwice Branch, Gliwice, Poland 2 Clinical Hematology and Cellular Therapy Department, The Acute Leukemia Working Party of the EBMT office, Hopital Saint-Antoine APHP Paris, France 3 INSERM UMRs 938, Paris, France 4 Université Pierre et Marie Curie (UPMC, Paris VI), Paris, France 5 Klinikum Augsburg, University of Munich, Munich, Germany 6 Department of Hematology, Erasmus University medical center Cancer Institute, Rotterdam, The Netherlands 7 CHU Nantes, Dept. D`Hematologie, Nantes, France 8 Unité de transplantation et de thérapie cellulaire, Institut Paoli Calmettes, Marseille, France 9 University Medical Centre, Dept. of Haematology, Utrecht, The Netherlands 10 CHU Bordeaux, Hôpital Haut-leveque, Pessac, France 11 Hopital A. Michallon, Hématologie Clinique, Pole Cancérologie, Grenoble, France 12 Nouvel Hopital Civil, Strasbourg, France 13 CHU Lapeyronie, Département d`Hématologie Clinique, Montpellier, France 14 Hôpital de Brabois, Centre Hospitalier Universitaire (CHU) de Nancy, Vandoeuvres les Nancy, France 15 University Hospital, Dept. of Hematology, Linköping, Sweden 16 University Hospital Gasthuisberg, Dept. of Hematology, Leuven, Belgium 17 CHU Morvan, Brest, France 18 CHRU Limoges, Service d`Hématologie Clinique, Limoges, France 19 Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel Hashomer, Israel * These authors have contributed equally to this work Correspondence to: Tomasz Czerw, email: // Keywords : allogenic transplantation, stem cell transplantation, acute myeloid leukemia (AML), reduced-intensity conditioning, cell dose Received : March 17, 2016 Accepted : March 23, 2016 Published : March 29, 2016 Abstract Inconsistent results have been reported regarding the influence of graft composition on the incidence of graft versus host disease (GVHD), disease control and survival after reduced-intensity conditioning (RIC) allogeneic peripheral blood stem cell transplantation (allo-PBSCT). These discrepancies may be at least in part explained by the differences in disease categories, disease status at transplant, donor type and conditioning. The current retrospective EBMT registry study aimed to analyze the impact of CD3+ and CD34+ cells dose on the outcome of RIC allo-PBSCT in patients with acute myelogenous leukemia (AML) in first complete remission, allografted from HLA-matched unrelated donors (10 of 10 match). We included 203 adults. In univariate analysis, patients transplanted with the highest CD3+ and CD34+ doses (above the third quartile cut-off point values, >347 x 10^6/kg and >8.25 x 10^6 /kg, respectively) had an increased incidence of grade III-IV acute (a) GVHD (20% vs. 6%, P = .003 and 18% vs. 7%, P = .02, respectively). There was no association between cellular composition of grafts and transplant-related mortality, AML relapse, incidence of chronic GVHD and survival. Neither engraftment itself nor the kinetics of engraftment were affected by the cell dose. In multivariate analysis, CD3+ and CD34+ doses were the only adverse predicting factors for grade III-IV aGVHD (HR = 3.6; 95%CI: 1.45-9.96, P = .006 and 2.65 (1.07-6.57), P = .04, respectively). These results suggest that careful assessing the CD3+ and CD34+ graft content and tailoring the cell dose infused may help in reducing severe acute GVHD risk without negative impact on the other transplantation outcomes." @default.
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- W2330024675 date "2016-03-29" @default.
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- W2330024675 title "High CD3+ and CD34+ peripheral blood stem cell grafts content is associated with increased risk of graft-versus-host disease without beneficial effect on disease control after reduced-intensity conditioning allogeneic transplantation from matched unrelated donors for acute myeloid leukemia — an analysis from the Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation" @default.
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- W2330024675 doi "https://doi.org/10.18632/oncotarget.8463" @default.
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