Scientific article
English

Better outcome with haploidentical over HLA-matched related donors in patients with Hodgkin's lymphoma undergoing allogeneic haematopoietic cell transplantation-a study by the Francophone Society of Bone Marrow Transplantation and Cellular Therapy

Published inBone Marrow Transplantation, vol. 53, no. 4, p. 400-409
Publication date2018
Abstract

The question of the best donor type between haploidentical (HAPLO) and matched-related donors (MRD) for patients with advanced HL receiving an allogeneic hematopoietic cell transplantation (allo-HCT) is still debated. Given the lack of data comparing these two types of donor in the setting of non-myeloablative (NMA) or reduced-intensity (RIC) allo-HCT, we performed a multicentre retrospective study using graft-vs.-host disease-free relapse-free survival (GRFS) as our primary endpoint. We analysed the data of 151 consecutive HL patients who underwent NMA or RIC allo-HCT from a HAPLO (N  =  61) or MRD (N  =  90) between January 2011 and January 2016. GRFS was defined as the probability of being alive without evidence of relapse, grade 3-4 acute GVHD or chronic GVHD. In multivariable analysis, MRD donors were independently associated with lower GRFS compared to HAPLO donors (HR  =  2.95, P   < 0.001). Disease status at transplant other than CR was also associated with lower GRFS in multivariable analysis (HR  =  1.74, P  =  0.01). In addition, the administration of ATG was independently linked to higher GRFS (HR  =  0.52, P  =  0.009). In summary, we observed significantly higher GRFS in HL patients receiving an allo-HCT using the HAPLO PT-Cy platform compared to MRD.

Citation (ISO format)
GAUTHIER, Jordan et al. Better outcome with haploidentical over HLA-matched related donors in patients with Hodgkin’s lymphoma undergoing allogeneic haematopoietic cell transplantation-a study by the Francophone Society of Bone Marrow Transplantation and Cellular Therapy. In: Bone Marrow Transplantation, 2018, vol. 53, n° 4, p. 400–409. doi: 10.1038/s41409-017-0018-z
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0268-3369
385views
0downloads

Technical informations

Creation23/11/2018 16:04:00
First validation23/11/2018 16:04:00
Update time15/03/2023 17:08:05
Status update15/03/2023 17:08:03
Last indexation19/11/2024 16:03:28
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack