Haploidentical peripheral blood stem cell transplantation combined with unrelated cord blood in hematologic malignancy patients: A report of 80 cases

oleh: Cong Zeng, Cong Zeng, Cong Zeng, Cong Zeng, Yan Chen, Yan Chen, Yan Chen, Yan Chen, Juan Hua, Juan Hua, Juan Hua, Juan Hua, Yi Liu, Yi Liu, Yi Liu, Yi Liu, Ting-ting Cheng, Ting-ting Cheng, Ting-ting Cheng, Ting-ting Cheng, Xia Ma, Xia Ma, Xia Ma, Xia Ma, Xu Chen, Xu Chen, Xu Chen, Xu Chen, Shi-yu Wang, Shi-yu Wang, Shi-yu Wang, Shi-yu Wang, Ya-jing Xu, Ya-jing Xu, Ya-jing Xu, Ya-jing Xu

Format: Article
Diterbitkan: Frontiers Media S.A. 2022-09-01

Deskripsi

The outcomes of 80 patients with hematologic malignancies who received haploidentical peripheral blood stem cell transplantation (haplo-PBSCT) combined with unrelated cord blood (UCB) from March 2017 to June 2020 were analyzed in this retrospective study. Anti-thymocyte globulin(ATG) was administered at a dose of 7.5 mg/kg. The median time for neutrophil and platelet engraftment was 13(range: 8-22) days and 14(range: 8-103) days, respectively. The 30-day cumulative incidence of neutrophil engraftment was 100%, and the 100-day cumulative incidence of platelet engraftment was 95%. All patients achieved complete haploidentical peripheral blood stem cell engraftment, and no cord blood chimerism was observed. The cumulative incidence of grades II-IV and grades III-IV acute graft-versus-host disease (aGVHD) on 100-day was 26.3%(95%CI: 17.2%–36.3%) and 5.0%(95%CI: 1.6%–11.4%), respectively. The estimated cumulative incidence of chronic GVHD (cGVHD) and moderate-severe cGVHD at 3-year was 43.3%(95%CI: 31.6%–54.4%) and 16.0%(95%CI: 8.7%–25.2%), respectively. The estimated 3-year cumulative incidence of relapse and non-relapse mortality was 18.8%(95%CI: 10.0%–29.7%) and 17.8%(95%CI: 9.9%–27.5%), respectively. The estimated 3-year probabilities of overall survival, disease-free survival, GVHD/relapse-free survival were 77.6%(95%CI: 68.3%–88.1%), 63.4%(95%CI: 52.6%–76.5%), and 55.5%(95%CI: 44.8%–68.7%), respectively. These satisfying results suggested that haplo-PBSCT combined with UCB is an alternative transplantation protocol for hematologic malignancies.