A1 Refereed original research article in a scientific journal

Haploidentical stem cell donor choice for patients with acute myeloid leukemia: A study from the ALWP of the EBMT




AuthorsSanz Jaime, Labopin Myriam, Blaise Didier, Raiola Anna Maria, Busca Alessandro, Vydra Jan, Tischer Johanna, Chevallier Patrice, Bramanti Stefania, Fanin Renato, Socié Gérard, Forcade Edouard, Kröger Nicolaus, Koc Yener, Itäla-Remes Maija, Zecca Marco, Nagler Arnon, Brissot Eolia, Spyridonidis Alexandros, Bazarbachi Ali, Giebel Sebastian, Piemontese Simona, Mohty Mohamad, Ciceri Fabio

PublisherElsevier

Publication year2024

JournalBlood Advances

Journal name in sourceBlood Advances

Volume8

Issue10

First page 2332

Last page2341

ISSN2473-9529

eISSN2473-9537

DOIhttps://doi.org/10.1182/bloodadvances.2023012133

Web address https://www.sciencedirect.com/science/article/pii/S2473952924001320

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/387239108


Abstract

There is a paucity of information to guide selection of the most suitable donor in haploidentical (Haplo) hematopoietic stem cell transplantation (HSCT). For this reason, from the Acute Leukemia Working Party (ALWP) of the European Society for Blood and Marrow Transplantation (EBMT), we conducted a retrospective analysis to evaluate the impact of Haplo donor characteristics on outcomes in patients with acute myeloid leukemia (AML) who received graft-versus-host disease prophylaxis with post-transplant cyclophosphamide (PTCy). The primary endpoint was GvHD-free and relapse-free survival (GRFS). Overall, 2200 patients were included. The median age of donors was 37 years (range, 8-71), 820 (37%) were females, including 458 (21%) who were used for male recipients. Additionally, 1631 (74%) donated peripheral blood (PB). Multivariable analysis identified certain donor-related risk factors with a detrimental impact on transplant outcomes. The use of PB, older donor´s age (>37yrs) and female donors to male recipients negatively affected GRFS. Donor´s age and female donor to male recipient combination also affected non-relapse mortality, leukemia-free survival and overall survival. In conclusion, donor-related variables significantly influence AML patient outcomes following Haplo-HSCT with PTCy. When possible, younger donors and male donors for male recipients should be prioritized. The use of BM can additionally prevent GVHD.


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Last updated on 2025-14-03 at 15:10