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Myeloablative unrelated cord blood transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia: comparison with other graft sources from related and unrelated donors

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Abstract

Philadelphia chromosome (Ph)-positive acute lymphoblastic leukemia (ALL) is a distinct clinical entity among ALL and is associated with adverse outcomes and higher rates of relapse when conventional chemotherapy is used alone. Although allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a potentially curative therapy for patients with Ph+ALL, the impact of graft sources, particularly cord blood transplantation (CBT), on allo-HSCT for patients with Ph+ALL has yet to be clarified. We retrospectively compared clinical outcomes after unrelated CBT (n = 20), unrelated bone marrow transplantation (n = 7), and related bone marrow and peripheral blood stem cell transplantations (n = 13) following myeloablative conditioning in 40 patients with Ph+ALL. Although graft source had no significant impact on survival or relapse, disease status at transplantation did significantly affect outcomes. These data suggest that unrelated CBT is feasible and should be considered early in the course of patients with Ph+ALL when HLA-compatible related and unrelated donors are not available.

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Acknowledgments

The authors thank all of the physicians and staff at the hospitals and the cord blood banks in Japan for their help in this study. This work was supported in part by The Kobayashi Foundation.

Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan

    Takaaki Konuma, Seiko Kato, Maki Oiwa-Monna, Arinobu Tojo & Satoshi Takahashi

  2. Department of Hematology/Oncology, Teikyo University School of Medicine, Tokyo, Japan

    Jun Ooi

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  1. Takaaki Konuma
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  2. Seiko Kato
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  3. Jun Ooi
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  4. Maki Oiwa-Monna
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  5. Arinobu Tojo
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  6. Satoshi Takahashi
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Correspondence to Takaaki Konuma.

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Konuma, T., Kato, S., Ooi, J. et al. Myeloablative unrelated cord blood transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia: comparison with other graft sources from related and unrelated donors. Ann Hematol 94, 289–296 (2015). https://doi.org/10.1007/s00277-014-2195-9

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  • DOI: https://doi.org/10.1007/s00277-014-2195-9

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