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Haploidentical Transplants for Acute Myeloid Leukemia in Adults

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Haploidentical Transplantation

Abstract

Acute myeloid leukemia (AML) remains the most common indication for allogeneic hematopoietic cell transplantations (allo-HCT). Timely availability of donors remains one of the major challenges to the success of allo-HCT. Delays in allogeneic hematopoietic cell transplant may be associated with disease progression with deterioration in clinical status. Haploidentical hematopoietic cell transplantation allows eligible first-degree relative to be a donor and permits timely, easy, and cheap access to donor availability. Current haploidentical transplant techniques include the use of post-transplantation cyclophosphamide, T-cell depletion with megadoses of CD34+ cells, intensified GvHD prophylaxis, and selective depletion of T-cells. In North America, PTCy has gained popularity because of its ease, relatively lower cost, and lack of laborious graft manipulation.

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Acknowledgment

This work was supported in part by the University of Nebraska Medical Center, College of Medicine, Physician-Scientist Training Program Grant 2015–2016 to Vijaya Bhatt.

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Bhatt, V.R., Ciurea, S.O. (2018). Haploidentical Transplants for Acute Myeloid Leukemia in Adults. In: Ciurea, S., Handgretinger, R. (eds) Haploidentical Transplantation. Advances and Controversies in Hematopoietic Transplantation and Cell Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-54310-9_15

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