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International Journal of Hematology

, Volume 109, Issue 6, pp 711–717 | Cite as

Outcome of allogeneic hematopoietic stem cell transplantation in adult patients with hepatitis-associated aplastic anemia

  • Takehiko MoriEmail author
  • Yasushi Onishi
  • Yukiyasu Ozawa
  • Chiaki Kato
  • Tatsuyuki Kai
  • Yoshinobu Kanda
  • Mineo Kurokawa
  • Masatsugu Tanaka
  • Takashi Ashida
  • Yasushi Sawayama
  • Takahiro Fukuda
  • Tatsuo Ichinohe
  • Yoshiko Atsuta
  • Hirohito Yamazaki
Original Article
  • 80 Downloads

Abstract

Outcomes of allogeneic hematopoietic stem cell transplantation (HSCT) for hepatitis-associated aplastic anemia have not been fully evaluated. In the present study, the outcomes of 37 adult patients with hepatitis-associated aplastic anemia who underwent allogeneic HSCT were retrospectively analyzed using the registry database of Japan Society for Hematopoietic Cell Transplantation. The median age of the patients was 24 years (range, 16–61). The median period between diagnosis of hepatitis-associated aplastic anemia and HSCT was 6.0 months (range, 0.5–430.8). Stem cell sources were bone marrow (N = 19) or peripheral blood stem cells (N = 5) from an HLA-identical sibling or bone marrow (N = 11) and cord blood (N = 2) from an unrelated donor. The majority of conditioning regimens were fludarabine-based or high-dose cyclophosphamide-based. In all but 2 cases of early death, neutrophil engraftment was achieved. At the time of analysis, 32 patients were alive, with a median follow-up of 54.1 months. Five-year overall and failure-free survival rates were 86.0% (95% CI, 69.4–93.9%) and 75.0% (95% CI, 57.4–86.2%), respectively. Despite the heterogeneity in transplant procedures in a small number of patients, these results suggest that allogeneic HSCT is safe for use in hepatitis-associated aplastic anemia with a low rate of transplant-related mortality.

Keywords

Hepatitis-associated aplastic anemia Allogeneic hematopoietic stem cell transplantation Conditioning Engraftment Transplant-related mortality 

Notes

Acknowledgements

The authors would like to thank all the physicians and data managers of each transplant center and the staff member of Japanese Data Center for Hematopoietic Cell Transplantation.

Compliance with ethical standards

Conflict of interest

Mineo Kurokawa receives consulting fees from Sanofi.k.k.

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Copyright information

© Japanese Society of Hematology 2019

Authors and Affiliations

  • Takehiko Mori
    • 1
    Email author
  • Yasushi Onishi
    • 2
  • Yukiyasu Ozawa
    • 3
  • Chiaki Kato
    • 4
  • Tatsuyuki Kai
    • 5
  • Yoshinobu Kanda
    • 6
  • Mineo Kurokawa
    • 7
  • Masatsugu Tanaka
    • 8
  • Takashi Ashida
    • 9
  • Yasushi Sawayama
    • 10
  • Takahiro Fukuda
    • 11
  • Tatsuo Ichinohe
    • 12
  • Yoshiko Atsuta
    • 13
    • 14
  • Hirohito Yamazaki
    • 15
  1. 1.Division of Hematology, Department of MedicineKeio University School of MedicineTokyoJapan
  2. 2.Department of Hematology and RheumatologyTohoku University HospitalMiyagiJapan
  3. 3.Department of HematologyJapanese Red Cross Nagoya First HospitalNagoyaJapan
  4. 4.Department of HematologyMeitetsu HospitalAichiJapan
  5. 5.Division of HematologyKita-Fukushima Medical CenterFukushimaJapan
  6. 6.Division of HematologyJichi Medical University Saitama Medical CenterSaitamaJapan
  7. 7.Department of Cell Therapy and Transplantation MedicineThe University of Tokyo HospitalTokyoJapan
  8. 8.Department of HematologyKanagawa Cancer CenterKanagawaJapan
  9. 9.Division of Hematology and Rheumatology, Department of Internal MedicineKindai University Faculty of MedicineOsakaJapan
  10. 10.Department of Hematology, Atomic Bomb Disease and Hibakusha Medicine UnitNagasaki University HospitalNagasakiJapan
  11. 11.Hematopoietic Stem Cell Transplantation DivisionNational Cancer Center HospitalTokyoJapan
  12. 12.Department of Hematology and Oncology, Research Institute for Radiation Biology and MedicineHiroshima UniversityHiroshimaJapan
  13. 13.Japanese Data Center for Hematopoietic Cell TransplantationNagoyaJapan
  14. 14.Department of Healthcare AdministrationNagoya University Graduate School of MedicineNagoyaJapan
  15. 15.Division of Transfusion MedicineKanazawa University HospitalKanazawaJapan

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