Abstract
Intensive treatments like autologous blood stem cell transplantations are standard consolidation treatments for lymphoma and myeloma in young people. The upper age limit for these procedures is constantly increasing. Instead of studying the impact of aging on harvesting peripheral blood stem cells (PBSC), we performed a retrospective study to explore the feasibility of collecting stem cells from patients older than 65 years and compared the efficacy to harvest in younger patients. During a period of 7 years, we identified 108 patients with myeloma or lymphoma who were older than 65 years who underwent PBSC collection. Only eight patients failed to produce a successful harvest. The majority of patients only needed one apheresis (71%). There was a median number of 5.3 × 106 CD34+ cells/kg. Our study demonstrated that older patients can also undergo PBSC harvests similar to younger patients.
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References
Schmitz N, Buske C, Gisselbrecht C (2007) Autologous stem cell transplantation in lymphoma. Semin Hematol 44(4):234–245. doi:10.1053/j.seminhematol.2007.08.007 Review
Harousseau JL (2007) Role of stem cell transplantation. Hematol Oncol Clin North Am 21(6):1157–1174. doi:10.1016/j.hoc.2007.08.001 Review
Jantunen E, Canals C, Rambaldi A, Ossenkoppele G, Allione B, Blaise D, Conde E, Tilly H, Cook G, Clark F, Gallamini A, Haynes A, Mounier N, Dreger P, Pfreundschuh M, Sureda A; for the EBMT Lymphoma Working Party (2008) Autologous stem cell transplantation in elderly patients (> = 60 years) with diffuse large B-cell lymphoma: an analysis based on data in the European Blood and Marrow Transplantation Registry. Haematologica 93(12):1837–1842
Reimer P, Rüdiger T, Geissinger E, Weissinger F, Nerl C, Schmitz N, Engert A, Einsele H, Müller-Hermelink HK, Wilhelm M (2009) Autologous stem-cell transplantation as first-line therapy in peripheral T-cell lymphomas: results of a prospective multicenter study. J Clin Oncol 27(1):106–113
Morschhauser F, Brice P, Fermé C, Diviné M, Salles G, Bouabdallah R, Sebban C, Voillat L, Casasnovas O, Stamatoullas A, Bouabdallah K, André M, Jais JP, Cazals-Hatem D, Gisselbrecht C (2008) Risk-adapted salvage treatment with single or tandem autologous stem-cell transplantation for first relapse/refractory Hodgkin's lymphoma: results of the prospective multicenter H96 trial by the GELA/SFGM Study Group. J Clin Oncol 26(36):5980–5987
Espigado I, Ríos E, Marín-Niebla A, Carmona M, Parody R, Pérez-Hurtado JM, Márquez FJ, Urbano-Ispizua A (2008) High rate of long-term survival for high-risk lymphoma patients treated with hematopoietic stem cell transplantation as consolidation or salvage therapy. Transplant Proc 40(9):3104–3105. doi:10.1016/j.transproceed.2008.08.092
Carella AM, Bellei M, Brice P, Gisselbrecht C, Visani G, Colombat P, Fabbiano F, Donelli A, Luminari S, Feugier P, Browett P, Hagberg H, Federico M (2009) High-dose therapy and autologous stem cell transplantation versus conventional therapy for patients with advanced Hodgkin's lymphoma responding to front-line therapy: long term results. Haematologica 94(1):146–148
Gyan E, Foussard C, Bertrand P, Michenet P, Le Gouill S, Berthou C, Maisonneuve H, Delwail V, Gressin R, Quittet P, Vilque JP, Desablens B, Jaubert J, Ramee JF, Arakelyan N, Thyss A, Molucon-Chabrot C, Delepine R, Milpied N, Colombat P, Deconinck E (2009) High dose therapy followed by autologous purged stem cell transplantation and doxorubicin-based chemotherapy in patients with advanced follicular lymphoma: arandomized multicenter study by the GOELAMS. Final results with a median follow-up of nine years. Blood 113(5):995–1001. doi:10.1182/blood-2008-05-160200
Ljungman P, Urbano-Ispizua A, Cavazzana-Calvo M, Demirer T, Dini G, Einsele H, Gratwohl A, Madrigal A, Niederwieser D, Passweg J, Rocha V, Saccardi R, Schouten H, Schmitz N, Socie G, Sureda A, Apperley J, European Group for Blood and Marrow (2006) Allogeneic and autologous transplantation for haematological diseases, solid tumours and immune disorders: definitions and current practice in Europe. Bone Marrow Transplant 37(5):439–449. doi:10.1038/sj.bmt.1705265
Gertz MA, Ansell SM, Dingli D, Dispenzieri A, Buadi FK, Elliott MA, Gastineau DA, Hayman SR, Hogan WJ, Inwards DJ, Johnston PB, Kumar S, Lacy MQ, Leung N, Micallef IN, Porrata LF, Schafer BA, Wolf RC, Litzow MR (2008) Autologous stem cell transplant in 716 patients with multiple myeloma: low treatment-related mortality, feasibility of outpatient transplant, and effect of a multidisciplinary quality initiative. Mayo Clin Proc 83(10):1131–1138. doi:10.4065/83.10.1131
Mehta J, Singhal S (2008) Current status of autologous hematopoietic stem cell transplantation in myeloma. Bone Marrow Transplant 42(Suppl 1):S28–S34. doi:10.1038/bmt.2008.109 Review
Olivieri A, Capelli D, Montanari M, Brunori M, Massidda D, Poloni A, Lucesole M, Centurioni R, Candela M, Masia MC, Tonnini C, Leoni P (2001) Very low toxicity and good quality of life in 48 elderly patients autotransplanted for hematological malignancies: a single center experience. Bone Marrow Transplant 27(11):1189–1195. doi:10.1038/sj.bmt.1703034
Mileshkin LR, Seymour JF, Wolf MM, Gates P, Januszewicz EH, Joyce P, Prince HM (2005) Cardiovascular toxicity is increased, but manageable, during high-dose chemotherapy and autologous peripheral blood stem cell transplantation for patients aged 60 years and older. Leuk Lymphoma 46(11):1575–1579. doi:10.1080/10428190500235884
Ferrara F, Viola A, Copia C, Falco C, D'Elia R, Tambaro FP, Correale P, D’Amico MR, Vicari L, Palmieri S (2007) Age has no influence on mobilization of peripheral blood stem cells in acute myeloid leukemia. Hematol Oncol 25(2):84–89. doi:10.1002/hon.810
Cottler-Fox M, Lapidot T (2006) Mobilizing the older patient with myeloma. Blood Rev 20(1):43–50. doi:10.1016/j.blre.2005.06.001 Review
Fietz T, Rieger K, Dimeo F, Blau IW, Thiel E, Knauf WU (2004) Stem cell mobilization in multiple myeloma patients: do we need an age-adjusted regimen for the elderly? J Clin Apher 19(4):202–207. doi:10.1002/jca.20030
Perea G, Sureda A, Martino R, Altés A, Martínez C, Cabezudo E, Amill B, Martín-Henao GA, González Y, Muñoz L, Peyret M, Brunet S, Sierra J (2001) Predictive factors for a successful mobilization of peripheral blood CD34+ cells in multiple myeloma. Ann Hematol 80(10):592–597. doi:10.1007/s002770100351
Ikeda K, Kozuka T, Harada M (2004) Factors for PBPC collection efficiency and collection predictors. Transfus Apheresis Sci 31(3):245–259. doi:10.1016/j.transci.2004.09.008 Review
Lysák D, Koza V, Jindra P (2005) Factors affecting PBSC mobilization and collection in healthy donors. Transfus Apheresis Sci 33(3):275–283. doi:10.1016/j.transci.2005.07.007
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Tempescul, A., Ianotto, JC., Hardy, E. et al. Peripheral blood stem cell collection in elderly patients. Ann Hematol 89, 317–321 (2010). https://doi.org/10.1007/s00277-009-0812-9
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DOI: https://doi.org/10.1007/s00277-009-0812-9