Allogeneic hematopoietic stem cell transplantation (allo SCT) for chronic myeloid leukemia in the imatinib era: evaluation of its impact within a subgroup of the randomized German CML Study IV.
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Allogeneic hematopoietic stem cell transplantation (allo SCT) for chronic myeloid leukemia in the imatinib era: evaluation of its impact within a subgroup of the randomized German CML Study IV. / Saussele, Susanne; Lauseker, Michael; Gratwohl, Alois; Beelen, Dietrich W; Bunjes, Donald; Schwerdtfeger, Rainer; Kolb, Hans-Jochem; Ho, Anthony D; Falge, Christiane; Holler, Ernst; Schlimok, Gunter; Zander, Axel R.; Arnold, Renate; Kanz, Lothar; Dengler, Robert; Haferlach, Claudia; Schlegelberger, Brigitte; Pfirrmann, Markus; Muller, Martin C; Schnittger, Susanne; Leitner, Armin; Pletsch, Nadine; Hochhaus, Andreas; Hasford, Joerg; Hehlmann, Ruediger.
in: BLOOD, Jahrgang *115*, Nr. 10, 10, 2009, S. 1880-1885.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Allogeneic hematopoietic stem cell transplantation (allo SCT) for chronic myeloid leukemia in the imatinib era: evaluation of its impact within a subgroup of the randomized German CML Study IV.
AU - Saussele, Susanne
AU - Lauseker, Michael
AU - Gratwohl, Alois
AU - Beelen, Dietrich W
AU - Bunjes, Donald
AU - Schwerdtfeger, Rainer
AU - Kolb, Hans-Jochem
AU - Ho, Anthony D
AU - Falge, Christiane
AU - Holler, Ernst
AU - Schlimok, Gunter
AU - Zander, Axel R.
AU - Arnold, Renate
AU - Kanz, Lothar
AU - Dengler, Robert
AU - Haferlach, Claudia
AU - Schlegelberger, Brigitte
AU - Pfirrmann, Markus
AU - Muller, Martin C
AU - Schnittger, Susanne
AU - Leitner, Armin
AU - Pletsch, Nadine
AU - Hochhaus, Andreas
AU - Hasford, Joerg
AU - Hehlmann, Ruediger
PY - 2009
Y1 - 2009
N2 - The role of allogeneic stem cell transplantation in chronic myeloid leukemia is being reevaluated. Whereas drug treatment has been shown to be superior in first line treatment, data on allo SCT as second line therapy after imatinib failure are scarce. Using an interim safety analysis of the German randomized CML-Study IV designed to optimize imatinib therapy by combination, dose-escalation and transplantation we here report on 84 patients consecutively transplanted according to predefined criteria (low EBMT score, imatinib failure, and advanced disease). Three year survival after transplantation of 56 patients in chronic phase was 91% (median follow-up 30 months). Transplantation related mortality was 8%. In a matched pair comparison of transplanted and non-transplanted patients, survival was not different. Three year survival after transplantation of 28 patients in advanced phase was 59%. 88% of transplanted patients achieved complete molecular remissions. We conclude that allo SCT could become the preferred second line option after imatinib failure for suitable patients with a donor. The study is registered at the National Institute of Health, ClinicalTrials.gov: NCT00055874.
AB - The role of allogeneic stem cell transplantation in chronic myeloid leukemia is being reevaluated. Whereas drug treatment has been shown to be superior in first line treatment, data on allo SCT as second line therapy after imatinib failure are scarce. Using an interim safety analysis of the German randomized CML-Study IV designed to optimize imatinib therapy by combination, dose-escalation and transplantation we here report on 84 patients consecutively transplanted according to predefined criteria (low EBMT score, imatinib failure, and advanced disease). Three year survival after transplantation of 56 patients in chronic phase was 91% (median follow-up 30 months). Transplantation related mortality was 8%. In a matched pair comparison of transplanted and non-transplanted patients, survival was not different. Three year survival after transplantation of 28 patients in advanced phase was 59%. 88% of transplanted patients achieved complete molecular remissions. We conclude that allo SCT could become the preferred second line option after imatinib failure for suitable patients with a donor. The study is registered at the National Institute of Health, ClinicalTrials.gov: NCT00055874.
M3 - SCORING: Zeitschriftenaufsatz
VL - *115*
SP - 1880
EP - 1885
JO - BLOOD
JF - BLOOD
SN - 0006-4971
IS - 10
M1 - 10
ER -