Reduced-intensity conditioning with busulfan and fludarabine with or without antithymocyte globulin in HLA-identical sibling transplantation--a retrospective analysis.

  • J Schetelig
  • M Bornhäuser
  • M Kiehl
  • R Schwerdtfeger
  • N Kröger
  • V Runde
  • Tatjana Zabelina
  • T K Held
  • C Thiede
  • A A Fauser
  • D Beelen
  • A Zander
  • G Ehninger
  • W Siegert

Abstract

It is unknown whether the addition of antithymocyte globulin (ATG) to reduced-intensity conditioning with busulfan (BU) and fludarabine (FLU) is beneficial in HLA-identical sibling transplantation. Therefore, we analyzed retrospectively data on 83 patients, who received peripheral blood stem cells from HLA-identical siblings after conditioning with either 8 mg/kg BU and 150 mg/m2 FLU (n=45) or 8 mg/kg BU, 180 mg/m2 FLU and 40 mg/kg ATG (n=38). Graft-versus-host disease (GVHD) prophylaxis consisted of CSA alone (n=32) or a combination with either MTX or MMF (n=51). The median age was 52 years. Graft failure occurred in two patients after BU/FLU and in three after BU/FLU/ATG (P=0.66). After conditioning with BU/FLU, platelet recovery was significantly faster (P=0.017), and less platelet (P

Bibliografische Daten

OriginalspracheDeutsch
Aufsatznummer5
ISSN0268-3369
StatusVeröffentlicht - 2004
pubmed 14716342