Table 2.
Reported outcomes for SAA patients who received URD-SCT
Study | Study design | N | Age, median
(range), yr |
Conditioning
regimen |
Graft
failure*, % |
Acute
GVHD†, % |
Chronic
GVHD, % |
OS, % |
---|---|---|---|---|---|---|---|---|
Kojima et al. (2002)67 | Registry-based | 154 | 17 (1-46) | TBI+Cy±ATG
LFI+Cy±ATG |
11 | 29 | 30 | 56 at 5 yr |
Bacigalupo et al. (2005)23 | Registry-based | 38‡ | 14 (3-37) | Flu+Cy+ATG | 18 | 11 | 27 | 73 at 2 yr |
Deeg et al. (2006)20 | Prospective | 87 | 19 (1-53) | Cy+TBI±ATG
(TBI; dose de-escalation) |
5 | NA | 43 | 55 at 7 yr |
Bacigalupo et al. (2010)19 | Registry-based | 52 | 13 (3-51) | Flu+Cy+ATG | 17 | 17 | 23 | 73 at 5 yr |
48 | 27 (7-53) | Flu+Cy+ATG+TBI | 17 | 19 | 38 | 79 at 5 yr | ||
Lee et al. (2011)27 | Retrospective | 50 | 28 (15-53) | Cy+TBI | 2 | 46 | 50 at 5 yr | 88 at 5 yr |
Anderlini et al. (2015)24 | Prospective | 38 | 24.5 (0.5-65.9) | Flu+Cy (50 mg/kg) +ATG+TBI | 8 | 24 | 23 at 1 yr | 97 at 1 yr |
41 | 17.6 (1.9-63.3) | Flu+Cy (100 mg/kg) +ATG+TBI | 15 | 27 | 32 at 1yr | 81 at 1 yr | ||
Park et al. (2017)30 | Retrospective | 83 | 30 (17-59) | Cy+TBI±ATG | ||||
Group 1§
Group 2A§ Group 2B§ |
0
1 0 |
44
62 31 |
44 at 3 yr
65 at 3 yr 22 at 3 yr |
84 at 5 yr
92 at 5 yr 88 at 5 yr |
GVHD, acute graft-versus-host disease; OS, overall survival; EBMT, European Group for Blood and Marrow Transplantation; Flu, fludarabine; Cy, cyclophosphamide; ATG, anti-thymocyte globulin; TBI, total body irradiation; LFI, limited field irradiation.
*Primary and secondary graft failure
†Acute GVHD≥grade 2
‡38 SAA patients who underwent SCT from unrelated (n = 33) or family mismatched (n = 5) donors were enrolled.
§The patients were divided into two groups: group 1 (n = 25) received HLA-matched (8/8) bone marrow (BM) without ATG; group 2 (n = 58) received SCT from either an HLA-mismatched donor or peripheral blood (PB). Thereafter, group 2 was subdivided according to ATG use into group 2A (without ATG, n = 26), which served as a historical cohort, and group 2B (with ATG, n = 32).