Table 3. Published literature of the use of cranial radiation boost in ALL prior to alloHCT.
Study reference | Transplant type | Treatment groups | All Relapse | Post-transplant CNS relapse | OS | DFS | Conclusion |
---|---|---|---|---|---|---|---|
Gao RW et al 2016(n-213) | MRD/MUD/CBT CR1 |
Total relapse CNS−/CRB−(n-160) CNS+/CRB+(n-11/30) CNS+/CRB-(n-11) CNS + PriorRT (n-12) |
N-63 43/160; 26.9% 2/30; 6.7% 5/11; 45.5% 3/12; 25.0% |
7(1.7%) n-4(2.5% n-2(6.6% n- 1(9%) N-Zero |
2-yr OS 60% (95%CI: 53%- 67%) P-0.81 |
2-yr 54% (95% CI, 47%-61%) |
No benefit of CRB in patients with no CNS disease, Benefit in patients with history of CNS involvement |
Sue William et al 2016(n-55) | Allo-HCT-CR1 High risk |
CRB group (n-36) No CRB group (n-19) |
n-13 10 n-3 |
n-3 n-1 n-2 |
3-yr CNS free OS 63% 3-yr CNS free OS 82% |
3-yr CNS free DFS 95% 3-yr CNS free DFS 52% 7-yr CNS RFS (100% vs 76.4% P-0.043) |
Benefit of CRB in CNS -/CRB+. |
Famoso Justin M et al 2019(n-58) | Allo-HCT High risk |
CRB group No CRB group |
7-yr OS 49.4% vs 43.5%; P = 0.921 |
7-yr PFS 78.3% vs 62.5%; P = 0.076) 7-year CNS RFS (100% vs 76.4% P = 0.043) |
Benefit of CRB in CNS -/CRB+. high risk patients |