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. 2024 Oct 7;6(4):1–10. doi: 10.46989/001c.124270

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