Table 3.
Allo | Auto | |
---|---|---|
Graft issues | Tumor free graft | Potential lymphoma contamination; graft purging benefit not yet proven |
Mechanism of effect | GVL effect | High dose chemotherapy effect |
Toxicity | Acute and chronic GVHD | Lower acute peritransplant morbidity and mortality |
Efficacy | Prolonged remission; potential cure | Not generally curative |
Graft quality | Healthy donor graft | Damage from prolonged chemotherapy – risk of myelodysplasia |
Recipient factors | Limited patient population (age, performance status, comorbidities) | Safer in patients who are older and with comorbidities |
Graft collection | Donor availability | Stem cell collection issues in heavily pretreated marrows |
Abbreviations: GVL graft versus lymphoma; GVHD, graft-versus-host disease; allo, allogeneic transplant; auto, autologous transplant.