Table 4.
Summary of studies comparing RIC with MAC regimens
Study | Disease | RIC vs MAC aGvHD 2–4 (%) | RIC vs MAC cGvHD (%) | RIC vs MAC NRM (%) | RIC vs MAC Relapse (%) | RIC vs MAC PFS (%) | RIC vs MAC OS (%) |
---|---|---|---|---|---|---|---|
Olle Ringden68 | AML | 31 vs 36 | 31 vs 38 | HR 0.85 | HR 1.46 | HR 0.88 | NR |
AML | 29 vs 29 | 36 vs 46 | HR 0.64 | HR 1.34 | HR 1.04 | NR | |
Shimoni A69 | AML | 8 vs 22 | 31 vs 56 | 22 vs 8 | 14 vs 9 | 45 vs 49 | 50 vs 49 (2 yr) P = NS |
Flynn CM70 | AML | 22 vs 17 | 13 vs 18 | 34 vs 33 | RR 2.2 | 31 vs 30 | 33 vs 35 (2 yr) P>0.1 |
Aoudjhane M71 | AML | 22 vs 31 | 48 vs 56 | 32 vs 18 | 41 vs 24 | 40 vs 47 | 44 vs 46 (2 yr) P = NS |
Martino63 | AML/MDS | 43 vs 58 | 45 vs 52 | 32 vs 22 | 26 vs 40 | 33 vs 39 | 41 vs 45 (3 yr) P = 0.8 |
Luger64 | AML/MDS | 41 vs 45 | 40 vs 35 | RR 0.9 | 39 vs 32 | NR | 33 vs 34 (5 yr) P = NS |
Scott65 | AML/MDS | 54 vs 78 | 55 vs 64 | 41 vs 34 | 31 vs 23 | 27 vs 44 | 28 vs 48 (3 yr) P = 0.56 |
Alyea27 | AML/MDS | 26 vs 27 | 33 vs 18 | 15 vs 32 | 61 vs 38 | 20 vs 31 | 34 vs 28 (2 yr) P = 0.056 |
Eom85 | ALL | 51 vs 52 | 61 vs 50 | 21 vs 24 | 34 vs 26 | 51 vs 55 | HR 0.98 (5 yr) P = 0.30 |
Marks86 | ALL | 39 vs 46 | 34 vs 42 | 32 vs 33 | 35 vs 26 | 32 vs 41 | 38 vs 43 (3 yr) P = 0.39 |
Mohty87 | ALL | Similar | Similar | 21 vs 29 | 47 vs 31 | 32 vs 38 | 45 vs 48 (2 yr) P = 0.23 |
Bachanova88 | ALL | 46 vs 41 | 63 vs 45 | 13 vs 36 | 49 vs 28 | 26 vs28 | 39 vs 35 (3 yr) P = 0.62 |
Crawley113 | Myeloma | 35 vs 46 | Similar | 24 vs 37 | 19 vs 34 | 38 vs 51 (2 yr) P = NS | |
Hari123 | FL | 44 vs 36 | 62 vs 46 | 23 vs 23 | RR 2.97 | 55 vs 67 | 62 vs 71 (3 yr) P = 0.15 |
Hamadani128 | MCL | 37 vs 36 | 43 vs 35 | 43 vs 47 | 32 vs 33 | 25 vs 20 | 30 vs 25 (3 yr) P = 0.45 |
Peres107 | CLL | 39 vs 55 | 38 vs 48 | 14 vs 27 | 15 vs 14 | NR | 63 vs 18 (5 yr) P = 0.006 |
Brown108 | CLL | 30 vs 50 | NR | 46 vs 9.5 | 7 vs 26 | NR | 63 vs 49 (5 yr) P = 0.003 |
Sureda133 | HL | 44 vs 53 | 38 vs 40 | 23 vs 46 | 57 vs 30 | 18 vs 20 | 28 vs 22 (5 yr) P = 0.04 |
Bacher125 | DLBCL | 43 vs 43 | 42 vs 37 | 47 vs 56 | 38 vs 26 | 15 vs 18 | 20 vs 18 (5 yr) P = NR |
Abbreviations: aGvHD = acute GvHD; cGvHD = chronic GvHD; DLBCL = diffuse large B-cell lymphoma; FL = follicular lymphoma; HL = Hodgkin’s lymphoma; HR = hazard ratio; MAC = myeloablative conditioning; MCL = mantle cell lymphoma; MDS = myelodysplastic syndrome; mo = months; NR = not reported; NRM = nonrelapse mortality; OS = overall survival; RIC = reduced intensity conditioning; yr = years.