Table 4.
Conditioning regimens∧ | Drug combination | +/– | Engrafment rate | Toxicity |
---|---|---|---|---|
Myeloablative Conditioning (MAC)* | Bu (90 ± 5 mg × h/L iv) + Flu (160 mg/m2) | Alemtuzumab or ATG | High | High |
Reduced Intensity Conditioning (RIC) | Bu (60 ±5 mg × h/L iv) + Flu (180 mg/m2) | Alemtuzumab or ATG | Variable | Low |
Flu (150 mg/m2) + Melphalan (140 mg/m2) | Alemtuzumab | |||
Treosulphan (42 g/m2) + Flu (150 mg/m2)° | None or Alemtuzumab |
Thiotepa can be used in addition to current conditioning regimen when more myelosuppression is needed.
Bu/CY conditioning is associated with increased risk of VOD and no longer recommended.
Regimen also assessed as reduced toxicity conditioning. Bu, busulfan; Flu, fludarabine; ATG, antithymocyte globulin; CY, cyclophosphamide; VOD, veno-occlusive disease.