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. 2021 Sep 15;14:145. doi: 10.1186/s13045-021-01159-2

Table 1.

Trials comparing allo-HSCT with chemotherapy in acute leukemia

References Diagnosis Risk Stratification CIR DFS OS
Lv et al. [11]

Adult Int-AML

HID-HSCT vs. CT

Int-AML

11.7% vs. 49.0%

p < 0.0001

74.3% vs. 47.3%; p = 0.0004 80.8% vs. 53.5%; p = 0.0001
Zhu et al. [15] Adult t(8;21)AML-CR1 HSCT vs. CT High risk: RUNX1-RUNX1 reduction < 3 log units loss of MMR within 6 months HR 22.1% vs 78.9% 61.7% vs 19.6% 71.6% vs 26.7%
Duan et al. [16] Adult inv(16)AML-CR1 HSCT vs. CT CBFB-MYH11/ABL levels > 0.1% at any time after two consolidation cycles not report 84.6% vs. 31.4%, p < 0.001 76.0% vs. 71.0%; p = 0.283
Deng et al. [21] CEBPAbi + AML CR1 sustained positive MRD after two consolidations 0% vs. 52.8%; p = 0.006 88.9% vs. 47.2%; p = 0.027 88.9% vs. 58.6%;p = 0.484
Huang et al. [23]

NPM1 + FLT3 + 

CT vs. HSCT

Int or fav-AML not report

HR 0.138

p < 0.001

HR 0.173

p = 0.001

Chen et al. [106]

NPM-FLT3 + 

CT vs. HSCT

FLT3-ITD mutant ratio (high and low)

FLT3-ITD mutant length (long and short)

FLT3 + HR 0.237

p < 0.001; regardless of Ratio/Length

FL3 + HR 0.330

p < 0.001; regardless of Ratio/Length

not report
Wang et al. [59]

Ph + ALL

HSCT vs. CT + TKIs

white blood cell counts ≥ 30 × 109/L at diagnosis; less than 3 log reduction of BCR-ABL levels after two consolidation cycles 1 risk factor: 23.6 vs. 36.9%, p = 0.017; 2 risk factors: 37.5 vs. 100.0%, p < 0.001 1 risk factor:62.4 vs. 43.8%, p = 0.048; 2 risk factors:56.2 vs. 0%, p < 0.001 1 risk factor:76.1% vs. 47.7%, p = 0.037; 2 risk factors:51.4% vs. 6.3%, p = 0.001
Lv et al. [32]

Adult Ph-ALL

HID-HSCT vs. CT

Standard risk-ALL 12.8% vs 46.7%, p = 0.0017 80.9% vs 51.1%, p = 0.0116 91.2% vs 75.7%, p = 0.0408

AML, acute myeloid leukemia; ALL, acute lymphoblastic leukemia; CT, Chemotherapy; HSCT, hematopoietic stem cell transplantation; HID, haploidentical donor; HR, high risk; Int, intermediate risk; DFS, disease-free survival; TKIs, tyrosine kinase inhibitors; Sig, Statistical Significance