Table 1.
Study | Auto- vs. Allo-SCT | Status at transplant | Conditioning regimen | Donor status | OS (median), months | Relapse rate | Acute GVHD grade 2–4 | Chronic GVHD—1 year | Treatment-related mortality |
---|---|---|---|---|---|---|---|---|---|
Krishan et al. | Auto | CR1 and CR2, PR | 84% TBI based | 52 | 60% at 1 year | – | – | 6.6% | |
Allo | CR1, PR | MAC—33% All TBI based RIC—67% Flu/Mel |
MUD 58% MRD—42% |
33 | 30.7% at 1 year | 23% | – | 30.7% | |
Kalaycio et al. | Allo | CR, PR 46% refractory disease |
MAC—40% >500 cGy or >9 mg/kg Bu RIC—30% <500 cGy or <9 mg/kg Bu Neither—30% |
MRD—23% MUD—49% MMUD—25% Ukn—2% |
11.2 | 39% at 1 year | 52% | 42% | 28% |
Wiktor-Jedrzejczak et al. | Allo | CR, PR 50% refractory disease | TBI based 54% Chemo based—32% Unknown—14% |
MRD—51% MUD—49% |
12 | 41% at 3 years | 39% | 44% | 41% at 3 years |
Guillaume et al. | Allo | CR, PR, 11% refractory disease | MAC—41% RIC—59% TBI based—56% Chemo—44% |
MRD—37% MUD—63% |
26 | 47% at 3 years | 51% | 40% | 31% at 3 years |
Wiktor-Jedrzejczak et al., 2019 | Allo | CR, PR | MAC—35% (>6 Gy) RIC—65% (<6 Gy) Only TBI based |
MRD—43% MUD—57% |
27.8 | 38% at 4 years | 19% | 43% | 32% at 4 years |
Dholaria et al. | Allo | CR, PR | MAC—73% Flu/Bu Pen/Bu RIC—27% Flu, Cy TBI Flu, Mel |
MRD—46% MUD—27% MMUD—18% Cord—9% |
56 | 23% at 4 years | 28% | 54% | 32% at 4 years |
Sellner et al. | Allo | CR, PR | Flu Cy—40% Flu/TBI—60% |
MRD—40% MUD—40% MMUD—10% Haplo-10% |
10 | 50% at 58 months | – | – | 30% at 58 months |
Allo, allogeneic; Auto, autologous; CR1, complete response 1; CR2, complete response 2; PR, partial response; TBI, total body irradiation; MAC, myeloablative conditioning; RIC, reduced-intensity conditioning; Flu, fludarabine; Mel, melphalan; Bu, busulfan; Pen, pentostatin; Cy, cyclophosphamide; MRD, matched related donor; MUD, matched unrelated donor; MMUD, mismatched unrelated donor; Haplo, haplo-identical; Cord, cord blood; Ukn, Unknown.