All patients received Flu-BU-VP16 as myeloablative conditioning followed by cyclophosphamide (D+3 and +4) and subsequent tacrolimus. For patients with unrelated or haplo-donor received low-dose ATG at Day +15.
For patients with high-risk lymphoid malignancies, patients will undergo allo-HSCT from HLA matched sibling, unrelated (9\~10/10) donor or hallo-identical donors. For all patients will receive myeloablative conditioning with 5-day fludarabine, 2-day VP-16 and 3-day busulifan. For prophylaxis graft versus host disease (GVHD), patients will receive cyclophosphamide 50mg/kg daily on D+3 and +4 with subsequent tacrolimus starting at D+5. For patients receiving HSCT from unrelated or haplo-donor, low-dose ATG 2.5mg/kg will be given on Day +15.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
23
GVHD prophylaxis: PT-CY followed by tacrolimus for all patients. low-dose ATG for patients with unrelated or haplo-identical transplantation.
Rui Jin Hospital
Shanghai, Shanghai Municipality, China
grade II-IV acute GVHD
cumulated incidence of grade II-IV aGVHD
Time frame: Day 100
grade III-IV acute GVHD
cumulated incidence of grade III-IV aGVHD
Time frame: Day 100
Non relapse mortality (NRM)
cumulated incidence of NRM
Time frame: Day 100
chronic GVHD (cGVHD)
cumulated incidence of overall cGVHD
Time frame: 1 year
moderate to sever chronic GVHD
cumulated incidence of moderate to severe cGVHD
Time frame: 1 year
relapse rate
cumulated incidence of bone marrow or PET/biopsy documented relapse
Time frame: 1 year
non relapse mortality
cumulated incidence of NRM
Time frame: 1 year
overall survival
overall survival from entry of study to any cause of death
Time frame: 1 year
GVHD-free relapse free survival (GRFS)
survival without II-IV aGVHD, moderate to severe cGVHD, relapse or any other death event of any case
Time frame: 1 year
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