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Cord Blood Stem Cells

Unrelated cord blood transplantation after myeloablative conditioning in adults with ALL

Bone Marrow Transplantation volume 43, pages 455–459 (2009)Cite this article

Abstract

We analyzed the disease-specific outcomes of adult ALL treated with cord blood transplantation (CBT) after myeloablative conditioning. Between October 2000 and November 2007, 27 adult patients with ALL were treated with unrelated CBT. All patients received four fractionated 12 Gy TBI and chemotherapy as myeloablative conditioning. The median age was 36 years, the median weight was 57 kg and the median number of nucleated cells was 2.47 × 107/kg. All patients received a single and HLA-mismatched cord blood unit. The cumulative incidence of neutrophil recovery at day 30 and platelet recovery at day 200 was 92.6 and 92.3%, respectively. With a median follow-up of 47 months, the probability of EFS at 5 years was 57.2%. The 5-year cumulative incidence of TRM and relapse was 3.7 and 27.4%, respectively. These results suggest that unrelated CBT after myeloablative conditioning could be safely and effectively used for adult patients with ALL.

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Acknowledgements

We thank the physicians and nurses who cared for patients in this study.

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Authors and Affiliations

  1. Department of Hematology and Oncology, Institute of Medical Science, University of Tokyo, Tokyo, Japan

    J Ooi, S Takahashi, A Tomonari, N Tsukada, T Konuma, S Kato, S Kasahara, A Sato, F Monma, F Nagamura, T Iseki, A Tojo & S Asano

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  1. J Ooi
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  2. S Takahashi
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  3. A Tomonari
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  7. S Kasahara
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  8. A Sato
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  11. T Iseki
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  12. A Tojo
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  13. S Asano
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Correspondence to J Ooi.

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Ooi, J., Takahashi, S., Tomonari, A. et al. Unrelated cord blood transplantation after myeloablative conditioning in adults with ALL. Bone Marrow Transplant 43, 455–459 (2009). https://doi.org/10.1038/bmt.2008.347

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  • DOI: https://doi.org/10.1038/bmt.2008.347

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