Upfront transplantation may have better outcomes than pretransplant cytoreductive therapy for treating patients with <scp>MDS‐EB</scp> ‐1 or <scp>MDS‐EB</scp> ‐2
نویسندگان
چکیده
Whether patients with myelodysplastic syndrome (MDS) undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT) benefit from pretransplant cytoreductive therapy remains controversial. Our study compared the outcomes of upfront those in who received and dropped out due to therapy-related adverse effects. Patients MDS-EB-1 or MDS-EB-2 were enrolled divided into three groups based on pretransplantation: (upfront, n = 54), induction chemotherapy (CT, 66) hypomethylating agents (HMA, 37) alone. One hundred fifty-seven 124 allo-HSCT, 5.6%, 28.8% 29.7% drop-out rate upfront, CT HMA (P .030), respectively. Overall mortality (TRM), transplant-related was 13.0%, 32.4% 28.4% .028), 5-year overall survival (OS) 73.6%, 43.4% 46.9% .033). Multivariate analysis showed that risk factors for TRM OS, a protective factor OS. In transplant patients, 3-year cumulative incidence relapse 10.6%, 20.4% 20.3% .033), 14.5%, 20.0% 17.6% .651), OS 77.3%, 64.3% 68.8% .047) DFS 74.0%, 63.0% 65.8% .042). DFS, while CT, poor karyotype relapse. Results suggested not associated better had undergone transplantation. Therefore, may be preferable MDS patients.
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ژورنال
عنوان ژورنال: International Journal of Cancer
سال: 2021
ISSN: ['1097-0215', '0020-7136']
DOI: https://doi.org/10.1002/ijc.33608