About: Comparison of reduced conditionings combining fludarabine with melphalan or 3-day busulfan in patients allograft for myeloid neoplasms     Goto   Sponge   NotDistinct   Permalink

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  • In the present study we compared outcomes of patients with myeloid neoplasms undergoing allogeneic hematopoietic stem cell transplantation after fludarabine-based regimens with melphalan (FM140) or 3-day busulfan (FB3). The FM140 and FB3 combinations were administered to 21 and 27 patients, respectively. Efforts for early reduction (from day +30 to 60) and discontinuation (until day +100 to 130) of prophylactic immunosuppression were a component of the post-transplant approach. Following FB3 patients suffered from more severe stomatitis (P = 0.013). In contrast, other manifestations of regimen-related toxicity were more frequent in the FM140 group (P = 0.048). There were no statistically significant differences in the development of graft-versus-host disease, non-relapse mortality, post-transplant remission rate, or relapse incidence. Two-year disease-free survival rates were comparable in the two cohorts (66 vs. 55 %; P = 0.751), and so were the overall survival rates (64 vs. 62 %; P = 0.715). The outcomes of allografted patients with myeloid neoplasms were comparable after the FM140 and FB3 regimens. Relatively high therapeutic response in both groups may have been influenced by early reduction and discontinuation of prophylactic immunosuppression followed by effective immunological control of the malignant clone.
  • In the present study we compared outcomes of patients with myeloid neoplasms undergoing allogeneic hematopoietic stem cell transplantation after fludarabine-based regimens with melphalan (FM140) or 3-day busulfan (FB3). The FM140 and FB3 combinations were administered to 21 and 27 patients, respectively. Efforts for early reduction (from day +30 to 60) and discontinuation (until day +100 to 130) of prophylactic immunosuppression were a component of the post-transplant approach. Following FB3 patients suffered from more severe stomatitis (P = 0.013). In contrast, other manifestations of regimen-related toxicity were more frequent in the FM140 group (P = 0.048). There were no statistically significant differences in the development of graft-versus-host disease, non-relapse mortality, post-transplant remission rate, or relapse incidence. Two-year disease-free survival rates were comparable in the two cohorts (66 vs. 55 %; P = 0.751), and so were the overall survival rates (64 vs. 62 %; P = 0.715). The outcomes of allografted patients with myeloid neoplasms were comparable after the FM140 and FB3 regimens. Relatively high therapeutic response in both groups may have been influenced by early reduction and discontinuation of prophylactic immunosuppression followed by effective immunological control of the malignant clone. (en)
Title
  • Comparison of reduced conditionings combining fludarabine with melphalan or 3-day busulfan in patients allograft for myeloid neoplasms
  • Comparison of reduced conditionings combining fludarabine with melphalan or 3-day busulfan in patients allograft for myeloid neoplasms (en)
skos:prefLabel
  • Comparison of reduced conditionings combining fludarabine with melphalan or 3-day busulfan in patients allograft for myeloid neoplasms
  • Comparison of reduced conditionings combining fludarabine with melphalan or 3-day busulfan in patients allograft for myeloid neoplasms (en)
skos:notation
  • RIV/61989592:15110/14:33151014!RIV15-MSM-15110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 8168
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/14:33151014
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Melphalan; busulfan; Fludarabine; allogeneic hematopoietic stem cell transplantation; myeloid neoplasms (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • JP - Japonsko
http://linked.open...ontrolniKodProRIV
  • [43E1C8F49B57]
http://linked.open...i/riv/nazevZdroje
  • International Journal of Hematology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 100
http://linked.open...iv/tvurceVysledku
  • Faber, Edgar
  • Indrák, Karel
  • Langová, Kateřina
  • Pikalová, Zuzana
  • Raida, Luděk
  • Rohoň, Peter
  • Rusiňáková, Zuzana
  • Skoumalová, Ivana
  • Divoká, Martina
  • Szotkowská, Romana
issn
  • 0925-5710
number of pages
http://bibframe.org/vocab/doi
  • 10.1007/s12185-014-1684-x
http://localhost/t...ganizacniJednotka
  • 15110
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