ISSN: 2329-6917
+44 1300 500008
Diane Scholl
Tanzania
Research Article
Barriers to Proceeding to Reduced-Intensity Allogeneic Stem Cell Transplant in Chronic Lymphocytic Leukemia
Author(s): Samantha M Jaglowski, Susan Geyer, Nyla A Heerema, Patrick Elder, Diane Scholl, John C Byrd, Steven M Devine and Leslie Andritsos
Samantha M Jaglowski, Susan Geyer, Nyla A Heerema, Patrick Elder, Diane Scholl, John C Byrd, Steven M Devine and Leslie Andritsos
To identify potential barriers to reduced-intensity conditioning (RIC) allogeneic stem cell transplantation (ASCT) in patients with chronic lymphocytic leukemia (CLL) we performed a retrospective review of patients referred for transplant consultation at our center. Of the 209 patients evaluated, a substantial proportion of patients who were appropriate candidates for RIC-ASCT were unable to attain disease control to proceed (18.3%) with this therapy. Fludarabine resistance at the time of consultation (p=0.026) and the presence of complex karyotype on metaphase cytogenetics (p=0.048) were observed more frequently among patients unable to receive a transplant, suggesting that the timing of transplant evaluation earlier in the course of treatment for high risk genomic patients is critical for being able to incorporate this treatment mod.. View More»
DOI:
10.4172/2329-6917.1000121