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Research on the effects of stem cell source and patient age on transplantation outcomes
Date:12/7/2008

x patients in the experimental group compared with 25 days for the patients in the control group. The contribution of the expanded and non-cultured cord blood cells was determined by a DNA-based assay beginning seven days following the transplant. In the five patients with early engraftment, the engrafted cells present at day seven were derived almost entirely from the cultured unit. Persistent contribution to engraftment from the cultured cells was noted in two patients. One patient had persistent contribution from the cultured cells through 280 days post-transplant that was no longer noticeable at one year, and the second patient continued to demonstrate contribution from the cultured cells at 180 days post-transplant. One patient died on day 462 from a rare complication of myelitis (inflammation of the spinal cord) caused by the varicella-zoster virus, while all other patients were still in remission.

Non-Myeloablative Hematopoietic Stem Cell Transplantation in Older Patients With AML and MDS: Results From the Center for International Blood and Marrow Transplant Research (CIBMTR) [Abstract #346]
Sergio Giralt, MD, The University of Texas M. D. Anderson Cancer Center, Houston, TX

This study found that the outcomes of adults over the age of 65 undergoing allogeneic stem cell transplantation for the treatment of acute myeloid leukemia and myelodysplastic syndromes were similar to younger adults even after adjusting for multiple risk factors. The researchers concluded that age alone should not be a limiting factor for proceeding to allogeneic stem cell transplantation in these patients.

While stem cell transplantation remains one of the best treatment options for increasing overall survival and a possible cure for patients with acute myeloid leukemia and myelodysplastic syndromes, transplants generally are not given to patients over the age of 65 because of concerns about extreme toxicity and poor outcomes. Over th
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Contact: Laura Stark
lstark@hematology.org
415-978-3505
American Society of Hematology
Source:Eurekalert

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