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Blood, 1 May 2006, Vol. 107, No. 9, pp. 3804-3807.
Prepublished online as a Blood First Edition Paper on December 29, 2005; DOI 10.1182/blood-2005-09-3827.
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Submitted September 23, 2005
Accepted December 21, 2005
Comparable results of umbilical cord blood and HLA matched sibling donor hematopoietic stem cell transplant after reduced-intensity preparative regimen for advanced hodgkin's lymphoma
Navneet S Majhail, Daniel J Weisdorf, John E Wagner, Todd E Defor, Claudio G Brunstein, and Linda J Burns*
Blood and Marrow Transplant Program, Divisions of Medical and Pediatric Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA
* Corresponding author; email: burns019{at}umn.edu.
We compared the safety and efficacy of allogeneic stem-cell transplantation (alloSCT) after reduced-intensity conditioning using either unrelated umbilical-cord blood (UCB) or matched-sibling donors (MSD) in 21 high-risk adults with advanced Hodgkin's lymphoma (UCB-9, MSD-12). Both groups were comparable except for younger age in UCB cohort (median 28 vs. 42 years, p=0.02). Neutrophil recovery occurred earlier in MSD group (median 7 vs. 10 days, p=0.02). All patients had sustained donor-engraftment by day +60. Cumulative incidence of acute severe graft-versus-host-disease (33% vs. 33%, p=0.99), chronic graft-versus-host-disease (11% vs. 33%, p=0.24) and 100-day treatment-related mortality (11% vs. 17%, p=0.80) were comparable. With a median followup of 17 and 24 months, the 2-year progression-free survival is 25% (95% CI, 0-55%) for UCB vs. 20% (95% CI, 0-44%) for MSD alloSCT (p=0.67). Our results suggest comparable outcomes for reduced-intensity alloSCT using UCB or MSD source in high-risk adults with advanced Hodgkin's lymphoma.

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