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Blood, 15 December 2001, Vol. 98, No. 13, pp. 3868-3870
BRIEF REPORT
Administration of cyclosporine for 24 months compared with 6 months for prevention of chronic graft-versus-host disease: a
prospective randomized clinical trial
Emin Kansu,
Ted Gooley,
Mary E. D. Flowers,
Claudio Anasetti,
H. Joachim Deeg,
Richard A. Nash,
Jean E. Sanders,
Robert P. Witherspoon,
Frederick R. Appelbaum,
Rainer Storb, and
Paul J. Martin
From the Division of Clinical Research, Fred Hutchinson
Cancer Research Center, and the Department of Medicine, University of
Washington, Seattle, Washington
This study compared the incidence of clinical extensive chronic
graft-versus-host disease (GVHD), transplantation-related mortality,
survival, and relapse-free survival among recipients randomly assigned
to receive a 24-month or a 6-month course of cyclosporine prophylaxis
after transplantation of allogeneic marrow from an HLA-identical
sibling or alternative donor. Patients who did not have
clinical manifestations of chronic GVHD on day 80 after transplantation
were eligible for the study if they previously had acute GVHD or if a
skin biopsy showed histologic evidence of chronic GVHD. Clinical
extensive chronic GVHD developed in 35 of the 89 patients (39%) in the
24-month group and 37 of the 73 patients (51%) in the 6-month group.
The hazard of developing chronic GVHD was not significantly different
in the 2 groups (hazard ratio = 0.76; 95% confidence interval,
0.48-1.21; P = .25). In addition, there were no
significant differences between the 2 groups in transplantation-related
mortality, survival, or disease-free survival.

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