Risk assessment in adult acute lymphoblastic leukaemia before early haemopoietic stem cell transplantation with a geno-identical donor: An easy clinical prognostic score to identify patients who benefit most from allogeneic haemopoietic stem cell transplantation

N. C. Gorin, M. Labopin, E. Polge, C. Cordonnier, J. P. Jouet, M. Michallet, D. Blaise, J. Reiffers, B. Rio, N. Milpied, F. Frassoni

Research output: Contribution to journalArticlepeer-review

Abstract

In 1402 patients allografted in Europe during the period 1990-2000 with an HLA-identical sibling in first remission (CR1), the median interval from CR1 to allotransplant (96 days) was a major prognostic factor, patients transplanted earlier having a worse outcome. We studied in depth the 414 fully evaluable patients transplanted less than 96 days after achieving CR1; in these patients, only three factors predicted for the outcome by multivariate analysis: patient age, CR1 achievement with one or more induction courses and the recipient/donor sex combination. These three factors overcame the information from cytogenetics and source of stem cells. Three prognostic groups could be identified in relation to the outcome, using a prognostic score affecting 1 to each poor risk factor (total from 0 to 3): Group 1 (good prognosis) includes patients

Original languageEnglish
Pages (from-to)1596-1599
Number of pages4
JournalLeukemia
Volume17
Issue number8
DOIs
Publication statusPublished - Aug 1 2003

Keywords

  • Acute lymphoblastic leukaemia
  • Haemopoietic stem cell transplantation
  • Prognostic model

ASJC Scopus subject areas

  • Hematology
  • Cancer Research

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