Double umbilical cord blood transplantation for hematological malignancies: a long- term analysis from the SFGM-TC registry.
Hélène Labussière Wallet
,
Mohamad Sobh
,
Stéphane Morisset
(1)
,
Marie Robin
(2)
,
Nathalie Fegueux
(3)
,
Sabine Fürst
,
Mohamad Mohty
(4)
,
Eric Deconinck
(5)
,
Loïc Fouillard
(6)
,
Pierre Bordigoni
(7)
,
Bernard Rio
(8)
,
Anne Sirvent
,
Marc Renaud
(8)
,
Nathalie Dhedin
,
Reza Tabrizi
(9)
,
Sébastien Maury
,
Agnès Buzyn
(10)
,
Gérard Michel
,
Natacha Maillard
(11)
,
Jean-Yves Cahn
(12)
,
Jacques-Olivier Bay
(13)
,
Ibrahim Yacoub-Agha
,
Anne Huynh
(14)
,
Aline Schmidt-Tanguy
(4)
,
Thierry Lamy
(15)
,
Bruno Lioure
(16)
,
Nicole Raus
(17)
,
Evelyne Marry
,
Federico Garnier
(18)
,
Marie-Lorraine Balère
,
Eliane Gluckman
(19)
,
Vanderson Rocha
,
Gérard Socié
(2)
,
Didier Blaise
(9)
,
Noël Milpied
(20)
,
Mauricette Michallet
(17)
1
LBBE -
Laboratoire de Biométrie et Biologie Evolutive - UMR 5558
2 Service d'hématologie greffe [Saint-Louis]
3 Service d'hématologie et oncologie médicale
4 CRCNA - Centre de Recherche en Cancérologie Nantes-Angers
5 Service d'hématologie
6 Service d'hématologie clinique et de thérapie cellulaire [CHU Saint-Antoine]
7 Unité de Transplantation Médullaire
8 Département d'Hématologie et Oncologie Médicale
9 Hôpital Haut-Lévêque
10 UMR_S567 / UMR 8104 - Institut Cochin
11 Service Hématologie
12 TheREx
13 Unité de transplantation médullaire et laboratoire d'oncologie moléculaire
14 Service Hématologie - IUCT-Oncopole [CHU Toulouse]
15 MiCa - Microenvironnement et cancer
16 Service d'onco-hématologie
17 Service d'hématologie [Hôpital Edouard Herriot - HCL]
18 Agence de la biomédecine [Saint-Denis la Plaine]
19 Clinical Research Unit
20 Haematology
2 Service d'hématologie greffe [Saint-Louis]
3 Service d'hématologie et oncologie médicale
4 CRCNA - Centre de Recherche en Cancérologie Nantes-Angers
5 Service d'hématologie
6 Service d'hématologie clinique et de thérapie cellulaire [CHU Saint-Antoine]
7 Unité de Transplantation Médullaire
8 Département d'Hématologie et Oncologie Médicale
9 Hôpital Haut-Lévêque
10 UMR_S567 / UMR 8104 - Institut Cochin
11 Service Hématologie
12 TheREx
13 Unité de transplantation médullaire et laboratoire d'oncologie moléculaire
14 Service Hématologie - IUCT-Oncopole [CHU Toulouse]
15 MiCa - Microenvironnement et cancer
16 Service d'onco-hématologie
17 Service d'hématologie [Hôpital Edouard Herriot - HCL]
18 Agence de la biomédecine [Saint-Denis la Plaine]
19 Clinical Research Unit
20 Haematology
Hélène Labussière Wallet
- Function : Author
Mohamad Sobh
- Function : Author
Sabine Fürst
- Function : Author
Mohamad Mohty
- Function : Author
- PersonId : 761875
- ORCID : 0000-0002-7264-808X
- IdRef : 076744094
Eric Deconinck
- Function : Author
- PersonId : 759821
- ORCID : 0000-0002-6006-8088
Anne Sirvent
- Function : Author
Marc Renaud
- Function : Author
- PersonId : 13803
- IdHAL : marc-renaud
- IdRef : 067206239
Nathalie Dhedin
- Function : Author
Sébastien Maury
- Function : Author
Gérard Michel
- Function : Author
Ibrahim Yacoub-Agha
- Function : Author
Aline Schmidt-Tanguy
- Function : Author
- PersonId : 749561
- IdHAL : aline-schmidt
- ORCID : 0000-0003-0278-7479
Evelyne Marry
- Function : Author
Marie-Lorraine Balère
- Function : Author
Vanderson Rocha
- Function : Author
Gérard Socié
- Function : Author
- PersonId : 758626
- ORCID : 0000-0002-2114-7533
- IdRef : 061658243
Didier Blaise
- Function : Author
- PersonId : 762674
- ORCID : 0000-0002-5684-9447
- IdRef : 134237560
Abstract
: Allogeneic hematopoietic stem cell transplantation (HSCT) is a curative treatment for many hematological malignancies for which umbilical cord blood (UCB) represents an alternative source of HSC. In order to overcome the low cellularity of one UCB unit, double UCBT (dUCBT) has been developed in adults. We have analyzed the outcome of 136 patients who underwent dUCBT reported to the SFGM-TC registry between 2005 and 2007. Forty-six patients received myeloablative and 90 reduced intensity conditioning regimens. There were 84 leukemias, 17 NHL, 11 myelomas and 24 other hematological malignancies. At transplantation, 40 (29%) patients were in CR1. At day 60 after transplantation, the cumulative incidence of neutrophil recovery was 91%. We observed one UCB unit domination in 88% of cases. The cumulative incidence of day 100 aGVHD, cGVHD, TRM and relapse at 2 years were 36%, 23%, 27% and 28% respectively. After a median follow-up of 49.5 months, the 3 years probabilities of overall and progression-free survival were 41% and 35% respectively with a significant OS advantage when male cord engrafted male recipients. We obtained a long term plateau among patients in CR1 which makes dUCBT a promising treatment strategy for these patients.