Chronic graft-versus-host disease following umbilical cord blood transplantation: retrospective survey involving 1072 patients in Japan
We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features in 1072 Japanese patients with hematologic malignancies who received a transplant through the Japan Cord Blood Bank Network. The primary end point was...
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Published in | Blood Vol. 112; no. 6; pp. 2579 - 2582 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Washington, DC
Elsevier Inc
15.09.2008
The Americain Society of Hematology |
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Abstract | We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features in 1072 Japanese patients with hematologic malignancies who received a transplant through the Japan Cord Blood Bank Network. The primary end point was to investigate the incidence of any chronic GVHD. Median age of the patients was 33 years (range, 0-79 years). The cumulative incidence of chronic GVHD 2 years after transplantation was 28%. Chronic GVHD was fatal in 29 patients. Multivariate analysis demonstrated that development of chronic GVHD was favorably associated with both overall survival and event-free survival. Multivariate analysis identified risk factors of chronic GVHD: higher patient body weight, higher number of mismatched antigens for GVHD direction, myeloablative preparative regimen, use of mycophenolate mofetil in GVHD prophylaxis, and development of grades II to IV acute GVHD. Although chronic GVHD is a significant problem after CBT, it is associated with improved survival, perhaps due to graft-versus-malignancy effects. |
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AbstractList | We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features in 1072 Japanese patients with hematologic malignancies who received a transplant through the Japan Cord Blood Bank Network. The primary end point was to investigate the incidence of any chronic GVHD. Median age of the patients was 33 years (range, 0-79 years). The cumulative incidence of chronic GVHD 2 years after transplantation was 28%. Chronic GVHD was fatal in 29 patients. Multivariate analysis demonstrated that development of chronic GVHD was favorably associated with both overall survival and event-free survival. Multivariate analysis identified risk factors of chronic GVHD: higher patient body weight, higher number of mismatched antigens for GVHD direction, myeloablative preparative regimen, use of mycophenolate mofetil in GVHD prophylaxis, and development of grades II to IV acute GVHD. Although chronic GVHD is a significant problem after CBT, it is associated with improved survival, perhaps due to graft-versus-malignancy effects. Abstract We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features in 1072 Japanese patients with hematologic malignancies who received a transplant through the Japan Cord Blood Bank Network. The primary end point was to investigate the incidence of any chronic GVHD. Median age of the patients was 33 years (range, 0-79 years). The cumulative incidence of chronic GVHD 2 years after transplantation was 28%. Chronic GVHD was fatal in 29 patients. Multivariate analysis demonstrated that development of chronic GVHD was favorably associated with both overall survival and event-free survival. Multivariate analysis identified risk factors of chronic GVHD: higher patient body weight, higher number of mismatched antigens for GVHD direction, myeloablative preparative regimen, use of mycophenolate mofetil in GVHD prophylaxis, and development of grades II to IV acute GVHD. Although chronic GVHD is a significant problem after CBT, it is associated with improved survival, perhaps due to graft-versus-malignancy effects. |
Author | Kai, Shunro Narimatsu, Hiroto Kusumi, Eiji Okada, Masaya Kato, Koji Sakamaki, Hisashi Osugi, Yuko Yuji, Koichiro Takahashi, Satoshi Yamaguchi, Takuhiro Kato, Shunichi Kouzai, Yasushi Miyakoshi, Shigesaburo Kobayashi, Ryoji Taniguchi, Shuichi Inoue, Masami Komatsu, Tsunehiko Matsumura, Tomoko Murashige, Naoko Kodama, Yuko Inoue-Nagamura, Tokiko Kami, Masahiro |
Author_xml | – sequence: 1 givenname: Hiroto surname: Narimatsu fullname: Narimatsu, Hiroto email: narimt54@med.nagoya-u.ac.jp organization: Divison of Exploratory Research, Institute of Medical Science, The University of Tokyo, Tokyo – sequence: 2 givenname: Shigesaburo surname: Miyakoshi fullname: Miyakoshi, Shigesaburo organization: Japan Cord Blood Bank Network, Tokyo – sequence: 3 givenname: Takuhiro surname: Yamaguchi fullname: Yamaguchi, Takuhiro organization: Department of Clinical Trial Data Management, Graduate School of Medicine, The University of Tokyo, Tokyo – sequence: 4 givenname: Masahiro surname: Kami fullname: Kami, Masahiro organization: Divison of Exploratory Research, Institute of Medical Science, The University of Tokyo, Tokyo – sequence: 5 givenname: Tomoko surname: Matsumura fullname: Matsumura, Tomoko organization: Japan Cord Blood Bank Network, Tokyo – sequence: 6 givenname: Koichiro surname: Yuji fullname: Yuji, Koichiro organization: Japan Cord Blood Bank Network, Tokyo – sequence: 7 givenname: Naoko surname: Murashige fullname: Murashige, Naoko organization: Office for Life-Style Related Diseases Control, Ministry of Health, Labor and Welfare, Tokyo – sequence: 8 givenname: Eiji surname: Kusumi fullname: Kusumi, Eiji organization: Department of Hematology, Toranomon Hospital, Tokyo – sequence: 9 givenname: Yuko surname: Kodama fullname: Kodama, Yuko organization: Divison of Exploratory Research, Institute of Medical Science, The University of Tokyo, Tokyo – sequence: 10 givenname: Tsunehiko surname: Komatsu fullname: Komatsu, Tsunehiko organization: The Third Department of Internal Medicine, Teikyo University School of Medicine, Tokyo – sequence: 11 givenname: Hisashi surname: Sakamaki fullname: Sakamaki, Hisashi organization: Division of Hematology, Tokyo Metropolitan Komagome Hospital, Tokyo – sequence: 12 givenname: Yasushi surname: Kouzai fullname: Kouzai, Yasushi organization: Department of Transfusion, Tokyo Metropolitan Fuchu Hospital, Tokyo – sequence: 13 givenname: Masaya surname: Okada fullname: Okada, Masaya organization: Division of Hematology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya – sequence: 14 givenname: Yuko surname: Osugi fullname: Osugi, Yuko organization: Department of Pediatric Oncology/Hematology, Osaka City General Hospital, Osaka – sequence: 15 givenname: Ryoji surname: Kobayashi fullname: Kobayashi, Ryoji organization: Department of Paediatrics, Hokkaido University Graduate School of Medicine, Sapporo – sequence: 16 givenname: Masami surname: Inoue fullname: Inoue, Masami organization: Department of Hematology/Oncology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka – sequence: 17 givenname: Satoshi surname: Takahashi fullname: Takahashi, Satoshi organization: Division of Molecular Therapy, Advanced Clinical Research Center, Institute of Medical Science, University of Tokyo, Tokyo, Japan – sequence: 18 givenname: Shunro surname: Kai fullname: Kai, Shunro organization: Japan Cord Blood Bank Network, Tokyo – sequence: 19 givenname: Koji surname: Kato fullname: Kato, Koji organization: Japan Cord Blood Bank Network, Tokyo – sequence: 20 givenname: Tokiko surname: Inoue-Nagamura fullname: Inoue-Nagamura, Tokiko organization: Japan Cord Blood Bank Network, Tokyo – sequence: 21 givenname: Shuichi surname: Taniguchi fullname: Taniguchi, Shuichi organization: Japan Cord Blood Bank Network, Tokyo – sequence: 22 givenname: Shunichi surname: Kato fullname: Kato, Shunichi organization: Japan Cord Blood Bank Network, Tokyo |
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Keywords | Human Immunopathology Graft versus host disease Hematology Chronic disease Stem cell Hematopoietic cell Homograft Retrospective Blood cell Survey Graft Umbilical cord |
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Snippet | We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features in 1072... Abstract We have little information on chronic graft-versus-host disease (GVHD) after cord blood transplantation (CBT). We investigated its clinical features... |
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SubjectTerms | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Chronic Disease Cord Blood Stem Cell Transplantation - adverse effects Data Collection Graft vs Host Disease - epidemiology Graft vs Host Disease - etiology Hematologic and hematopoietic diseases Humans Incidence Infant Japan - epidemiology Medical sciences Middle Aged Retrospective Studies Risk Factors Survival Analysis |
Title | Chronic graft-versus-host disease following umbilical cord blood transplantation: retrospective survey involving 1072 patients in Japan |
URI | https://dx.doi.org/10.1182/blood-2007-11-118893 https://www.ncbi.nlm.nih.gov/pubmed/18559675 https://search.proquest.com/docview/69525765 |
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