Biology of Blood and Marrow Transplantation
Volume 14, Issue 2 , Pages 137-180 , February 2008

The Role of Cytotoxic Therapy with Hematopoietic Stem Cell Transplantation in the Therapy of Acute Myelogenous Leukemia in Adults: An Evidence-Based Review

  • Denise M. Oliansky

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
  • ,
  • Frederick Appelbaum

      Affiliations

    • Fred Hutchinson Cancer Institute, Seattle, Washington
  • ,
  • Peter A. Cassileth

      Affiliations

    • University of Miami Sylvester Cancer Center, Miami, Florida
  • ,
  • Armand Keating

      Affiliations

    • University of Toronto, Toronto, ON, Canada
  • ,
  • Jamie Kerr

      Affiliations

    • Excellus Blue Cross/Blue Shield, Rochester, New York
  • ,
  • Yago Nieto

      Affiliations

    • M.D. Anderson Cancer Center, Houston, Texas
  • ,
  • Susan Stewart

      Affiliations

    • BMT Infonet, Chicago, Illinois
  • ,
  • Richard M. Stone

      Affiliations

    • Dana Farber Cancer Institute, Boston, Massachusetts
  • ,
  • Martin S. Tallman

      Affiliations

    • Northwestern University Feinberg School of Medicine, Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois
  • ,
  • Philip L. McCarthy Jr.

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
  • ,
  • Theresa Hahn

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
    • Corresponding Author InformationCorrespondence and reprint requests: Theresa Hahn, PhD, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263.

Received 8 November 2007 ,Accepted 9 November 2007.

  • Image Result

    Relative risk (RR) of relapse or death rate comparing autologous BMT with the control arm. (Reprinted with permission; [7].)

    Relative risk (RR) of relapse or death rate comparing autologous BMT with the control arm. (Reprinted with permission; [7].)

  • Image Result

    Forrest plot of the HRs and 95% CIs for OS. Study identifications are provided below. FEM and REM denote summary HRs by the fixed-effect and random-effect models. The varying sizes of the filled diamo

    Forrest plot of the HRs and 95% CIs for OS. Study identifications are provided below. FEM and REM denote summary HRs by the fixed-effect and random-effect models. The varying sizes of the filled diamonds represent the weight for the fixed-effect model in the meta-analysis. A hazard ratio greater than unity means that allogeneic transplantation is superior to nonallogeneic transplantation. Study IDs: 1-1: Reiffers et al. [10]; 2-1: Keating et al., Br J Haematol. 1998;102:1344-1353; 3-1 to 3-6: Slovak et al. [116]; 4-1 to 4-5: Burnett et al. [20]; 5-1 to 5-4: Suciu et al. [30]. (Reprinted with permission; [18].)

  • Image Result
    Actuarial rates of DFS of patients with AML in first complete remission according to donor availability. (Reprinted with permission; [19].)

    Actuarial rates of DFS of patients with AML in first complete remission according to donor availability. (Reprinted with permission; [19].)

  • Image Result
    Adjusted probability of LFS of persons 16-50 years old with AML in first remission in the IBMTR and GAMLCG databases. Numbers in parentheses indicate numbers of persons at risk at different intervals.

    Adjusted probability of LFS of persons 16-50 years old with AML in first remission in the IBMTR and GAMLCG databases. Numbers in parentheses indicate numbers of persons at risk at different intervals. (Reprinted with permission; [21].)

  • Image Result
    DFS from CR according to donor availability. The estimates of the 4-year DFS rates (±SE) for the donor group (dotted line) and the no donor group (solid line) are given. The 4-year cumulative incidenc

    DFS from CR according to donor availability. The estimates of the 4-year DFS rates (±SE) for the donor group (dotted line) and the no donor group (solid line) are given. The 4-year cumulative incidence of relapse and of death in CR are given in italics at the right of the graph. N indicates the number of patients; O, observed number of events (relapse or death in first CR). P is determined by the log-rank test. (Reprinted with permission; [30].)

  • Image Result
    Actuarial LFS in autograft recipients with AML in CR1 treated with Bu/Cy (broken line) (n = 330) or Cy/TBI (solid line) (n = 330). The survival curves are not significantly different (P = .64). (Repri

    Actuarial LFS in autograft recipients with AML in CR1 treated with Bu/Cy (broken line) (n = 330) or Cy/TBI (solid line) (n = 330). The survival curves are not significantly different (P = .64). (Reprinted with permission; [77].)

  • Image Result
    Actuarial LFS in allograft recipients with AML in CR1 treated with Bu/Cy (n = 223) or Cy/TBI (n = 223). Survival curves are not significantly different (P = .63). (Reprinted with permission; [77].)

    Actuarial LFS in allograft recipients with AML in CR1 treated with Bu/Cy (n = 223) or Cy/TBI (n = 223). Survival curves are not significantly different (P = .63). (Reprinted with permission; [77].)

  • Image Result
    Unadjusted cumulative incidence of LFS for patients over 50 years of age with AML receiving myeloablative (MA) versus reduced intensity conditioning (RIC) prior to HLA-identical sibling HSCT. (Reprint

    Unadjusted cumulative incidence of LFS for patients over 50 years of age with AML receiving myeloablative (MA) versus reduced intensity conditioning (RIC) prior to HLA-identical sibling HSCT. (Reprinted with permission; [87].)

 Major funding for this study was provided by the National Marrow Donor Program.

PII: S1083-8791(07)00571-X

doi: 10.1016/j.bbmt.2007.11.002

Biology of Blood and Marrow Transplantation
Volume 14, Issue 2 , Pages 137-180 , February 2008