Biology of Blood and Marrow Transplantation
Volume 14, Issue 9, Supplement , Pages 16-22 , September 2008

Twenty Years of Unrelated Donor Bone Marrow Transplantation for Pediatric Acute Leukemia Facilitated by the National Marrow Donor Program

  • Margaret L. MacMillan

      Affiliations

    • Division of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, University of Minnesota Blood and Marrow Transplant Program, Minneapolis, Minnesota
    • Corresponding Author InformationCorrespondence and reprint requests: Margaret L. MacMillan, MD, University of Minnesota, Department of Pediatrics, 420 Delaware Street, Southeast, MMC 484, Minneapolis, MN 55455.
  • ,
  • Stella M. Davies

      Affiliations

    • Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Gene O. Nelson

      Affiliations

    • National Marrow Donor Program, Minneapolis, Minnesota
  • ,
  • Pintip Chitphakdithai

      Affiliations

    • National Marrow Donor Program, Minneapolis, Minnesota
  • ,
  • Dennis L. Confer

      Affiliations

    • National Marrow Donor Program, Minneapolis, Minnesota
  • ,
  • Roberta J. King

      Affiliations

    • National Marrow Donor Program, Minneapolis, Minnesota
  • ,
  • Nancy A. Kernan

      Affiliations

    • Memorial Sloan-Kettering Cancer Center, New York, New York

Received 22 May 2008 ,Accepted 27 May 2008.

  • Image Result

    Number of pediatric transplants facilitated by the NMDP, by year and stem cell source.

    Number of pediatric transplants facilitated by the NMDP, by year and stem cell source.

  • Image Result

    Probability of survival after unrelated donor for children with acute leukemia, by transplant period. P-value at 2 years <.001.

    Probability of survival after unrelated donor for children with acute leukemia, by transplant period. P-value at 2 years <.001.

  • Image Result

    (A) Probability of survival after unrelated donor BMT for children with acute leukemia in first complete remission (CR1) at time of transplant, by transplant period. P-value at 2 years <.001. (B) Prob

    (A) Probability of survival after unrelated donor BMT for children with acute leukemia in first complete remission (CR1) at time of transplant, by transplant period. P-value at 2 years <.001. (B) Probability of survival after unrelated donor BMT for children with acute leukemia in second complete remission (CR2) at time of transplant, by transplant period. P-value at 2 years = .001.

  • Image Result
    Cumulative incidence of TRM in children with acute leukemia in CR1 or CR2 at the time of BMT, by transplant period. P-value <.001.

    Cumulative incidence of TRM in children with acute leukemia in CR1 or CR2 at the time of BMT, by transplant period. P-value <.001.

  • Image Result
    (A) Probability of survival after HLA well-matched unrelated donor BMT for children with acute leukemia, by transplant period. P-value at 2 years <.001. (B) Probability of survival after HLA mismatche

    (A) Probability of survival after HLA well-matched unrelated donor BMT for children with acute leukemia, by transplant period. P-value at 2 years <.001. (B) Probability of survival after HLA mismatched unrelated donor BMT for children with acute leukemia, by transplant period. P-value at 2 years = .008.

  • Image Result
    Probability of survival after unrelated donor BMT in 2003 to 2006 for children with acute leukemia, by disease state at time of transplant. P-value at 2 years <.001 for ALL, =.007 for AML.

    Probability of survival after unrelated donor BMT in 2003 to 2006 for children with acute leukemia, by disease state at time of transplant. P-value at 2 years <.001 for ALL, =.007 for AML.

  • Image Result
    Probability of survival after unrelated donor BMT for children with SAA by transplant period. Dataset includes additional recipients with non-myeloablative conditioning regimens. Pointwise P-value at

    Probability of survival after unrelated donor BMT for children with SAA by transplant period. Dataset includes additional recipients with non-myeloablative conditioning regimens. Pointwise P-value at 2 years <.001.

 STATEMENT OF CONFLICT OF INTEREST: See Acknowledgements on page 21.

PII: S1083-8791(08)00228-0

doi: 10.1016/j.bbmt.2008.05.019

Biology of Blood and Marrow Transplantation
Volume 14, Issue 9, Supplement , Pages 16-22 , September 2008