Biology of Blood and Marrow Transplantation
Volume 15, Issue 5 , Pages 626-631 , May 2009

Risk Factors Affecting Outcome of Second HLA-Matched Sibling Donor Transplantations for Graft Failure in Severe Acquired Aplastic Anemia

  • John T. Horan

      Affiliations

    • Blood and Marrow Transplant Program, Emory University (Department of Pediatrics)/Children's Healthcare of Atlanta, Atlanta, Georgia
    • Corresponding Author InformationCorrespondence and reprint requests: John T. Horan, MD, MPH, Emory University/Children's Healthcare of Atlanta, Blood and Marrow Transplant Program, 1405 Clifton Road NE, Atlanta, GA 30322.
  • ,
  • Jeanette Carreras

      Affiliations

    • Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin
  • ,
  • Sergey Tarima

      Affiliations

    • Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin
  • ,
  • Bruce M. Camitta

      Affiliations

    • Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin
  • ,
  • Robert Peter Gale

      Affiliations

    • Celgene Corporation, Summit, New Jersey
  • ,
  • Gregory A. Hale

      Affiliations

    • St. Jude Children's Research Hospital, Memphis, Tennessee
  • ,
  • Wolfgang Hinterberger

      Affiliations

    • Ludwig Boltzmann Institute, Wien, Austria
  • ,
  • Judith Marsh

      Affiliations

    • King's College Hospital, London, UK
  • ,
  • Jakob R. Passweg

      Affiliations

    • Geneva University Hospital, Geneva, Switzerland
  • ,
  • Mark C. Walters

      Affiliations

    • Children's Hospital and Research Center, Oakland, California
  • ,
  • Mary Eapen

      Affiliations

    • Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin

Received 30 October 2008 ,Accepted 31 January 2009.

  • Image Result

    Cumulative incidence of neutrophil and platelet recovery after second HLA-matched sibling donor transplantation for graft failure.

    Cumulative incidence of neutrophil and platelet recovery after second HLA-matched sibling donor transplantation for graft failure.

  • Image Result

    Overall survival after second HLA-matched sibling donor transplantation for graft failure in SAA by time between first to second transplantation and Karnofsky performance score. Eight-year probability

    Overall survival after second HLA-matched sibling donor transplantation for graft failure in SAA by time between first to second transplantation and Karnofsky performance score. Eight-year probability of overall survival in patients with a performance score of 90 to 100 and an intertransplantation interval > 3 months (…… ; 76% [95% CI = 62% to 88%]); in patients with a performance score < 90 and an intertransplantation interval > 3 months (– – – –; 61% [95% CI = 50% to 72%]); in patients with a performance score of 90 to 100 and an intertransplantation interval < 3 months (- - - - -; 56% [95% CI = 24% to 85&]); and in patients with a performance score < 90 and an intertransplantation interval < 3 months (———; 33% [95% CI = 19% to 49%]).

 Financial disclosure: See Acknowledgments on page 630.

PII: S1083-8791(09)00075-5

doi: 10.1016/j.bbmt.2009.01.023

Biology of Blood and Marrow Transplantation
Volume 15, Issue 5 , Pages 626-631 , May 2009