Biology of Blood and Marrow Transplantation
Volume 16, Issue 2 , Pages 231-238 , February 2010

Outcome of 125 Children with Chronic Myelogenous Leukemia Who Received Transplants from Unrelated Donors: The Japan Marrow Donor Program

  • Hideki Muramatsu

      Affiliations

    • Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
  • ,
  • Seiji Kojima

      Affiliations

    • Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
  • ,
  • Ayami Yoshimi

      Affiliations

    • Department of Hematopoietic Stem Cell Transplantation Data Management, Nagoya University School of Medicine, Nagoya, Japan
  • ,
  • Yoshiko Atsuta

      Affiliations

    • Department of Hematopoietic Stem Cell Transplantation Data Management, Nagoya University School of Medicine, Nagoya, Japan
  • ,
  • Koji Kato

      Affiliations

    • Division of Pediatric Hematology/Oncology, Children's Medical Center, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan
  • ,
  • Yoshihisa Nagatoshi

      Affiliations

    • Section of Pediatrics, National Kyushu Cancer Center, Fukuoka, Japan
  • ,
  • Masami Inoue

      Affiliations

    • Department of Hematology/Oncology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan
  • ,
  • Kazutoshi Koike

      Affiliations

    • Department of Pediatrics, Ibaraki Children's Hospital, Ibaraki, Japan
  • ,
  • Takakazu Kawase

      Affiliations

    • Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
  • ,
  • Masaki Ito

      Affiliations

    • Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan
  • ,
  • Hidemitsu Kurosawa

      Affiliations

    • Department of Pediatrics, Dokkyo Medical University, Tokyo, Japan
  • ,
  • Akihiko Tanizawa

      Affiliations

    • Department of Pediatrics, University of Fukui Faculty of Medical Sciences, Fukui, Japan
  • ,
  • Chikako Tono

      Affiliations

    • Department of Pediatrics, Aomori Rosai Hospital, Aomori, Japan
  • ,
  • Kazuko Hamamoto

      Affiliations

    • Department of Pediatrics, Hiroshima Red Cross Hospital & Atomic-Bomb Survivors Hospital, Hiroshima, Japan
  • ,
  • Noriko Hotta

      Affiliations

    • Department of Pediatrics, Tokuyama Central Hospital, Tokuyama, Japan
  • ,
  • Akihiro Watanabe

      Affiliations

    • Department of Pediatrics, Niigata Cancer Center Hospital, Niigata, Japan
  • ,
  • Yasuo Morishima

      Affiliations

    • Department of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan
  • ,
  • Keisei Kawa

      Affiliations

    • Department of Hematology/Oncology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan
  • ,
  • Hiroyuki Shimada

      Affiliations

    • Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan
    • Corresponding Author InformationCorrespondence and reprint requests: Hiroyuki Shimada, MD, PhD, Department of Pediatrics, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan.

Received 18 July 2009 ,Accepted 24 September 2009.

  • Image Result

    OS and LFS in children with Ph+ CML. In Kaplan-Meier curves graph, solid line shows the probabilities of OS (5-year OS=59.3%; 95% CI=54.8%-63.8%) and the dotted line shows that of LFS (5-year LFS=55.5

    OS and LFS in children with Ph+ CML. In Kaplan-Meier curves graph, solid line shows the probabilities of OS (5-year OS=59.3%; 95% CI=54.8%-63.8%) and the dotted line shows that of LFS (5-year LFS=55.5%; 95% CI=51.0%-60.0%).

  • Image Result
    A and B, Relationship among infused total nucleated cell dose, OS (A), and TRM (B) in children with Ph+ CML. In the entire cohort, OS was significantly higher for children who received a higher infuse

    A and B, Relationship among infused total nucleated cell dose, OS (A), and TRM (B) in children with Ph+ CML. In the entire cohort, OS was significantly higher for children who received a higher infused total nucleated cell dose than those who received a lower dose (≥ 314×106/kg vs<314×106/kg; P=.001). TRM was significantly higher for children who received a lower cell dose than for those who received a higher cell dose (≥ 314×106/kg vs<314×106/kg; P=.003). Solid lines show the probabilities of OS and TRM for children who received a higher infused total nucleated cell dose and the dotted lines show the probabilities for those who received a lower infused total nucleated cell dose. C and D, OS (C) and TRM (D) of Ph+ CML children in CP1 with or without an MCyR. OS was significantly higher for children who achieved MCyR at the time of BMT (n=29) than for those who did not (n=39) (OS; P < .001) (C). TRM was also significantly higher for children who did not achieve MCyR (P=.005) (D). The solid lines show the probabilities of OS and TRM for children with MCyR at the time of BMT, and the dotted lines show the probabilities for those without.

 Financial disclosure: See Acknowledgments on page 237.

PII: S1083-8791(09)00445-5

doi: 10.1016/j.bbmt.2009.09.022

Biology of Blood and Marrow Transplantation
Volume 16, Issue 2 , Pages 231-238 , February 2010