PMID- 25413265 OWN - NLM STAT- MEDLINE DCOM- 20150629 LR - 20150415 IS - 1421-9662 (Electronic) IS - 0001-5792 (Linking) VI - 133 IP - 3 DP - 2015 TI - Equivalent outcome of autologous stem cell transplantation and reduced intensity conditioning stem cell transplantation in acute myeloid leukemia patients with t(8;21). PG - 266-76 LID - 10.1159/000366261 [doi] AB - We analyzed the outcome of stem cell transplantation (SCT) for 59 acute myeloid leukemia (AML) patients with t(8;21). The 5-year overall and disease-free survival (OS and DFS) were 70.2 and 68.4%, respectively. The 5-year cumulative incidence of relapse (CIR) and nonrelapse mortality were 16.9 and 13.6%, respectively. OS and DFS in the reduced-intensity conditioning (RIC)-SCT group (70.4%) were not different from in the autologous SCT (ASCT) group (72.4 and 69.0%, respectively). Age was a factor affecting OS (p = 0.007) and DFS (p = 0.008) in the ASCT group, but not in the RIC-SCT group. In the ASCT group, lack of the X chromosome (-X) and an age of >50 years were associated with inferior survival; however, these differences disappeared in the RIC-SCT group. CIR was significantly higher in patients with -X than in those without -X only in the ASCT group (p = 0.038), i.e. not in the RIC-SCT group. ASCT and RIC-SCT are equally effective for the intensification of postremission treatment of AML patients with t(8;21). The subgroups with advanced age or -X should be preferentially considered for RIC-SCT, rather than ASCT. Further investigations with randomized prospective trials of a sizeable study population are warranted. FAU - Eom, Ki-Seong AU - Eom KS AD - Division of Hematology, Department of Internal Medicine, Catholic Blood and Marrow Transplantation Center, Seoul St. Mary's Hospital, Seoul, Republic of Korea. FAU - Kim, Hee-Je AU - Kim HJ FAU - Cho, Byung-Sik AU - Cho BS FAU - Lee, Sung Eun AU - Lee SE FAU - Yahng, Seung-Ah AU - Yahng SA FAU - Yoon, Jae-Ho AU - Yoon JH FAU - Shin, Seung-Hwan AU - Shin SH FAU - Jeon, Young-Woo AU - Jeon YW FAU - Kim, Jung-Ho AU - Kim JH FAU - Kim, Yoo-Jin AU - Kim YJ FAU - Lee, Seok AU - Lee S FAU - Min, Chang-Ki AU - Min CK FAU - Cho, Seok-Goo AU - Cho SG FAU - Kim, Dong-Wook AU - Kim DW FAU - Lee, Jong-Wook AU - Lee JW FAU - Min, Woo-Sung AU - Min WS FAU - Park, Chong-Won AU - Park CW LA - eng PT - Clinical Trial PT - Journal Article DEP - 20141120 PL - Switzerland TA - Acta Haematol JT - Acta haematologica JID - 0141053 SB - IM CIN - Acta Haematol. 2015;133(3):264-5. PMID: 25413185 MH - Adolescent MH - Adult MH - Autografts MH - Chromosomes, Human, Pair 21/*genetics MH - Chromosomes, Human, Pair 8/*genetics MH - Disease-Free Survival MH - Female MH - Humans MH - Incidence MH - *Leukemia, Myeloid, Acute/genetics/mortality/therapy MH - Male MH - Middle Aged MH - Recurrence MH - *Stem Cell Transplantation MH - Survival Rate MH - *Translocation, Genetic MH - *Transplantation Conditioning EDAT- 2014/11/22 06:00 MHDA- 2015/06/30 06:00 CRDT- 2014/11/22 06:00 PHST- 2014/05/21 00:00 [received] PHST- 2014/07/31 00:00 [accepted] PHST- 2014/11/22 06:00 [entrez] PHST- 2014/11/22 06:00 [pubmed] PHST- 2015/06/30 06:00 [medline] AID - 000366261 [pii] AID - 10.1159/000366261 [doi] PST - ppublish SO - Acta Haematol. 2015;133(3):266-76. doi: 10.1159/000366261. Epub 2014 Nov 20.