PMID- 25528388 OWN - NLM STAT- MEDLINE DCOM- 20151026 LR - 20240213 IS - 1523-6536 (Electronic) IS - 1083-8791 (Print) IS - 1083-8791 (Linking) VI - 21 IP - 3 DP - 2015 Mar TI - Comparison of outcomes of allogeneic transplantation for chronic myeloid leukemia with cyclophosphamide in combination with intravenous busulfan, oral busulfan, or total body irradiation. PG - 552-8 LID - S1083-8791(14)01410-4 [pii] LID - 10.1016/j.bbmt.2014.12.010 [doi] AB - Cyclophosphamide (Cy) in combination with busulfan (Bu) or total body irradiation (TBI) is the most commonly used myeloablative conditioning regimen in patients with chronic myeloid leukemia (CML). We used data from the Center for International Bone Marrow Transplantation Research to compare outcomes in adults who underwent hematopoietic cell transplantation for CML in first chronic phase after myeloablative conditioning with Cy in combination with TBI, oral Bu, or intravenous (i.v.) Bu. Four hundred thirty-eight adults received human leukocyte antigen (HLA)-matched sibling grafts and 235 received well-matched grafts from unrelated donors (URD) from 2000 through 2006. Important differences existed between the groups in distribution of donor relation, exposure to tyrosine kinase inhibitors, and year of transplantation. In multivariate analysis, relapse occurred less frequently among patients receiving i.v. Bu compared with TBI (relative risk [RR], .36; P = .022) or oral Bu (RR, .39; P = .028), but nonrelapse mortality and survival were similar. A significant interaction was detected between donor relation and the main effect in leukemia-free survival (LFS). Among recipients of HLA-identical sibling grafts, but not URD grafts, LFS was better in patients receiving i.v. Bu (RR, .53; P = .025) or oral Bu (RR, .64; P = .017) compared with TBI. In CML in first chronic phase, Cy in combination with i.v. Bu was associated with less relapse than TBI or oral Bu. LFS was better after i.v. or oral Bu compared with TBI. CI - Copyright (c) 2015 American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved. FAU - Copelan, Edward A AU - Copelan EA AD - Levine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina. Electronic address: Heather.T.Johnson@carolinashealthcare.org. FAU - Avalos, Belinda R AU - Avalos BR AD - Levine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina. FAU - Ahn, Kwang Woo AU - Ahn KW AD - Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Medicine, Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin. FAU - Zhu, Xiaochun AU - Zhu X AD - Department of Medicine, Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin. FAU - Gale, Robert Peter AU - Gale RP AD - Division of Experimental Medicine, Department of Medicine, Hematology Research Centre, Imperial College of London, London, United Kingdom. FAU - Grunwald, Michael R AU - Grunwald MR AD - Levine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina. FAU - Hamadani, Mehdi AU - Hamadani M AD - Department of Medicine, Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin. FAU - Hamilton, Betty K AU - Hamilton BK AD - Department of Hematology and Oncology, Cleveland Clinic, Cleveland, Ohio. FAU - Hale, Gregory A AU - Hale GA AD - Department of Hematology/Oncology, All Children's Hospital, St Petersburg, Florida. FAU - Marks, David I AU - Marks DI AD - University Hospitals Bristol NHS Trust, Bristol, United Kingdom. FAU - Waller, Edmund K AU - Waller EK AD - Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia. FAU - Savani, Bipin N AU - Savani BN AD - Division of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee. FAU - Costa, Luciano J AU - Costa LJ AD - Division of Hematology/Oncology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina. FAU - Ramanathan, Muthalagu AU - Ramanathan M AD - Division of Hematology Oncology, UMass Memorial Medical Center, Worcester, Massachusetts. FAU - Cahn, Jean-Yves AU - Cahn JY AD - Department of Hematology, University Hospital, Grenoble, France. FAU - Khoury, H Jean AU - Khoury HJ AD - Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia. FAU - Weisdorf, Daniel J AU - Weisdorf DJ AD - Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota. FAU - Inamoto, Yoshihiro AU - Inamoto Y AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington. FAU - Kamble, Rammurti T AU - Kamble RT AD - Division of Hematology and Oncology, Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, Texas. FAU - Schouten, Harry C AU - Schouten HC AD - Divison of Hematology, Academische Ziekenhuis Maastricht, Maastricht, Netherlands. FAU - Wirk, Baldeep AU - Wirk B AD - Department of Internal Medicine, Stony Brook University Medical Center, Stony Brook, New York. FAU - Litzow, Mark R AU - Litzow MR AD - Department of Hematology, Mayo Clinic, Rochester, Minnesota. FAU - Aljurf, Mahmoud D AU - Aljurf MD AD - Department of Oncology, King Faisal Specialist Hospital Center & Research, Riyadh, Saudi Arabia. FAU - van Besien, Koen W AU - van Besien KW AD - Department of Medical Oncology, Weill Cornell Medical College, New York, New York. FAU - Ustun, Celalettin AU - Ustun C AD - Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota. FAU - Bolwell, Brian J AU - Bolwell BJ AD - Department of Hematology and Oncology, Cleveland Clinic, Cleveland, Ohio. FAU - Bredeson, Christopher N AU - Bredeson CN AD - The Ottawa Hospital Blood & Marrow Transplant Program and the Ottawa Hospital Research Institute, Ottawa, ON, Canada. FAU - Fasan, Omotayo AU - Fasan O AD - Levine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina. FAU - Ghosh, Nilanjan AU - Ghosh N AD - Levine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina. FAU - Horowitz, Mary M AU - Horowitz MM AD - Department of Medicine, Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin. FAU - Arora, Mukta AU - Arora M AD - Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota. FAU - Szer, Jeffrey AU - Szer J AD - Department of Clinical Haematology and Bone Marrow Transplantation, Royal Melbourne Hospital, Parkville, Victoria, Australia. FAU - Loren, Alison W AU - Loren AW AD - Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Alyea, Edwin P AU - Alyea EP AD - Center of Hematologic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Cortes, Jorge AU - Cortes J AD - Division of Cancer Medicine, Department of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, Texas. FAU - Maziarz, Richard T AU - Maziarz RT AD - Center for Hematologic Malignancies, Oregon Health and Science University, Portland, Oregon. FAU - Kalaycio, Matt E AU - Kalaycio ME AD - Department of Hematology and Oncology, Cleveland Clinic, Cleveland, Ohio. FAU - Saber, Wael AU - Saber W AD - Department of Medicine, Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, Wisconsin. LA - eng GR - 5U01HL069294/HL/NHLBI NIH HHS/United States GR - U24 CA076518/CA/NCI NIH HHS/United States GR - U24-CA76518/CA/NCI NIH HHS/United States GR - U01 HL069294/HL/NHLBI NIH HHS/United States PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20141217 PL - United States TA - Biol Blood Marrow Transplant JT - Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation JID - 9600628 RN - 0 (Myeloablative Agonists) RN - 8N3DW7272P (Cyclophosphamide) RN - G1LN9045DK (Busulfan) SB - IM MH - Administration, Intravenous MH - Administration, Oral MH - Adolescent MH - Adult MH - Allografts MH - Busulfan/*administration & dosage MH - Cyclophosphamide/*administration & dosage MH - Disease-Free Survival MH - Female MH - Humans MH - *Leukemia, Myelogenous, Chronic, BCR-ABL Positive/mortality/therapy MH - Male MH - Middle Aged MH - Myeloablative Agonists/*administration & dosage MH - Siblings MH - Survival Rate MH - *Transplantation Conditioning MH - Whole-Body Irradiation PMC - PMC4329042 MID - NIHMS650721 OTO - NOTNLM OT - Busulfan OT - Chronic myeloid leukemia OT - Total body irradiation EDAT- 2014/12/22 06:00 MHDA- 2015/10/27 06:00 PMCR- 2016/03/01 CRDT- 2014/12/22 06:00 PHST- 2014/08/12 00:00 [received] PHST- 2014/12/10 00:00 [accepted] PHST- 2014/12/22 06:00 [entrez] PHST- 2014/12/22 06:00 [pubmed] PHST- 2015/10/27 06:00 [medline] PHST- 2016/03/01 00:00 [pmc-release] AID - S1083-8791(14)01410-4 [pii] AID - 10.1016/j.bbmt.2014.12.010 [doi] PST - ppublish SO - Biol Blood Marrow Transplant. 2015 Mar;21(3):552-8. doi: 10.1016/j.bbmt.2014.12.010. Epub 2014 Dec 17.