PMID- 27000732 OWN - NLM STAT- MEDLINE DCOM- 20160912 LR - 20210102 IS - 1532-8686 (Electronic) IS - 0037-1963 (Print) IS - 0037-1963 (Linking) VI - 53 IP - 2 DP - 2016 Apr TI - Haploidentical bone marrow and stem cell transplantation: experience with post-transplantation cyclophosphamide. PG - 90-7 LID - S0037-1963(16)00006-8 [pii] LID - 10.1053/j.seminhematol.2016.01.005 [doi] AB - Allogeneic blood or bone marrow transplantation (BMT) is a potentially curative therapy for high-risk hematologic malignancies not curable by standard chemotherapy, but the procedure is limited by the availability of human leukocyte antigen-matched donors for many patients, as well as toxicities including graft-versus-host disease (GVHD). Our group has developed the use of high-dose post-transplantation cyclophosphamide (PTCy) to selectively remove alloreactive T cells without compromising engraftment. This protocol has allowed for successful transplantation of human leukocyte antigen (HLA)-haploidentical (haplo) grafts, thus expanding the donor pool for the many patients who would not otherwise be a candidate for this life-saving procedure. In this review we will summarize the data that led to the development of PTCy, then focus on the outcomes of haploBMT trials with PTCy across different transplant platforms for patients with malignant hematologic diseases, and finally we will discuss emerging evidence that suggests equivalency of haploBMT with PTCy compared with more traditional transplants. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Robinson, Tara M AU - Robinson TM AD - Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD; Department of Oncology; Johns Hopkins University School of Medicine, Baltimore, MD. FAU - O'Donnell, Paul V AU - O'Donnell PV AD - Massachusetts General Hospital Cancer Center, Boston, MA. FAU - Fuchs, Ephraim J AU - Fuchs EJ AD - Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD; Department of Oncology; Johns Hopkins University School of Medicine, Baltimore, MD. FAU - Luznik, Leo AU - Luznik L AD - Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD; Department of Oncology; Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: luznile@jhmi.edu. LA - eng GR - P01 CA015396/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20160115 PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 RN - 8N3DW7272P (Cyclophosphamide) SB - IM MH - *Bone Marrow Transplantation MH - Cyclophosphamide/*therapeutic use MH - Graft vs Host Disease/immunology MH - Haploidy MH - Hematologic Neoplasms/therapy MH - Humans MH - *Stem Cell Transplantation PMC - PMC4806368 MID - NIHMS752194 OTO - NOTNLM OT - Bone marrow transplant OT - GVHD prophylaxis OT - Haploidentical OT - Post-transplant cyclophosphamide COIS- The authors declare that they have no conflicts of interest or competing financial or personal relationships that could inappropriately influence the content of this article. EDAT- 2016/03/24 06:00 MHDA- 2016/09/13 06:00 PMCR- 2017/04/01 CRDT- 2016/03/23 06:00 PHST- 2016/03/23 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2016/09/13 06:00 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - S0037-1963(16)00006-8 [pii] AID - 10.1053/j.seminhematol.2016.01.005 [doi] PST - ppublish SO - Semin Hematol. 2016 Apr;53(2):90-7. doi: 10.1053/j.seminhematol.2016.01.005. Epub 2016 Jan 15.