PMID- 31150016 OWN - NLM STAT- MEDLINE DCOM- 20200917 LR - 20221219 IS - 1476-5365 (Electronic) IS - 0268-3369 (Linking) VI - 54 IP - 12 DP - 2019 Dec TI - Hematopoietic stem cell transplantation with unrelated cord blood or haploidentical donor grafts in adult patients with secondary acute myeloid leukemia, a comparative study from Eurocord and the ALWP EBMT. PG - 1987-1994 LID - 10.1038/s41409-019-0582-5 [doi] AB - Survival of patients with secondary acute myeloid leukemia (sAML) is poor. Cord blood transplantation (UCBT) and non-T-cell-depleted stem cell transplantation from haploidentical donors (HAPLO) are both strategies that have shown encouraging results in patients who do not have an human leukocyte antigen (HLA)-matched sibling or unrelated donor. We retrospectively analyzed outcomes of 409 adults with sAML receiving either UCBT (n = 163) or HAPLO (n = 246) in EBMT centers. Myelodysplastic syndrome (MDS) or myeloproliferative disorder (MPD) was the antecedent diagnosis in 79% of UCBT and 85% of HAPLO recipients. In multivariate analysis, UCBT was associated with higher risk of grade II-IV acute GVHD (HR 1.9, p = 0.009) and lower GHVD-free-relapse-free-survival (GRFS) (HR 1.57, p = 0.007) compared to HAPLO. Chronic-GVHD, RI, NRM, LFS, and OS were not statistically different between the two. Early disease stage at transplant was independently associated with lower RI and NRM and higher OS and LFS. These results indicate that HAPLO is associated with better GRFS and lower aGvHD compared to UCBT in patients with sAML and that UCBT can be a valid alternative for sAML patients who lack a matched sibling, a proper haploidentical or an unrelated donor. FAU - Ruggeri, Annalisa AU - Ruggeri A AD - Department of Pediatric Hematology and Oncology, IRCCS Bambino Gesu Children's Hospital, Piazza S.Onofrio, 4, Roma, 00165, Italy. annalisaruggeri80@hotmail.com. FAU - Labopin, Myriam AU - Labopin M AD - Hopital Saint Antoine, Service d'Hematologie et Therapie Cellulaire, AP-HP, Paris, France. FAU - Savani, Bipin AU - Savani B AUID- ORCID: 0000-0002-3304-9965 AD - Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Paviglianiti, Annalisa AU - Paviglianiti A AD - Hopital Saint Antoine, Service d'Hematologie et Therapie Cellulaire, AP-HP, Paris, France. FAU - Blaise, Didier AU - Blaise D AUID- ORCID: 0000-0002-5684-9447 AD - Institut Paoli Calmettes, Marseille, France. FAU - Volt, Fernanda AU - Volt F AD - Hopital Saint Louis, Eurocord, IUH University Paris VII, Paris, France. AD - Monacord, Centre Scientifique de Monaco, Monaco, Monaco. FAU - Ciceri, Fabio AU - Ciceri F AD - Hematology and BMT Unit, San Raffaele Scientific Institute, Milano, Italy. FAU - Bacigalupo, Andrea AU - Bacigalupo A AD - Hematology Department, Fondazione Policlinico Universitario Agostino Gemelli, Universita' Cattolica deI Sacro Cuore, Rome, Italy. FAU - Tischer, Johanna AU - Tischer J AD - Ludwig Maximilian University Hospital of Munich, Munich, Germany. FAU - Chevallier, Patrice AU - Chevallier P AD - Service d'hematologie, Hotel Dieu, Nantes, France. FAU - Koc, Yener AU - Koc Y AD - Medical Park, Stem Cell Transplant Unit, Antalya, Turkey. FAU - Cornelissen, Jan J AU - Cornelissen JJ AD - Erasmus MC Cancer Institute, University Medical Centre, Rotterdam, The Netherlands. FAU - Ehninger, Gerard AU - Ehninger G AD - Universitatsklinikum Carl Gustav Carus der TU Dresden, Medizinische Klinik und Poliklinik I, Dresden, Germany. FAU - Sanz, Guillermo AU - Sanz G AUID- ORCID: 0000-0002-2767-8191 AD - Hospital Universitario y Politecnico La Fe, Valencia, Spain. AD - CIBERONC, Madrid, Spain. FAU - Deconinck, Erick AU - Deconinck E AUID- ORCID: 0000-0002-6006-8088 AD - Hopital Jean Minjoz, Service d'Hematologie, Besancon, France. FAU - Rocha, Vanderson AU - Rocha V AD - Hopital Saint Louis, Eurocord, IUH University Paris VII, Paris, France. AD - Monacord, Centre Scientifique de Monaco, Monaco, Monaco. FAU - Baron, Frederic AU - Baron F AD - Department of Hematology, CHU of Liege, 4000, Liege, Belgium. FAU - Mohty, Mohamad AU - Mohty M AD - Hopital Saint Antoine, Service d'Hematologie et Therapie Cellulaire, AP-HP, Paris, France. AD - INSERM, UMRs 938, Paris, France. FAU - Gluckman, Eliane AU - Gluckman E AD - Hopital Saint Louis, Eurocord, IUH University Paris VII, Paris, France. AD - Monacord, Centre Scientifique de Monaco, Monaco, Monaco. FAU - Nagler, Arnon AU - Nagler A AD - Hopital Saint Antoine, Service d'Hematologie et Therapie Cellulaire, AP-HP, Paris, France. AD - Chaim Sheba Medical Center, Tel-Hashomer, Israel. LA - eng PT - Historical Article PT - Journal Article DEP - 20190531 PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 SB - IM MH - Cord Blood Stem Cell Transplantation/*methods MH - Female MH - Hematopoietic Stem Cell Transplantation/*methods MH - History, 20th Century MH - Humans MH - Leukemia, Myeloid, Acute/*therapy MH - Male MH - Transplantation Conditioning/*methods MH - Transplantation, Haploidentical/*methods MH - Unrelated Donors EDAT- 2019/06/01 06:00 MHDA- 2020/09/18 06:00 CRDT- 2019/06/01 06:00 PHST- 2019/02/04 00:00 [received] PHST- 2019/05/15 00:00 [accepted] PHST- 2019/04/17 00:00 [revised] PHST- 2019/06/01 06:00 [pubmed] PHST- 2020/09/18 06:00 [medline] PHST- 2019/06/01 06:00 [entrez] AID - 10.1038/s41409-019-0582-5 [pii] AID - 10.1038/s41409-019-0582-5 [doi] PST - ppublish SO - Bone Marrow Transplant. 2019 Dec;54(12):1987-1994. doi: 10.1038/s41409-019-0582-5. Epub 2019 May 31.