Haploidentical hematopoietic stem cell transplantation for hematologic malignancies: a novel conditioning regimen with anti-T lymphocyte immunoglobulin instead of anti-thymocyte globulin for in vivo T cell depletion
We evaluated the safety and efficacy of a novel protocol for haploidentical stem cell transplantation (haplo-SCT) in 312 patients with hematologic malignancies. The protocol evolved from the Beijing platform replacing ATG with ATLG; adding Fludarabine and removing cytarabine and Simustine. GVHD prophylaxis combined Basiliximab and low-dose cyclophosphamide post-transplant; overall, the conditioning duration was shortened. Median times to neutrophil and platelet recovery were both 11 days. Graft rejection occurred in 0.96% of patients. Cumulative incidences of grades II-IV and III-IV acute GVHD by day 200 were 35.3% and 8.9%, respectively. Probabilities of total and extensive chronic GVHD at 2 years were 40.7% and 14.7%. CMV viremia was observed in 35.6% of patients, with a 1.9% 100-day CMV pneumonia incidence and no CMV-related mortality. Cumulative incidences of non-relapse mortality at 100 days, 1 year, and 2 years were 2.9, 4.4, and 6.6%. The 4-year OS, RFS, and GRFS rates were 78.9, 70.7, and 47.3%. Older recipient age was associated with higher NRM, while positive pre-transplant MRD predicted worse OS, RFS, and higher relapse incidence. Our novel protocol for haplo-SCT is associated with low infection rates and acceptable risks of graft failure, severe GVHD, and mortality, representing a safe and effective haploidentical transplantation strategy.
基金:
Department of Science and Technology of Sichuan Province (Sichuan Provincial Department of Science and Technology); Institute of Hematology, Sichuan Academy of Medical Sciences
第一作者机构:[1]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Affiliated Hosp, Dept Hematol, Chengdu, Peoples R China[2]Sichuan Prov Clin Res Ctr Hematol Dis, Chengdu, Peoples R China[3]Sichuan Acad Med Sci, Inst Hematol, Chengdu, Peoples R China
通讯作者:
通讯机构:[1]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Affiliated Hosp, Dept Hematol, Chengdu, Peoples R China[2]Sichuan Prov Clin Res Ctr Hematol Dis, Chengdu, Peoples R China[3]Sichuan Acad Med Sci, Inst Hematol, Chengdu, Peoples R China
推荐引用方式(GB/T 7714):
Huang Xiao-Bing,Yang Xi,Li Cheng-Long,et al.Haploidentical hematopoietic stem cell transplantation for hematologic malignancies: a novel conditioning regimen with anti-T lymphocyte immunoglobulin instead of anti-thymocyte globulin for in vivo T cell depletion[J].BONE MARROW TRANSPLANTATION.2025,60(1):39-46.doi:10.1038/s41409-024-02433-w.
APA:
Huang, Xiao-Bing,Yang, Xi,Li, Cheng-Long,Zhang, Rong,Wang, Wen...&Zhou, Yang.(2025).Haploidentical hematopoietic stem cell transplantation for hematologic malignancies: a novel conditioning regimen with anti-T lymphocyte immunoglobulin instead of anti-thymocyte globulin for in vivo T cell depletion.BONE MARROW TRANSPLANTATION,60,(1)
MLA:
Huang, Xiao-Bing,et al."Haploidentical hematopoietic stem cell transplantation for hematologic malignancies: a novel conditioning regimen with anti-T lymphocyte immunoglobulin instead of anti-thymocyte globulin for in vivo T cell depletion".BONE MARROW TRANSPLANTATION 60..1(2025):39-46