Allogeneic Hematopoietic Cell Transplant for Prolymphocytic Leukemia
- Matt E. Kalaycio(corresponding author),
- Manisha Kukreja,
- Ann E. Woolfrey,
- Jeffrey Szer,
- ,
- Richard T. Maziarz
- Cleveland Clinic Foundation,
- Medical College of Wisconsin,
- Fred Hutchinson Cancer Research Center,
- Royal Melbourne Hospital,
- University of Texas MD Anderson Cancer Center,
- Oregon Health and Science University
Open access
Abstract
The poor prognosis of patients with prolymphocytic leukemia (PLL) has led some clinicians to recommend allogeneic hematopoietic cell transplant (HCT). However, the data to support this approach is limited to case-reports and small case series. We reviewed the database of the Center for International Blood and Marrow Transplant Research (CIBMTR) to determine outcomes after allotransplant for patients with PLL. We identified 47 patients with a median age of 54 years (range: 30-75 years). With a median follow-up of 13 months, progression-free survival (PFS) was 33% (95% confidence interval [CI] 20%-47%) at 1 year. The most common cause of death was relapse or progression in 49%. The cumulative incidence of treatment-related mortality (TRM) at 1-year posttransplant was 28%. The small patient population prohibited prognostic factor analysis, but these data support consideration of allotransplant for PLL. Further study of a larger population of patients is needed to determine which patients are more likely to benefit.
Publication Information
Output type
Original language
English (US)Pages from-to (Number of pages)
Pages 543-547 (5 pages)Journal (Volume, Issue Number)
Biology of Blood and Marrow Transplantation (Volume 16, Issue 4)Publication milestones
- Published - 04/2010
Publication status
ISSN
1083-8791Publication IDs
- Scopus: 77949271439
- PubMed: 19961946
- ORCID: /0000-0002-8636-1071/work/68887826
