| Literature DB >> 26800676 |
Rika Sakai1, Masataka Taguri2, Kumi Oshima3, Takehiko Mori4, Hiroatsu Ago5, Souichi Adachi6, Satoshi Morita7, Shuichi Taniguchi8, Takahiro Fukuda9, Kazuteru Ohashi10, Tetsuya Eto11, Koichi Miyamura12, Koji Iwato13, Naoki Kobayashi14, Heiwa Kanamori15, Yasuo Morishima16, Tokiko Nagamura-Inoue17, Hisashi Sakamaki18, Yoshiko Atsuta19, Makoto Murata20.
Abstract
This nationwide, retrospective study compared the efficacy of cyclosporine and tacrolimus with methotrexate (CsA/MTX and TAC/MTX) for acute graft-versus-host disease (aGVHD) prevention and transplant-related outcomes. Data were obtained from the Transplant Registry Unified Management Program of the Japan Society for Hematopoietic Cell Transplantation for ≥ 16-year-old leukemia patients who received CsA/MTX or TAC/MTX after bone marrow transplantation and peripheral blood stem cell transplantation from serological HLA-matched related donors (MRD), HLA 8/8 allele-matched, or one allele-mismatched unrelated bone marrow (UBM), or 0-2 antigen-mismatched unrelated cord blood (UCB) transplantation between January 2005 and December 2009. Separate analyses were performed for each cohort. Adjusted multivariate analyses indicated that in the MRD (n = 1524) and the UBM (n = 1466) cohorts, TAC/MTX significantly reduced grade II-IV aGVHD risk (HR 0.58, P = 0.006 and HR 0.77, P = 0.015, respectively) without affecting the other transplant-related outcomes. In the UCB cohort (n = 925), TAC/MTX significantly reduced the risk of non-relapse mortality (HR 0.63, P = 0.027) and chronic GVHD (HR 0.60, P = 0.02) without significant effects on grade II-IV aGVHD (HR 0.83, P = 0.21). Our results may provide the most up-to-date data regarding GVHD prevention in Japan.Entities:
Keywords: Cyclosporine; Graft-versus-host disease; Methotrexate; Tacrolimus
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Year: 2016 PMID: 26800676 DOI: 10.1007/s12185-016-1939-9
Source DB: PubMed Journal: Int J Hematol ISSN: 0925-5710 Impact factor: 2.490