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Stem Cell Transplantation for Diamond–Blackfan Anemia. a Retrospective Study on Behalf of the Severe Aplastic Anemia Working Party of the European Blood and Marrow Transplantation Group (Ebmt) Publisher Pubmed



Miano M1 ; Eikema DJ2 ; De La Fuente J3 ; Bosman P2 ; Ghavamzadeh A4 ; Smiers F5 ; Sengelov H6 ; Yesilipek A7 ; Formankova R8 ; Bader P9 ; Diaz Perez MA10 ; Bertrand Y11 ; Niemeyer C12 ; Diallo S13 Show All Authors
Authors
  1. Miano M1
  2. Eikema DJ2
  3. De La Fuente J3
  4. Bosman P2
  5. Ghavamzadeh A4
  6. Smiers F5
  7. Sengelov H6
  8. Yesilipek A7
  9. Formankova R8
  10. Bader P9
  11. Diaz Perez MA10
  12. Bertrand Y11
  13. Niemeyer C12
  14. Diallo S13
  15. Ansari M14
  16. Bykova TA15
  17. Faraci M16
  18. Bonanomi S17
  19. Gozdzik J18
  20. Satti TM19
  21. Bodova I20
  22. Wolfl M21
  23. Rocha VG22
  24. Mellgren K23
  25. Rascon J24
  26. Holter W25
  27. Lange A26
  28. Meisel R27
  29. Beguin Y28
  30. Mozo Y29
  31. Krivan G30
  32. Sirvent A31
  33. Bruno B32
  34. Dalle JH33
  35. Onofrillo D34
  36. Giardino S16
  37. Risitano AM35
  38. De Latour RP36
  39. Dufour C1
Show Affiliations
Authors Affiliations
  1. 1. Haematology Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy
  2. 2. EBMT Statistics, EBMT Data Office, Leiden, Netherlands
  3. 3. Centre for Haematology, Imperial College London, London, United Kingdom
  4. 4. Hematology-Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran, Iran
  5. 5. Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands
  6. 6. Rigshospitalet Copenhagen, Copenhagen, Denmark
  7. 7. Medical Park Antalya Hospital, Antalya, Turkey
  8. 8. University Hospital Motol, Prague, Czech Republic
  9. 9. Division for Stem Cell Transplantation and Immunology, Department for Children and Adolescents, University Hospital Frankfurt, Frankfurt, Germany
  10. 10. Department of Pediatrics, Hematology/Oncology and Hematopoietic Stem Cell Transplant Unit, Hospital Infantil Universitario Nino Jesus, Madrid, Spain
  11. 11. Institute of Pediatric Hematology and Oncology, Civil Hospital of Lyon, Lyon, France
  12. 12. Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  13. 13. Department of Hematology, Jules Bordet Institute, Brussels, Belgium
  14. 14. Pediatric Oncology and Hematology, Department of Paediatrics, Gynaecology, and Obstetrics, Geneva University Hospital, Switzerland, Geneva, Switzerland
  15. 15. Raisa Gorbacheva Memorial Scientific Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, St. Petersburg, Russian Federation
  16. 16. BMT Unit, Istituto Giannina Gaslini, Genova, Italy
  17. 17. MBBM Foundation, University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy
  18. 18. Jagiellonian University, Medical Collage, Krakow, Poland
  19. 19. Armed Forces Bone Marrow Transplant Centre, Rawalpindi, Pakistan
  20. 20. National Institute of Children's Diseases, Bratislava, Slovakia
  21. 21. Pediatric Blood and Marrow Transplantation Program, Children's Hospital, University Hospital of Wurzburg, Wurzburg, Germany
  22. 22. Churchill Hospital, Oxford, United Kingdom
  23. 23. Sahlgrenska University Hospital, Gothenburg, Sweden
  24. 24. Center for Pediatric Oncology and Hematology, Vilnius University, Vilnius, Lithuania
  25. 25. St. Anna Kinderspital, Vienna, Austria
  26. 26. Lower Silesian Center for Cellular Transplantation, Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland
  27. 27. Division of Pediatric Stem Cell Therapy, Department of Pediatric Oncology, Hematology and Clinical Immunology, Heinrich-Heine-University, Dusseldorf, Germany
  28. 28. CHU de Liege, University of Liege, Liege, Belgium
  29. 29. Hospital Universitario La Paz, Madrid, Spain
  30. 30. Department of Paediatric Haematology and Stem Cell Transplantation, Central Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, Budapest, Hungary
  31. 31. Onco-Hematologie Pediatrique, CHU de Montpellier, Montpellier, France
  32. 32. CHU Lille, Hematogie pediatrique, Lille, France
  33. 33. Hematology and Immunology Department, Hopital Robert-Debre, universite de Paris, Paris, France
  34. 34. Haematology Unit, Ospedale Civile, Pescara, Italy
  35. 35. Department of Clinical Medicine and Surgery, University of Naples, Naples, Italy
  36. 36. Bone Marrow Transplantation Unit, Saint Louis Hospital, APHP, Paris, France

Source: Transplantation and Cellular Therapy Published:2021


Abstract

Data on stem cell transplantation (SCT) for Diamond–Blackfan Anemia (DBA) is limited. We studied patients transplanted for DBA and registered in the EBMT database. Between 1985 and 2016, 106 DBA patients (median age, 6.8 years) underwent hematopoietic stem cell transplantation from matched-sibling donors (57%), unrelated donors (36%), or other related donors (7%), using marrow (68%), peripheral blood stem cells (20%), both marrow and peripheral blood stem cells (1%), or cord blood (11%). The cumulative incidence of engraftment was 86% (80% to 93%), and neutrophil recovery and platelet recovery were achieved on day +18 (range, 16 to 20) and +36 (range, 32 to 43), respectively. Three-year overall survival and event-free survival were 84% (77% to 91%) and 81% (74% to 89%), respectively. Older patients were significantly more likely to die (hazard ratio, 1.4; 95% confidence interval, 1.06 to 1.23; P <.001). Outcomes were similar between sibling compared to unrelated-donor transplants. The incidence of acute grades II to IV of graft-versus-host disease (GVHD) was 30% (21% to 39%), and the incidence of extensive chronic GVHD was 15% (7% to 22%). This study shows that SCT may represent an alternative therapeutic option for transfusion-dependent younger patients. © 2021