Long-Term Outcomes of Myeloablation and Autologous Transplantation of Relapsed Acute Myeloid Leukemia in Second Remission: A British Society of Blood and Marrow Transplantation Registry Study

• Published in: Biology of blood and marrow transplantation 2006-12, Vol.12 (12), p.1310-1317
• Main Authors: Chantry, Andrew D., Snowden, John A., Craddock, Charles, Peggs, Karl, Roddie, Claire, Craig, Jenny I.O., Orchard, Kim, Towlson, Keiren E., Pearce, Rachel M., Marks, David I.
• Format: Article
• Language: English
• Subjects: Acute Disease; Adolescent; Adult; Age Factors; Aged; Autologous transplantation; Bone Marrow Transplantation - statistics & numerical data; Busulfan - administration & dosage; Busulfan - adverse effects; Cyclophosphamide - administration & dosage; Cyclophosphamide - adverse effects; Etoposide - administration & dosage; Etoposide - adverse effects; Female; Follow-Up Studies; Humans; Kaplan-Meier Estimate; Leukemia, Myeloid - surgery; Male; Melphalan - administration & dosage; Melphalan - adverse effects; Middle Aged; Peripheral Blood Stem Cell Transplantation - statistics & numerical data; Registries - statistics & numerical data; Relapsed acute myeloid leukemia; Remission Induction; Retrospective Studies; Risk Factors; Salvage Therapy; Survival Analysis; Transplantation Conditioning - methods; Transplantation Conditioning - statistics & numerical data; Transplantation, Autologous - statistics & numerical data; United Kingdom - epidemiology; Whole-Body Irradiation - statistics & numerical data
• ISSN: 1083-8791; 1523-6536
• DOI: 10.1016/j.bbmt.2006.07.015

Relapsed acute myeloid leukemia (AML) in adults has a poor prognosis if treated with chemotherapy alone. Case series have previously supported the role of myeloablation and autologous transplantation as a potentially curative treatment. This study aimed to use the large numbers and extended follow-up data in the British Society of Blood and Marrow Transplantation (BSBMT) registry database to establish long-term outcomes and relate these to biological and procedural factors. The BSBMT registry database was used to retrospectively identify 152 adult patients (age, 16–69 years) with AML in second remission treated with autologous transplantation in 1982–2003. Cytogenetic data were available for 68% of the patients; of these, at diagnosis, 42% had good risk features, 57% had standard risk features, and 1% had poor risk features. Conditioning regimens varied; autologous rescue was provided with bone marrow (BM) (71%), peripheral blood stem cells (PBSCs) (18%), or both (11%), which were harvested during first complete remission (CR1) and/or second CR (CR2). Median follow-up was 84 months (range, 2–200 months). At 10 years, actuarial overall survival (OS) was 32%, progression-free survival (PFS) was 28%, and relapse rate (RR) was 57%. The 100-day nonrelapse mortality (NRM) was 7%, rising to 11% at 1 year and to 14% at 10 years. OS was significantly related to M3 subtype (5-year OS, 66%; P = .005), patient age at diagnosis ( P = .005) and transplantation ( P = .026), and length of CR1, with greatest significance if the patient was dichotomized at CR1 duration of < 8 months or ≥ 8 months ( P = .0001). There was no difference in OS between regimens containing total body irradiation (TBI) and chemotherapy alone ( P = .7). In relation to the nature of autologous graft material, there was improved OS ( P = .025) and PFS ( P = .009) with the use of cells harvested entirely in CR1 compared with cells harvested in CR2 or in both CR1 and CR2. Engraftment times were significantly shortened with the use of PBSCs alone or in combination with BM compared with BM alone ( P = .0001), but there was no significant long-term impact on OS, PFS, RR, or NRM. This study provides long-term follow-up data in one of the largest series of patients with standard-risk and good-risk AML in CR2 treated with autologous transplantation and supports earlier observations that long-term survival is achievable in about 1/3 of patients overall and in about 2/3 of patients with M3 with a relatively lo