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Impact of Palifermin on Transplant Outcomes in Children and Adolescents Undergoing Allogeneic Hematopoietic Cell Transplantation

Background: Oral mucositis (OM) is considered to be one of the worst and most debilitating complications of conditioning for hematopoietic cell transplantation (HCT). Prevention and treatment of this complication is one of the utmost priorities of supportive therapy during transplant procedure. The...

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Published in:Anticancer research 2020-11, Vol.40 (11), p.6531-6537
Main Authors: CZYŻEWSKI, KRZYSZTOF, DĘBSKI, ROBERT, BARTOSZEWICZ, NATALIA, DEMIDOWICZ, EWA, RICHERT-PRZYGOŃSKA, MONIKA, ŁĘCKA, MONIKA, TARASENKO, SONIA, STYCZYŃSKI, JAN
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container_issue 11
container_start_page 6531
container_title Anticancer research
container_volume 40
creator CZYŻEWSKI, KRZYSZTOF
DĘBSKI, ROBERT
BARTOSZEWICZ, NATALIA
DEMIDOWICZ, EWA
RICHERT-PRZYGOŃSKA, MONIKA
ŁĘCKA, MONIKA
TARASENKO, SONIA
STYCZYŃSKI, JAN
description Background: Oral mucositis (OM) is considered to be one of the worst and most debilitating complications of conditioning for hematopoietic cell transplantation (HCT). Prevention and treatment of this complication is one of the utmost priorities of supportive therapy during transplant procedure. The objective of this study was the analysis of the influence of palifermin, keratinocyte growth factor (KGF), on transplant outcomes in patients undergoing allo-HCT. Patients and Methods: A total of 253 allo-HCTs performed between 2003-2018 in patients aged 0-19 years at a single center were analyzed. KGF was administered in 161 HCTs. Uni- and multivariate risk factor analyses were performed. Results: In spite of reducing the duration and grade of mucositis, no prognostic impact of KGF was shown for overall survival, event-free survival, relapse incidence, acute and chronic graft-versus-host disease (GVHD), nor GVHD-free relapse-free survival. Conclusion: Palifermin had no impact on transplant outcomes in children and adolescents undergoing allo-HCT.
doi_str_mv 10.21873/anticanres.14677
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Prevention and treatment of this complication is one of the utmost priorities of supportive therapy during transplant procedure. The objective of this study was the analysis of the influence of palifermin, keratinocyte growth factor (KGF), on transplant outcomes in patients undergoing allo-HCT. Patients and Methods: A total of 253 allo-HCTs performed between 2003-2018 in patients aged 0-19 years at a single center were analyzed. KGF was administered in 161 HCTs. Uni- and multivariate risk factor analyses were performed. Results: In spite of reducing the duration and grade of mucositis, no prognostic impact of KGF was shown for overall survival, event-free survival, relapse incidence, acute and chronic graft-versus-host disease (GVHD), nor GVHD-free relapse-free survival. 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subjects Adolescents
Children
Complications
Graft-versus-host reaction
Growth factors
Keratinocyte growth factor
Mucositis
Risk analysis
Risk factors
Stem cell transplantation
Survival
Transplantation
Transplants & implants
title Impact of Palifermin on Transplant Outcomes in Children and Adolescents Undergoing Allogeneic Hematopoietic Cell Transplantation
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