Loading…

Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)

Short-term outcome of myeloablative (MAC) and reduced intensity (RIC) conditioning in the prospective randomized international EBMT RICMAC study in patients with myelodyplastic syndrome (MDS) was comparable but longer follow up is lacking. Patients with MDS aged 18–65 years were randomized to receiv...

Full description

Saved in:
Bibliographic Details
Published in:Bone marrow transplantation (Basingstoke) 2024-08, Vol.59 (8), p.1084-1091
Main Authors: Niederwieser, Christian, Iacobelli, Simona, Franke, Georg-Nikolaus, Koster, Linda, van Os, Marleen, Platzbecker, Uwe, Hübel, Kai, Scheid, Christof, Müller, Lutz Peter, Stelljes, Matthias, Morozova, Elena, Passweg, Jakob, Onida, Francesco, Dreger, Peter, Saccardi, Riccardo, Ladetto, Marco, Salmenniemi, Urpu, Bethge, Wolfgang, Poiré, Xavier, Kobbe, Guido, McLornan, Donal P., Robin, Marie, Kröger, Nicolaus
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c426t-9757e492b5d14cd2f1be5fd4d52b29c01fd3a3fc76a7a7ad60bdf761d8be65373
container_end_page 1091
container_issue 8
container_start_page 1084
container_title Bone marrow transplantation (Basingstoke)
container_volume 59
creator Niederwieser, Christian
Iacobelli, Simona
Franke, Georg-Nikolaus
Koster, Linda
van Os, Marleen
Platzbecker, Uwe
Hübel, Kai
Scheid, Christof
Müller, Lutz Peter
Stelljes, Matthias
Morozova, Elena
Passweg, Jakob
Onida, Francesco
Dreger, Peter
Saccardi, Riccardo
Ladetto, Marco
Salmenniemi, Urpu
Bethge, Wolfgang
Poiré, Xavier
Kobbe, Guido
McLornan, Donal P.
Robin, Marie
Kröger, Nicolaus
description Short-term outcome of myeloablative (MAC) and reduced intensity (RIC) conditioning in the prospective randomized international EBMT RICMAC study in patients with myelodyplastic syndrome (MDS) was comparable but longer follow up is lacking. Patients with MDS aged 18–65 years were randomized to receive MAC ( N  = 64) with busulfan/cyclophosphamide or RIC ( n  = 65) with busulfan/fludarabine followed by stem cell transplantation -(HCT) from HLA matched or mismatched donor. After a median follow-up of 6.2 (0.4–12.5) years, 10-year OS and RFS were 54.0% and 43.9% for RIC and 44.4% and 44.2% for MAC ( p  = 0.15 and p  = 0.78), respectively. Since the first report, 6 patients died on NRM, 4 after RIC, and 2 after MAC. Similarly, 8 patients relapsed (4 in each arm), increasing the number of relapsed patients to 28. The second HCT was performed in 18 pts, 8 in the MAC, and 10 in the RIC arm. In a multivariate analysis, ECOG status and chemotherapy prior to HCT were independent risk factors for OS and RFS, ECOG and low cytogenetic risk for NRM and chemotherapy prior to HCT for RI. Patients with low cytogenetic risk had better OS [ p  = 0.002], RFS [ p  = 0.02], and NRM ( p  = 0.015) after RIC as compared to MAC.
doi_str_mv 10.1038/s41409-024-02282-7
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11296945</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3087448073</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-9757e492b5d14cd2f1be5fd4d52b29c01fd3a3fc76a7a7ad60bdf761d8be65373</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhSMEotPCC7BAltiURcD_TtigMhSI1BFSKWvLiW-mrjL2YDsjzdvXZUr5WSDL8uJ-PvbRV1UvCH5DMGveJk44bmtMedm0obV6VC0IV7IWTIrH1QJT2dSMyfaoOk7pBmPCORZPqyPWSMlF0y6qeAl2HsAi5zP45PIe7SCmOaHNHqZg-slktwM0BG9ddsE7v0ZjiGj18ds7NAW_rjPEDYqQ5iknFEZkPDr_sLpC22uTAHVdh1Ke7R6dXnbL1dny9bPqyWimBM_vz5Pq-6fzq-WX-uLr5255dlEPnMpct0oo4C3thSV8sHQkPYjRcitoT9sBk9Eyw8ZBSaPKshL3dlSS2KYHKZhiJ9X7Q-527jdgB_A5mklvo9uYuNfBOP33xLtrvQ47TQhtZctFSTi9T4jhxwwp641LA0yT8RDmpBnmqnCKk4K--ge9CXP0pV-hGsV5gxUrFD1QQwwpRRgffkOwvnOqD051cap_OtV3PV7-2ePhyi-JBWAHIJWRX0P8_fZ_Ym8BRZmtbA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3087448073</pqid></control><display><type>article</type><title>Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)</title><source>Nexis UK</source><source>Springer Link</source><creator>Niederwieser, Christian ; Iacobelli, Simona ; Franke, Georg-Nikolaus ; Koster, Linda ; van Os, Marleen ; Platzbecker, Uwe ; Hübel, Kai ; Scheid, Christof ; Müller, Lutz Peter ; Stelljes, Matthias ; Morozova, Elena ; Passweg, Jakob ; Onida, Francesco ; Dreger, Peter ; Saccardi, Riccardo ; Ladetto, Marco ; Salmenniemi, Urpu ; Bethge, Wolfgang ; Poiré, Xavier ; Kobbe, Guido ; McLornan, Donal P. ; Robin, Marie ; Kröger, Nicolaus</creator><creatorcontrib>Niederwieser, Christian ; Iacobelli, Simona ; Franke, Georg-Nikolaus ; Koster, Linda ; van Os, Marleen ; Platzbecker, Uwe ; Hübel, Kai ; Scheid, Christof ; Müller, Lutz Peter ; Stelljes, Matthias ; Morozova, Elena ; Passweg, Jakob ; Onida, Francesco ; Dreger, Peter ; Saccardi, Riccardo ; Ladetto, Marco ; Salmenniemi, Urpu ; Bethge, Wolfgang ; Poiré, Xavier ; Kobbe, Guido ; McLornan, Donal P. ; Robin, Marie ; Kröger, Nicolaus</creatorcontrib><description>Short-term outcome of myeloablative (MAC) and reduced intensity (RIC) conditioning in the prospective randomized international EBMT RICMAC study in patients with myelodyplastic syndrome (MDS) was comparable but longer follow up is lacking. Patients with MDS aged 18–65 years were randomized to receive MAC ( N  = 64) with busulfan/cyclophosphamide or RIC ( n  = 65) with busulfan/fludarabine followed by stem cell transplantation -(HCT) from HLA matched or mismatched donor. After a median follow-up of 6.2 (0.4–12.5) years, 10-year OS and RFS were 54.0% and 43.9% for RIC and 44.4% and 44.2% for MAC ( p  = 0.15 and p  = 0.78), respectively. Since the first report, 6 patients died on NRM, 4 after RIC, and 2 after MAC. Similarly, 8 patients relapsed (4 in each arm), increasing the number of relapsed patients to 28. The second HCT was performed in 18 pts, 8 in the MAC, and 10 in the RIC arm. In a multivariate analysis, ECOG status and chemotherapy prior to HCT were independent risk factors for OS and RFS, ECOG and low cytogenetic risk for NRM and chemotherapy prior to HCT for RI. Patients with low cytogenetic risk had better OS [ p  = 0.002], RFS [ p  = 0.02], and NRM ( p  = 0.015) after RIC as compared to MAC.</description><identifier>ISSN: 0268-3369</identifier><identifier>ISSN: 1476-5365</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/s41409-024-02282-7</identifier><identifier>PMID: 38664589</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/2171 ; 692/699/1541/1990/1673 ; Adolescent ; Adult ; Aged ; Busulfan ; Busulfan - administration &amp; dosage ; Busulfan - therapeutic use ; Cell Biology ; Chemotherapy ; Conditioning ; Cyclophosphamide ; Cyclophosphamide - therapeutic use ; Cytogenetics ; Female ; Fludarabine ; Follow-Up Studies ; Hematology ; Hematopoietic Stem Cell Transplantation - methods ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multivariate analysis ; Myeloablative Agonists - therapeutic use ; Myelodysplastic Syndromes - mortality ; Myelodysplastic Syndromes - therapy ; Prospective Studies ; Public Health ; Risk analysis ; Risk factors ; Stem cell transplantation ; Stem Cells ; Transplantation Conditioning - methods ; Vidarabine - administration &amp; dosage ; Vidarabine - analogs &amp; derivatives ; Vidarabine - therapeutic use ; Young Adult</subject><ispartof>Bone marrow transplantation (Basingstoke), 2024-08, Vol.59 (8), p.1084-1091</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-9757e492b5d14cd2f1be5fd4d52b29c01fd3a3fc76a7a7ad60bdf761d8be65373</cites><orcidid>0000-0003-1388-9876 ; 0000-0002-2212-8166 ; 0000-0003-1224-091X ; 0000-0002-0114-1011 ; 0000-0001-7092-3351 ; 0000-0003-1863-3239 ; 0000-0001-8239-002X ; 0000-0002-9605-485X ; 0000-0002-2961-4183 ; 0000-0001-6052-2618 ; 0000-0002-7429-8570</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38664589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Niederwieser, Christian</creatorcontrib><creatorcontrib>Iacobelli, Simona</creatorcontrib><creatorcontrib>Franke, Georg-Nikolaus</creatorcontrib><creatorcontrib>Koster, Linda</creatorcontrib><creatorcontrib>van Os, Marleen</creatorcontrib><creatorcontrib>Platzbecker, Uwe</creatorcontrib><creatorcontrib>Hübel, Kai</creatorcontrib><creatorcontrib>Scheid, Christof</creatorcontrib><creatorcontrib>Müller, Lutz Peter</creatorcontrib><creatorcontrib>Stelljes, Matthias</creatorcontrib><creatorcontrib>Morozova, Elena</creatorcontrib><creatorcontrib>Passweg, Jakob</creatorcontrib><creatorcontrib>Onida, Francesco</creatorcontrib><creatorcontrib>Dreger, Peter</creatorcontrib><creatorcontrib>Saccardi, Riccardo</creatorcontrib><creatorcontrib>Ladetto, Marco</creatorcontrib><creatorcontrib>Salmenniemi, Urpu</creatorcontrib><creatorcontrib>Bethge, Wolfgang</creatorcontrib><creatorcontrib>Poiré, Xavier</creatorcontrib><creatorcontrib>Kobbe, Guido</creatorcontrib><creatorcontrib>McLornan, Donal P.</creatorcontrib><creatorcontrib>Robin, Marie</creatorcontrib><creatorcontrib>Kröger, Nicolaus</creatorcontrib><title>Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><addtitle>Bone Marrow Transplant</addtitle><description>Short-term outcome of myeloablative (MAC) and reduced intensity (RIC) conditioning in the prospective randomized international EBMT RICMAC study in patients with myelodyplastic syndrome (MDS) was comparable but longer follow up is lacking. Patients with MDS aged 18–65 years were randomized to receive MAC ( N  = 64) with busulfan/cyclophosphamide or RIC ( n  = 65) with busulfan/fludarabine followed by stem cell transplantation -(HCT) from HLA matched or mismatched donor. After a median follow-up of 6.2 (0.4–12.5) years, 10-year OS and RFS were 54.0% and 43.9% for RIC and 44.4% and 44.2% for MAC ( p  = 0.15 and p  = 0.78), respectively. Since the first report, 6 patients died on NRM, 4 after RIC, and 2 after MAC. Similarly, 8 patients relapsed (4 in each arm), increasing the number of relapsed patients to 28. The second HCT was performed in 18 pts, 8 in the MAC, and 10 in the RIC arm. In a multivariate analysis, ECOG status and chemotherapy prior to HCT were independent risk factors for OS and RFS, ECOG and low cytogenetic risk for NRM and chemotherapy prior to HCT for RI. Patients with low cytogenetic risk had better OS [ p  = 0.002], RFS [ p  = 0.02], and NRM ( p  = 0.015) after RIC as compared to MAC.</description><subject>692/308/2171</subject><subject>692/699/1541/1990/1673</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Busulfan</subject><subject>Busulfan - administration &amp; dosage</subject><subject>Busulfan - therapeutic use</subject><subject>Cell Biology</subject><subject>Chemotherapy</subject><subject>Conditioning</subject><subject>Cyclophosphamide</subject><subject>Cyclophosphamide - therapeutic use</subject><subject>Cytogenetics</subject><subject>Female</subject><subject>Fludarabine</subject><subject>Follow-Up Studies</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - methods</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Myeloablative Agonists - therapeutic use</subject><subject>Myelodysplastic Syndromes - mortality</subject><subject>Myelodysplastic Syndromes - therapy</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Transplantation Conditioning - methods</subject><subject>Vidarabine - administration &amp; dosage</subject><subject>Vidarabine - analogs &amp; derivatives</subject><subject>Vidarabine - therapeutic use</subject><subject>Young Adult</subject><issn>0268-3369</issn><issn>1476-5365</issn><issn>1476-5365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAUhSMEotPCC7BAltiURcD_TtigMhSI1BFSKWvLiW-mrjL2YDsjzdvXZUr5WSDL8uJ-PvbRV1UvCH5DMGveJk44bmtMedm0obV6VC0IV7IWTIrH1QJT2dSMyfaoOk7pBmPCORZPqyPWSMlF0y6qeAl2HsAi5zP45PIe7SCmOaHNHqZg-slktwM0BG9ddsE7v0ZjiGj18ds7NAW_rjPEDYqQ5iknFEZkPDr_sLpC22uTAHVdh1Ke7R6dXnbL1dny9bPqyWimBM_vz5Pq-6fzq-WX-uLr5255dlEPnMpct0oo4C3thSV8sHQkPYjRcitoT9sBk9Eyw8ZBSaPKshL3dlSS2KYHKZhiJ9X7Q-527jdgB_A5mklvo9uYuNfBOP33xLtrvQ47TQhtZctFSTi9T4jhxwwp641LA0yT8RDmpBnmqnCKk4K--ge9CXP0pV-hGsV5gxUrFD1QQwwpRRgffkOwvnOqD051cap_OtV3PV7-2ePhyi-JBWAHIJWRX0P8_fZ_Ym8BRZmtbA</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Niederwieser, Christian</creator><creator>Iacobelli, Simona</creator><creator>Franke, Georg-Nikolaus</creator><creator>Koster, Linda</creator><creator>van Os, Marleen</creator><creator>Platzbecker, Uwe</creator><creator>Hübel, Kai</creator><creator>Scheid, Christof</creator><creator>Müller, Lutz Peter</creator><creator>Stelljes, Matthias</creator><creator>Morozova, Elena</creator><creator>Passweg, Jakob</creator><creator>Onida, Francesco</creator><creator>Dreger, Peter</creator><creator>Saccardi, Riccardo</creator><creator>Ladetto, Marco</creator><creator>Salmenniemi, Urpu</creator><creator>Bethge, Wolfgang</creator><creator>Poiré, Xavier</creator><creator>Kobbe, Guido</creator><creator>McLornan, Donal P.</creator><creator>Robin, Marie</creator><creator>Kröger, Nicolaus</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>7T5</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1388-9876</orcidid><orcidid>https://orcid.org/0000-0002-2212-8166</orcidid><orcidid>https://orcid.org/0000-0003-1224-091X</orcidid><orcidid>https://orcid.org/0000-0002-0114-1011</orcidid><orcidid>https://orcid.org/0000-0001-7092-3351</orcidid><orcidid>https://orcid.org/0000-0003-1863-3239</orcidid><orcidid>https://orcid.org/0000-0001-8239-002X</orcidid><orcidid>https://orcid.org/0000-0002-9605-485X</orcidid><orcidid>https://orcid.org/0000-0002-2961-4183</orcidid><orcidid>https://orcid.org/0000-0001-6052-2618</orcidid><orcidid>https://orcid.org/0000-0002-7429-8570</orcidid></search><sort><creationdate>20240801</creationdate><title>Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)</title><author>Niederwieser, Christian ; Iacobelli, Simona ; Franke, Georg-Nikolaus ; Koster, Linda ; van Os, Marleen ; Platzbecker, Uwe ; Hübel, Kai ; Scheid, Christof ; Müller, Lutz Peter ; Stelljes, Matthias ; Morozova, Elena ; Passweg, Jakob ; Onida, Francesco ; Dreger, Peter ; Saccardi, Riccardo ; Ladetto, Marco ; Salmenniemi, Urpu ; Bethge, Wolfgang ; Poiré, Xavier ; Kobbe, Guido ; McLornan, Donal P. ; Robin, Marie ; Kröger, Nicolaus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-9757e492b5d14cd2f1be5fd4d52b29c01fd3a3fc76a7a7ad60bdf761d8be65373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/308/2171</topic><topic>692/699/1541/1990/1673</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Busulfan</topic><topic>Busulfan - administration &amp; dosage</topic><topic>Busulfan - therapeutic use</topic><topic>Cell Biology</topic><topic>Chemotherapy</topic><topic>Conditioning</topic><topic>Cyclophosphamide</topic><topic>Cyclophosphamide - therapeutic use</topic><topic>Cytogenetics</topic><topic>Female</topic><topic>Fludarabine</topic><topic>Follow-Up Studies</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation - methods</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Myeloablative Agonists - therapeutic use</topic><topic>Myelodysplastic Syndromes - mortality</topic><topic>Myelodysplastic Syndromes - therapy</topic><topic>Prospective Studies</topic><topic>Public Health</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>Transplantation Conditioning - methods</topic><topic>Vidarabine - administration &amp; dosage</topic><topic>Vidarabine - analogs &amp; derivatives</topic><topic>Vidarabine - therapeutic use</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Niederwieser, Christian</creatorcontrib><creatorcontrib>Iacobelli, Simona</creatorcontrib><creatorcontrib>Franke, Georg-Nikolaus</creatorcontrib><creatorcontrib>Koster, Linda</creatorcontrib><creatorcontrib>van Os, Marleen</creatorcontrib><creatorcontrib>Platzbecker, Uwe</creatorcontrib><creatorcontrib>Hübel, Kai</creatorcontrib><creatorcontrib>Scheid, Christof</creatorcontrib><creatorcontrib>Müller, Lutz Peter</creatorcontrib><creatorcontrib>Stelljes, Matthias</creatorcontrib><creatorcontrib>Morozova, Elena</creatorcontrib><creatorcontrib>Passweg, Jakob</creatorcontrib><creatorcontrib>Onida, Francesco</creatorcontrib><creatorcontrib>Dreger, Peter</creatorcontrib><creatorcontrib>Saccardi, Riccardo</creatorcontrib><creatorcontrib>Ladetto, Marco</creatorcontrib><creatorcontrib>Salmenniemi, Urpu</creatorcontrib><creatorcontrib>Bethge, Wolfgang</creatorcontrib><creatorcontrib>Poiré, Xavier</creatorcontrib><creatorcontrib>Kobbe, Guido</creatorcontrib><creatorcontrib>McLornan, Donal P.</creatorcontrib><creatorcontrib>Robin, Marie</creatorcontrib><creatorcontrib>Kröger, Nicolaus</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Bone marrow transplantation (Basingstoke)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niederwieser, Christian</au><au>Iacobelli, Simona</au><au>Franke, Georg-Nikolaus</au><au>Koster, Linda</au><au>van Os, Marleen</au><au>Platzbecker, Uwe</au><au>Hübel, Kai</au><au>Scheid, Christof</au><au>Müller, Lutz Peter</au><au>Stelljes, Matthias</au><au>Morozova, Elena</au><au>Passweg, Jakob</au><au>Onida, Francesco</au><au>Dreger, Peter</au><au>Saccardi, Riccardo</au><au>Ladetto, Marco</au><au>Salmenniemi, Urpu</au><au>Bethge, Wolfgang</au><au>Poiré, Xavier</au><au>Kobbe, Guido</au><au>McLornan, Donal P.</au><au>Robin, Marie</au><au>Kröger, Nicolaus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>59</volume><issue>8</issue><spage>1084</spage><epage>1091</epage><pages>1084-1091</pages><issn>0268-3369</issn><issn>1476-5365</issn><eissn>1476-5365</eissn><abstract>Short-term outcome of myeloablative (MAC) and reduced intensity (RIC) conditioning in the prospective randomized international EBMT RICMAC study in patients with myelodyplastic syndrome (MDS) was comparable but longer follow up is lacking. Patients with MDS aged 18–65 years were randomized to receive MAC ( N  = 64) with busulfan/cyclophosphamide or RIC ( n  = 65) with busulfan/fludarabine followed by stem cell transplantation -(HCT) from HLA matched or mismatched donor. After a median follow-up of 6.2 (0.4–12.5) years, 10-year OS and RFS were 54.0% and 43.9% for RIC and 44.4% and 44.2% for MAC ( p  = 0.15 and p  = 0.78), respectively. Since the first report, 6 patients died on NRM, 4 after RIC, and 2 after MAC. Similarly, 8 patients relapsed (4 in each arm), increasing the number of relapsed patients to 28. The second HCT was performed in 18 pts, 8 in the MAC, and 10 in the RIC arm. In a multivariate analysis, ECOG status and chemotherapy prior to HCT were independent risk factors for OS and RFS, ECOG and low cytogenetic risk for NRM and chemotherapy prior to HCT for RI. Patients with low cytogenetic risk had better OS [ p  = 0.002], RFS [ p  = 0.02], and NRM ( p  = 0.015) after RIC as compared to MAC.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38664589</pmid><doi>10.1038/s41409-024-02282-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1388-9876</orcidid><orcidid>https://orcid.org/0000-0002-2212-8166</orcidid><orcidid>https://orcid.org/0000-0003-1224-091X</orcidid><orcidid>https://orcid.org/0000-0002-0114-1011</orcidid><orcidid>https://orcid.org/0000-0001-7092-3351</orcidid><orcidid>https://orcid.org/0000-0003-1863-3239</orcidid><orcidid>https://orcid.org/0000-0001-8239-002X</orcidid><orcidid>https://orcid.org/0000-0002-9605-485X</orcidid><orcidid>https://orcid.org/0000-0002-2961-4183</orcidid><orcidid>https://orcid.org/0000-0001-6052-2618</orcidid><orcidid>https://orcid.org/0000-0002-7429-8570</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0268-3369
ispartof Bone marrow transplantation (Basingstoke), 2024-08, Vol.59 (8), p.1084-1091
issn 0268-3369
1476-5365
1476-5365
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11296945
source Nexis UK; Springer Link
subjects 692/308/2171
692/699/1541/1990/1673
Adolescent
Adult
Aged
Busulfan
Busulfan - administration & dosage
Busulfan - therapeutic use
Cell Biology
Chemotherapy
Conditioning
Cyclophosphamide
Cyclophosphamide - therapeutic use
Cytogenetics
Female
Fludarabine
Follow-Up Studies
Hematology
Hematopoietic Stem Cell Transplantation - methods
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate analysis
Myeloablative Agonists - therapeutic use
Myelodysplastic Syndromes - mortality
Myelodysplastic Syndromes - therapy
Prospective Studies
Public Health
Risk analysis
Risk factors
Stem cell transplantation
Stem Cells
Transplantation Conditioning - methods
Vidarabine - administration & dosage
Vidarabine - analogs & derivatives
Vidarabine - therapeutic use
Young Adult
title Reduced intensity versus myeloablative conditioning for MDS: long-term results of an EBMT phase III study (RICMAC)
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T10%3A56%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Reduced%20intensity%20versus%20myeloablative%20conditioning%20for%20MDS:%20long-term%20results%20of%20an%20EBMT%20phase%20III%20study%20(RICMAC)&rft.jtitle=Bone%20marrow%20transplantation%20(Basingstoke)&rft.au=Niederwieser,%20Christian&rft.date=2024-08-01&rft.volume=59&rft.issue=8&rft.spage=1084&rft.epage=1091&rft.pages=1084-1091&rft.issn=0268-3369&rft.eissn=1476-5365&rft_id=info:doi/10.1038/s41409-024-02282-7&rft_dat=%3Cproquest_pubme%3E3087448073%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c426t-9757e492b5d14cd2f1be5fd4d52b29c01fd3a3fc76a7a7ad60bdf761d8be65373%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3087448073&rft_id=info:pmid/38664589&rfr_iscdi=true