Second allogeneic stem cell transplantation in acute leukemia patients: single-centre experience

• Main Authors: Mehmet Bakırtaş, Tuğçe Nur Yiğenoğlu, Semih Başcı, Bahar Uncu Ulu, Nurgül Özcan, Dicle İskender, Mehmet Sinan Dal, Merih Kızıl Çakar, Fevzi Altuntaş
• Format: Article
• Language: Indonesian
• Published: Poltekkes Kemenkes Yogyakarta 2020-06-01
• Series: Jurnal Teknologi Laboratorium
• Subjects: acute myeloid leukaemia; allogeneic stem cell transplant; relapse
• Online Access: https://teknolabjournal.com/index.php/Jtl/article/view/208
• ISSN: 2338-5634; 2580-0191

Acute leukaemia patients who relapse after the first allogeneic stem cell transplantation (Allo-SCT) have a poor prognosis. Participating in clinical trials is the best option for these patients. If patients cannot participate in clinical trials, as the treatment options are limited, the second allo-SCT constitutes the potential curative treatment option. The data of acute leukaemia patients who underwent second allo-SCT because of relapsed/refractory disease after the first allo-SCT at our centre between December 2009 and February 2019 were analyzed retrospectively. Three hundred nineteen acute leukaemia patients were performed allo-SCT at our centre. 20 of these 319 acute leukaemia patients relapsed after first allo-SCT and underwent second allo-SCT. 10 AML patients and 10 ALL patients were included in the study. After second allo-SCT overall survival (OS) was 26.1±10.8 weeks, and progression-free survival (PFS) was 19.9±8.6 weeks. If the patients cannot participate in clinical trials, second allo-SCT should be considered for patients with late (≥12 months) relapses after the first allo-SCT. If possible, haploidentical donors should be selected for second allo-SCT and patients should be in complete remission before the transplant.