在Auto HSCT中干细胞调动失败及其因素:单一中心体验
Irsa Hidayat1, Mehreen Ali Khan1, Munazza Nabi Awan1
1Department of Clinical Haematology, The Armed Forces Bone Marrow Transplant Centre, Rawalpindi, Pakistan.
概括
在接受自身造血干细胞移植的患者中,Plerixafor显著提高了干细胞动员成功率. 这一发现特别适用于重度预先治疗的淋巴瘤患者,提高治疗疗效.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 移植医学 移植医学 移植医学
背景情况:
- 造血干细胞的动员对于自身干细胞移植至关重要.
- 确定动员失败的因素对于优化患者的治疗结果至关重要.
- 普莱里克萨福是用于增强干细胞动员的药物.
研究的目的:
- 为了确定在接受自性HSCT的患者中的动员失败率.
- 确定与动员失败相关的因素.
- 评估Plerixafor在改善干细胞采集方面的疗效.
主要方法:
- 一项描述性研究分析了115名接受自主性HSCT的患者的临床记录.
- 动员失败被定义为未能达到目标CD34+细胞计数或需要额外的Plerixafor.
- 使用统计分析来确定与成功动员相关的因素.
主要成果:
- 整体动员失败率为16%.
- 成功采集干细胞与年龄,淋巴瘤状况,先前的化疗和Plerixafor使用相关.
- 多变量分析发现Plerixafor是唯一与成功动员相关的重要因素.
结论:
- 普莱里克萨福显著改善了干细胞调动产量和成本效益.
- 普莱里克萨福尔对重度预先治疗的淋巴瘤患者特别有益.
- 早期识别有动员失败风险的患者可以指导治疗策略.
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