Conditioning Regimens for Frail Patients with Acute Leukemia Undergoing Allogeneic Stem Cell Transplant: How to Strike Gently
- 10.2991/chi.k.210731.001How to use a DOI?
- Conditioning regimens; frail patients; acute leukemia; allogeneic stem cell transplant
Despite the recent dramatic progress in acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) therapy, allogeneic transplant remains a mainstay of treatment for patients with acute leukemia. The availability of novel compounds and low intensity chemotherapy regimens made it possible for a significant proportion of elderly and comorbid patients with AML or ALL to undergo curative treatment protocols. In addition, the expansion of donor availability and the recent dramatic progress in haploidentical stem cell transplant, allow the identification of an available donor for nearly every patient. Therefore, an increasing number of transplants are currently performed in elderly and frail patients with AML or ALL. However, allo-Hematopoietic stem cell transplant (HSCT) in this delicate setting represents an important challenge, especially regarding the selection of the conditioning protocol. Ideally, conditioning intensity should be reduced as much as possible; however, in patients with acute leukemia relapse remains the major cause of transplant failure. In this article we present modern tools to assess the patient health status before transplant, review the available data on the outcome of frail AML an ALL patients undergoing allo-HSCT, and discuss how preparatory regimens can be optimized in this setting.
- © 2021 International Academy for Clinical Hematology. Publishing services by Atlantis Press International B.V.
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TY - JOUR AU - Francesco Saraceni AU - Ilaria Scortechini AU - Alessandro Fiorentini AU - Maria Vittoria Dubbini AU - Giorgia Mancini AU - Irene Federici AU - Francesca Romana Colaneri AU - Antonio Federico Lotito AU - Selene Guerzoni AU - Bruna Puglisi AU - Attilio Olivieri PY - 2021 DA - 2021/08/19 TI - Conditioning Regimens for Frail Patients with Acute Leukemia Undergoing Allogeneic Stem Cell Transplant: How to Strike Gently JO - Clinical Hematology International SP - 153 EP - 160 VL - 3 IS - 4 SN - 2590-0048 UR - https://doi.org/10.2991/chi.k.210731.001 DO - 10.2991/chi.k.210731.001 ID - Saraceni2021 ER -