Who Should Receive a Transplant for Acute Lymphoblastic Leukaemia?

Abstract:

:Allogeneic haematopoietic cell transplantation continues to be an important curative therapy for acute lymphoblastic leukaemia (ALL). Traditionally accepted indications for allografting adult ALL patients need reevaluation in light of outcomes with paediatric-like intensive regimens. Minimal residual disease status and oncogenetics can be used for restratification of standard risk patients. A greater body of data on haematopoietic cell transplantation (HCT) outcomes from haploidentical and cord blood donor sources has been generated in recent years. In this review, we describe the indications for allografting adult ALL patients in first complete remission (CR1). Role of minimal residual disease (MRD) in optimising HCT for ALL is delineated. We also discuss how alternative donors, haploidentical and cord blood and reduced intensity conditioning make allografts more accessible to patients with high-risk ALL. Recent data on use of monoclonal antibodies and chimeric antigen receptor (CAR)-modified T cells in adult ALL patients are also reviewed.

journal_name

Curr Hematol Malig Rep

authors

Dhawan R,Marks DI

doi

10.1007/s11899-017-0371-4

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

143-152

issue

2

eissn

1558-8211

issn

1558-822X

pii

10.1007/s11899-017-0371-4

journal_volume

12

pub_type

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