Allogeneic stem cell transplantation using total body irradiation in conditioning regimen for treatment of acute lymphoblastic leukemia

  • Phù Chí Dũng Bệnh viện Truyền máu Huyết học
  • Đỗ Thị Thùy Dương Bệnh viện Truyền máu Huyết học
  • Nguyễn Thế Quang Bệnh viện Truyền máu Huyết học
  • Huỳnh Văn Mẫn Bệnh viện Truyền máu Huyết học
  • Phạm Thị Tuyết Nhung Bệnh viện Trung ương Quân đội 108
  • Nguyễn Thị Minh Phương Bệnh viện Trung ương Quân đội 108
  • Nguyễn Xuân Kiên Bệnh viện Trung ương Quân đội 108
  • Phạm Quang Trung Bệnh viện Trung ương Quân đội 108
  • Trần Ánh Dương Bệnh viện FV

Main Article Content

Keywords

Total Body Irradiation, acute lymphoblastic leukemia, hematopoietic stem cell transplantaion

Abstract

Total Body Irradiation (TBI) is an advanced technique using in allogeneic stem cell transplantation. Applying TBI in allogeneic hematopoietic stem cell transplantation has been implemented early in many countries worldwide to treat benign and malignant hematological diseases. For the first time in Vietnam, the TBI technique is applied in conditioning regimen for acute lymphoblastic hematopoietic stem cell transplantation. Conclusion: We initially reported two cases with high-risk acute lymphoblastic leukemia undergoing hematopoietic stem cell transplantation using a conditioning regimen with TBI.

Article Details

References

1. Marks DI, Forman SJ, Blume KG et al (2006) A comparison of cyclophosphamide and total body irradiation with etoposide and total body irradiation as conditioning regimens for patients undergoing sibling allografting for acute lymphoblastic leukemia in first or second complete remission. Biol Blood Marrow Transplant 12: 438-53.
2. Litzow MR, Perez WS, Klein JP et al (2002) Comparison of outcome following allogeneic bone marrow transplantation with cyclophosphamide-total body irradiation versus busulphan - cyclophosphamide conditioning regimens for acute myelogenous leukaemia in first remission. Br J Haematol 119: 1115-24.
3. Jamieson CHM, Amylon MD, Wong RM, Blume KG (2003) Allogeneic hematopoietic cell transplantation for patients with high-risk acute lymphoblastic leukemia in first or second complete remission using fractionated total-body irradiation and high-dose etoposide: A 15-year experience. Experimental Hematology 3: 98-6.
4. Childhood Acute Lymphoblastic Leukaemia Collaborative Group (CALLCG) (2009) Beneficial and harmful effects of anthracyclines in the treatment of childhood acute lymphoblastic leukaemia: A systematic review and meta-analysis. Br J Haematol 145: 376-388.
5. Davies SM, Ramsay NK, Klein JP et al (2000) Comparison of preparative regimens in transplants for children with acute lymphoblastic leukemia. J Clin Oncol 18: 340-347.
6. Bunin N, Aplenc R, Kamani N, Shaw K, Cnaan A, Simms S (2003) Randomized trial of busulfan vs total body irradiation containing conditioning regimens for children with acute lymphoblastic leukemia: A Pediatric Blood and Marrow Transplant Consortium study. Bone Marrow Transplant 32: 543-548.
7. Wall DA, Chan KW, Nieder ML et al (2008) Safety, efficacy, and pharmacokinetics of intravenous busulfan in children undergoing 15. Oliansky DM, Appelbaum F, Cassileth PA, et al. The role of cytotoxic therapy with hematopoietic stem cell transplantation in the therapy of acute myelogenous leukemia in adults: an evidence-based review. Biol Blood Marrow Transplant 14: 137-180.
8. Ferry C, Gemayel G, Rocha V et al (2007) Long-term outcomes after allogeneic stem cell transplantation for children with hematological malignancies. Bone Marrow Transplant 40: 219-224.
9. Cohen A, Rovelli A, Merlo DF et al (2007) Risk for secondary thyroid carcinoma after hematopoietic stem-cell transplantation: An EBMT Late Effects Working Party Study. J Clin Oncol 25: 2449-2454.
10. Bhatia S, Robison LL, Francisco L et al (2005) Late mortality in survivors of autologous hematopoietic-cell transplantation: Report from the Bone Marrow Transplant Survivor Study. Blood 105: 4215-4222.
11. Socie G, Curtis RE, Deeg HJ et al (2000) New malignant diseases after allogeneic marrow transplantation for childhood acute leukemia. J Clin Oncol 18: 348-357.
12. Russell JA, Tran HT, Quinlan D et al (2002) Once-daily intravenous busulfan given with fludarabine as conditioning for allogeneic stem cell transplantation: study of pharmacokinetics and early clinical outcomes. Biol Blood Marrow Transplant 8: 468-476.
13. Styczynski J, Tallamy B, Waxman I et al (2011) A pilot study of reduced toxicity conditioning with BU, fludarabine and alemtuzumab before the allogeneic hematopoietic SCT in children and adolescents. Bone Marrow Transplant 46: 790-799.