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A pilot study of tacrolimus and mycophenolate mofetil graft-versus-host disease prophylaxis in childhood and adolescent allogeneic stem cell transplant.

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Presentation on theme: "A pilot study of tacrolimus and mycophenolate mofetil graft-versus-host disease prophylaxis in childhood and adolescent allogeneic stem cell transplant."— Presentation transcript:

1 A pilot study of tacrolimus and mycophenolate mofetil graft-versus-host disease prophylaxis in childhood and adolescent allogeneic stem cell transplant recipients  Ifeyinwa Osunkwo, Olga Bessmertny, Lauren Harrison, Ying-Kuen Cheung, Carmella Van De Ven, Gustavo del Toro, James Garvin, Diane George, M.Brigid Bradley, Karen Wolownik, Cheryl Wischhover, Joseph Levy, Donna Skerrett, Mitchell S Cairo  Biology of Blood and Marrow Transplantation  Volume 10, Issue 4, Pages (April 2004) DOI: /j.bbmt

2 Figure 1 The probability of patients developing grade II to IV or III to IV aGVHD and cGVHD. The probability of patients developing grade II to IV (——) or III to IV aGVHD (----) or cGVHD (- · - · -) was determined by the method of Kaplan and Meier. GVHD was graded according to the Seattle consensus criteria, and patients were staged and graded prospectively once a week for the occurrence of aGVHD. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )

3 Figure 2 Probability of developing grade II or higher or grade III to IV aGVHD. The probability of developing grade II or higher or grade III to IV aGVHD in patients who received AlloSCT from peripheral blood (PBSC; ——), bone marrow (BM; - · - · -), or unrelated cord blood units (UCB; ----) was determined by the method of Kaplan and Meier. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )

4 Figure 3 Probability of developing grade III to IV or higher aGVHD. The probability of developing grade III to IV or higher aGVHD in patients who received AlloSCT from peripheral blood (PBSC; ——), bone marrow (BM; - · - · -), or unrelated cord blood units (UCB; ----) was determined by the method of Kaplan and Meier. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )

5 Figure 4 A, Relationship between MMF dose and steady-state MPA trough concentrations. B, Probability of developing grade II or higher aGVHD with regard to MPA trough levels. The probability of developing grade II or higher aGVHD in patients who did not achieve an MPA trough level ≥1 μg/mL (——) compared with those recipients who achieved a level ≤1 μg/mL (— - - —) was determined by the method of Kaplan and Meier. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )

6 Figure 5 A, Probability of myeloid engraftment (ANC ≥500/mm3 for 2 days) determined by the Kaplan-Meier method in all patients (----) and patients who received either umbilical cord blood (UCB; — —) or matched family donor (MFD; ——) allogeneic stem cell transplants. Patients who did not engraft were excluded from data analysis. B, Probability of platelet (Plt) engraftment (Plt count ≥20000/mm3 for 7 days) was determined by the Kaplan-Meier method in all patients (---) and in patients who received either UCB (— —) or MFD (——) allogeneic stem cell transplants. Patients who did not engraft were excluded from the data analysis. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )

7 Figure 6 One-year overall survival. The probability of 1-year overall survival of 27 evaluable patients was determined by the Kaplan-Meier method in all patients or those who received either umbilical cord blood or matched family donor allogeneic stem cell transplants. All patients (----); average risk (— —); and poor risk (——) by International Bone Marrow Transplant Registry criteria. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt )


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